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    Emt Poster

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    DrThant Zin Tun
    The document outlines the decision tree process for an emergency medical technician when responding to a medical or trauma incident. It details the initial scene assessment, determining if the patient has a medical or trauma condition, performing assessments, providing care and monitoring the patient, and documenting the response.

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    Emt Poster

    Uploaded by

    DrThant Zin Tun
    3K views1 page
    The document outlines the decision tree process for an emergency medical technician when responding to a medical or trauma incident. It details the initial scene assessment, determining if the patient has a medical or trauma condition, performing assessments, providing care and monitoring the patient, and documenting the response.

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    The document outlines the decision tree process for an emergency medical technician when responding to a medical or trauma incident. It details the initial scene assessment, determining if the patient has a medical or trauma condition, performing assessments, providing care and monitoring the patient, and documenting the response.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3K views1 page

    Emt Poster

    Uploaded by

    DrThant Zin Tun
    The document outlines the decision tree process for an emergency medical technician when responding to a medical or trauma incident. It details the initial scene assessment, determining if the patient has a medical or trauma condition, performing assessments, providing care and monitoring the patient, and documenting the response.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    Emergency Medical Technician Decision Tree Flow Chart

    UNSAFE!

    1 - SCENE SIZE-UP
    1) Take the necessary Body Substance Isolation precautions 2) Assure Scene Safety for rescuer, patient, and bystanders 3) Determine Mechanism of Injury or Nature of Illness 4) Establish Number of Patients 5) Need for Additional Resources

    SAFE

    Control Scene Move Patients Correct Hazzard

    TRAUMA Patient
    Suspect Spinal Injury? NO Assess Mental Status (AVPU) YES

    MOI

    2INITIAL PATIENT ASSESSMENT


    Form General Impression: Mechanism of Injury? Look, Feel Skins, Listen Breathing, L.O.C. DECIDE: TRAUMA, MEDICA, BOTH ? (A,B,Cs, Bleed and Shock)

    MED

    MEDICAL Patient

    Establish In-line Stabilization

    Assess Mental Status (AVPU) CLOSED Perform Jawthrust Manuver DECAP BTLS: Deformity Evisceration Contusion Abrasion Penetration Burns Tenderness Lacerations Swelling PMS: Pulse/Capalary Rel Motor Function Sensation PEARL: Pupils Equal And Reactive to Light JVD: Jugular Vein Distention SAMPLE: Signs and Symptoms, Allergies, Medications, Past History, Last Oral Intake, Environment OPQRST: Onset, Provocation, Quality of pain, Radiation and Severity of pain, Time (Interventions) PRBELLS: Pulse, Respiration, Blood Pressure, Eyes, Lung Sounds, LOC, Skins LOC: Level of Consciousness CLOSED Head-Tilt, Chin-Lift

    Assess Airway O P E N Assess Breathing A D E Q U A T E Assess Circulation P U L S E

    Assess Airway O P E N Assess Breathing A D E Q U A T E Assess Circulation P U L S E ASSESS SKINS EYES

    INADEQUATE Begin Positive Pressure Ventilation with Supplemental Oxygen

    INADEQUATE Begin Positive Pressure Ventilation with Supplemental Oxygen

    NO PULSE

    NO PULSE

    BEGIN CPR

    BEGIN CPR

    APPLY AED Assess Bleeding BLEEDING

    APPLY AED

    NONE ASSESS SKINS P.M.S.

    CONTROL BLEEDING

    TRANSPORT

    TRANSPORT

    3 - Focused History and Physical Exam


    UNCONSCIOUS or Obvious Injury

    3 - Focused History and Physical Exam


    LOC 3+

    RECONSIDER THE MECHANISM OF INJURY

    ALERT & Uninjured

    CONSIDER MENTAL STATUS

    Altered

    Signicant MOI, Mutiple Injuries, or Altered Mental Status Continue Inline Stabilization Continually Reassess Mental Status Perform RAPID Trauma Assessment Consider Advance Life Support Resources? Reconsider Transport Decision? Take Baseline Vital Signs: PRBELLS Record SAMPLE History: PUAHA

    No signicant MOI, Single injury, or Alert Mental Status

    Responsive Assess Complaints Signs and Symptoms (OPQRST) Record History: Signs and Symptoms, Alergies, Medications, Past Mediacl History, Last Oral Intake, and any Envioronmental Conditions. Perform a Focused Medical Assessment Take Baseline Vital Signs: PRBELLS Consider Transport Decision? YES

    Unresponsive

    Perform Focused History and Physical Exam

    Perform a RAPID Medical Assessment

    Take Baseline Vital Signs: PRBELLS

    Take Baseline Vital Signs: PRBELLS

    Record History: Signs and Symptoms, Alergies, Medications, Past Mediacl History, Last Oral Intake, and any Envioronmental Conditions.

    Position Patient

    Record SAMPLE History:

    Perform Needed Components of a Detailed Physical Exam

    TRANSPORT
    NO

    TRANSPORT

    4 - Detailed Physical Exam


    Alert

    RECONSIDER MENTAL STATUS

    Declining

    Responsive

    Unresponsive Position Patient Assess the HEAD: Feel for soft spots, DECAPBTLS Assess the EARS: Look for Fluid

    Perform Components of Detailed Physical Exam based on patients's Injuries and Complaints

    Assess the FACE: Look for Asymmetry: DECAPBTLS Assess the EYES: PEARL, Colors, Symmetry Assess the NOSE: Fluid, Symmetry, Air ow Assess the MOUTH: Teeth, Tung, Lips, Throat Assess the NECK: JVD, Tracheal Deviation, C-SPINE Assess the CHEST: Paradoxical Movement, DECAPBTLS Assess the ABDOMEN: 4-Quadrents, DECAPBTLS Assess the PELVIS: Asymmetrical movement, Genitals Assess the EXTREMITIES: PMS, DECAPBTLS, Asymmetry

    Reassess Vital Signs: Pulse, Respiration, Blood Pressure, Eyes, LOC, Last Oral Intake, Skins

    KEY
    # Section

    Decision ?

    Assess the POSTERIOR BODY: Spinal line, DECAPBTLS Reassess Vital Signs: PRBELLS

    Symptom

    ACTION

    Procedure

    5 - Ongoing Assessment
    REPEAT INITIAL ASSESSMENT REASSESS: General Impression, Mental Status, Airway, Breathing Rate and Quality, Circulation; Pulse Rate and Quality, Skin Color, Temperature, Condition, Bleeding. Reestablish Patient Priority

    Loop

    TRAUMA AREA

    MEDICAL AREA

    Worse Repeat Focused History and Physical Exam Provide Emergency Care Assess Effectiveness of Emergency Care Reassess Vital Signs Every 5 min.

    Change in Patient Condition?

    Stable Reassess Vital Signs Reassess Emergency Care

    REPEAT Ongoing Assessment

    6 - Communication and Documentation


    During your call you will communicate, at important points, with dispatch and with medical direction as well as with the staff of the medical facility to which you transport the patient. You must also communicate clearly with other EMS personnel, the patient, and others at the scene. A failure of clear communication - both in what they communicate to you or in what you communicate to others - can have a signicant effect upon the quality of assessment and care you and others provide. In addition a signicant portion of the value of patient assessment and care is lost if what you have learned about the patient's condition and the care you have given are not clearly and adequately documented in written reports.

    Emergency Medical Technition Decision Tree and NR-EMT Study Guide


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