Scene Size Up 

Pt

Score

Patient Information

1.        Overviews scene for safety, mechanism of injury

2

2.        Determines number of patients, requests additional help if needed

2

3.       Considers stabilization of spine

1

Initial Assessment  (Primary Survey)                                    

4.       Verbalizes general impression of patient

1

5.       Determines chief complaint/apparent life threats

1

6.             Determines patient's responsiveness (LOC)

1

7.             Evaluates status of airway

1

8.             Determines breathing is present

1

9.             Determines pulse is present            

a.  Evaluates patient for major bleeding                           

 b.  Evaluates skin signs (color, temp, moisture)

   1     1  

1

10.       Determines patient's priority, makes transport decision

1

Focused Physical Exam and History (Secondary) or Rapid Trauma Assessment

11.      Selects appropriate assessment (focused or rapid)

1

12.           Obtains baseline vital signs:    

a.  Evaluates breathing rate                                          

 b.  Evaluates pulse rate      

c.  Evaluates BP  (auscultated or palpated)                                                          

d.  Compares central and peripheral pulse

        1  

1 

1

1

13.       Obtains SAMPLE History

1

13.      Assesses the head :   

a.  Palpates head/scalp   

b.  Palpates facial bones, nose          

 c.  Evaluates mouth, oral cavity, ears            

d.  Evaluates pupils

 1

   1  

   1  

  1

14.           Assesses the neck:                   

 a.   Evaluates trachea                                          

b.   Assesses neck veins          

 c.   Palpates cervical spine

  1    

1  

1

15.      Assesses the chest:    

a.  Inspects and palpates   

 b.  Evaluates breath sounds

  2    

1

16.           Assesses the abdomen/Pelvis:    

a.  Assesses the abdomen                                      

b.  Evaluates pelvis                      

 c.  Evaluates genitalia (verbalize)

1 

   1    

1

17.           Evaluates extremities:            

a.  Inspects, palpates lower extremities                            

b.  Inspects, palpates upper extremities        

 c. Checks pulse, movement and sensation each extremity

  2    

2  

4

18.           Evaluates posterior (thorax and lumbar)

1

19.           Checks for medic alert tags

1

20.           Determines all injuries (give three injuries, one point per injury)

3

21.       Verbalizes on-going assessment

1

22.           Obtains accurate BP               (within 10 mmHg)

1

Candidate:            Eval:

23.           Obtains accurate pulse           (within 8 /min.)

1

Candidate:            Eval:

24.           Obtains accurate respirations                (within 4 /min.)

1

Candidate:            Eval:

                                                      Total:

50

Critical Interventions:

Pts

Score

Expected Management

1.             Immobilizes cervical spine manually

2.             Uses manual maneuver to open airway if inadequate

3.             Uses basic airway adjunct if indicated

4.             Clears airway with suction if indicated

5.             Provides appropriate oxygen therapy

6.             Assists ventilations if rate or depth inadequate

7.             Controls major bleeding

8.             Stabilizes injuries (fractures) appropriately

9.             Manages soft tissue injury appropriately

10.           Stabilizes major chest injury when indicated (flail segment or open wound)

11.           Verbalizes need for spinal immobilization

12.       Considers the use of PASG (per medical direction)

13.           Manages all life-threatening conditions

14.           Manages non life-threatening conditions after life-threatening conditions

15.           Re-evaluates patient condition throughout scenario

16.           Utilizes universal precautions

                                              Total

  50

Pts.

Score

Retest

PATIENT ASSESSMENT

50

PATIENT TREATMENT

50