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NSPAM
N: Number of Patients
S: Scene Safe
P: PPE / BSI
A: Additional Resources (Sick / Not Sick)
M: Mechanism of Injury (MOI) / Nature of Illness (NOI)
SAMPLE History
S: Signs & Symptoms
A: Allergies
M: Medications
P: Pertinent Past History
L: Last oral intake
E: Events leading to injury or illness
DECAP-BTLS
D: Deformities
C: Contusions
A: Abrasions
P: Punctures / Penetrations

B: Burns
T: Tenderness
L: Lacerations
S: Swelling
AVPU
A: Active (Alert)
V: Verbal
P: Pain Response
U: Unresponsive
3 Things Cells Need
O2
Profusion
Glucose
Respiratory Rates
Adult: 12 - 20 / min
Child: 20 - 30 / min
Infant: 20 - 40 / min
Ventilation Rates
A: 1 - 5 to 6 seconds
C: 1 - 3 to 5 seconds
I: 1 - 3 to 5 seconds
FATS
F: Face
A: And
T: Thigh
S: Squeeze
Normal Heart Rate
60 - 100 bpm
Cycles of Death & Dying
Denial
Anger
Bargaining
Depression
Acceptance
Parts of the Spine
(33 bones total)
Cervical - 7
Thoracic - 12
Lumbar - 5
Sacral - 5
Coccygeal - 4
How much O2 is in the air we breath?
21 %
Initial Assesment
- Form a general assessment
- Asses mental status
- Assess airway
- Assesss breathing
- Assesss Circulation
- Identify priority patients
Forms of General Impression
(Critcal Fail)
- Invironment / Scene
- Chief Complaint -ask
- Age
- Sex
-l Look / Listen / Smell
- Obvious life threats
Glascow Coma Scale
(GCS)
Eyes Open 4 - 1
Verbal Resp 5 - 1
Best Motor 6 - 1
15 Total
Handling Glascow Coma Scale (GCS)
Eyes Open: "Sir can you look at me?"
Verbal Resp: Person / Place / Time / Event
Best Motor Resp: Ask to hold both hands (fingers)
Quick Assess Blood Pressue (without taking)
PULSE:
Carotid: BP 60
Femoral: BP 70
Radial: BP 80
Assessing Skin
Color
Temperature
Condition
ABC's
(Always FIRST)
A: Airway
B: Breathing
C: Cirulation
Rapid Trauma Assessment
* HEAD
* NECK
* CHEST
* ABDOMEN
* PELVIS
* EXTREMITIES
* POSTERIOR
Baseline Vitals Signs
(Baseline Vitals)
Pulse
Respirations
Skin
Pupils
Blood Pressure
Extras: Rapid Trauma Assessment
CAP-REFILLS
PMS: Pulse / Motor / Sensations ("can you feel when I ..")
Always before and after assessment
If no mechanism of injury ...
Assess baseline Vital Signs

Obtain SAMPLE History
PERRLA
P: Pupils
E: Equal
R: Round
R: React to Light
A: Accommodating
RULES of ASSESSMENT
* Explain to patient whats going on

*Expose area before assessing

* Assume spinal injury
Rechecking Vitals
Trauma every 5 mins

Non Trauma: 15 mins
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