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Trauma Skill Sheets-22

The document provides guidance for assessing and managing trauma patients. It outlines the steps for a primary and secondary patient survey, including assessing the airway, breathing, circulation, and other body systems. It also describes obtaining a history and reassessing the patient.

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60 views3 pages

Trauma Skill Sheets-22

The document provides guidance for assessing and managing trauma patients. It outlines the steps for a primary and secondary patient survey, including assessing the airway, breathing, circulation, and other body systems. It also describes obtaining a history and reassessing the patient.

Uploaded by

f7ktpjb6np
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Patient Assessment / Management Trauma

Candidate Name __________________________________________ Date _________________

Scenario ________________ Actual Time Started: _____________________ Points Points


Possible Awarded
*Takes or verbalizes appropriate PPE precautions 1
SCENE SIZE-UP
*Determines the scene/situation is safe 1
Determines mechanism of injury/nature of illness 1
Determines the number of patients 1
Requests additional EMS assistance if necessary 1
*Considers stabilization of the spine 1
*PRIMARY SURVEY / RESUSCITATION (Must be completed prior to the secondary assessment)
Verbalizes general impression of patient 1
Determines responsiveness/level of consciousness 1
*Determines chief complaint/apparent life threats 1
Airway
2
*-Opens and assesses airway (1 point) -Inserts adjunct as indicated (1 point)
Breathing
*-Assess breathing (1 point) *-Assures adequate ventilation (1 point)
4
*-Initiates appropriate oxygen therapy (1 point)
*-Manages any injury which may compromise breathing/ventilation (1 point)
Circulation
-Checks pulse (1 point) -Assesses skin (either skin color, temperature, or condition) (1 point)
4
-*Assesses for and controls major bleeding if present (1 point)
-*Initiates shock management (positions patient properly, conserves body heat) (1 point)
*Identifies patient priority and makes treatment/transport decision (based upon GCS/Trauma Triage Tool) 1
HISTORY TAKING
Obtains baseline vital signs (must include BP, P, and R) 1
Attempts to obtain SAMPLE history 1
SECONDARY ASSESSMENT of Primary Survey/Resuscitation
Head
-Inspects and palpates scalp and ears** (1 point) -Assesses eyes (1 point) 3
-Inspects mouth**, nose**, and assesses facial area (1 point)
Neck**
-Checks position of trachea (1 point) -Checks jugular veins (1 point) 3
-Palpates cervical spine (1 point)
Chest**
3
-Inspects chest (1 point) -Palpates the chest (1 point) -Auscultates chest (1 point)
Abdomen/pelvis**
-Inspects and palpates abdomen (1 point) -Assesses pelvis (1 point) 3
-Verbalizes assessment of genitalia/perineum as needed (1 point)
Lower extremities**
2
-Inspects, palpates, and assesses motor, sensory and distal circulatory functions (1 point/leg)
Upper extremities 2
-Inspects, palpates, and assesses motor, sensory and distal circulatory functions (1 point/arm)
Posterior thorax, lumbar and buttocks**
-Inspects and palpates posterior thorax (1 point) 2
-Inspects and palpates lumbar and buttocks areas (1 point)
Manages secondary injuries and wounds appropriately 1

DOH 530-226 January 2022 EMR, EMT & AEMT Level Practical Evaluation Skill Sheets Page 21
Points Points
Possible Awarded
REASSESSMENT
Demonstrates how and when to reassess the patient 1

Passing score is 34 (at least 80%) TOTAL: 42

Actual Time Ended: _____________ Elapsed Time: _______ Max Time Allowed: *10 PASS / FAIL

CRITICAL CRITERIA - Note: Blocks above with an * have corresponding Critical Criteria below.

___ Failure to initiate or call for transport of the patient within 10 minute time limit
___ Failure to take or verbalize appropriate PPE precautions
___ Failure to determine scene safety
___ Failure to assess for and provide spinal protection when indicated
___ Failure to voice and ultimately provide high concentration oxygen
___ Failure to assess/provide adequate ventilation
___ Failure to find or appropriately manage problems associated with airway, breathing, hemorrhage or
shock
___ Failure to diff for immediate transportation versus continued assessment/
treatment at the scene
___ Performs other assessment before assessing/treating threats to airway, breathing and circulation
___ Failure to manage the patient as a competent EMS provider
___ Exhibits unacceptable affect with patient or other personnel
___ Uses or orders a dangerous or inappropriate intervention

You must factually document your rationale for checking any of the above critical items on the form.

Evaluator Name: ___________________________ ___________________________


Printed Signature

DOH 530-226 January 2022 EMR, EMT & AEMT Level Practical Evaluation Skill Sheets Page 22
EVALUATOR NOTES
PROS CONS

ADDITIONAL COMMENTS:

DOH 530-226 January 2022 EMR, EMT & AEMT Level Practical Evaluation Skill Sheets Page 23

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