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Chapter 12: The Primary Assessment Flashcards | StudBud
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Chapter 12: The Primary Assessment
Chapter 12: The Primary Assessment
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#emergencycare #ems
Flashcards
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Questions
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Answers
1
EMT's initial sense of pts. condition based on immediate assessment of the pts environment, appearance & chief complaint
Chief Complaint
General Impression
Diagonsis
Primary Assessment
2
Which would most likely give the best information regarding your pts mental status?
List of Allergies
Know Person, Place, Time and Purpose
Ability to hold conversation
Knowing what happend
3
What should be done first when it appears a patient is not breathing?
Start providing artificial ventilations with a BVM
Insert an OPA
Check to see if suctioning is needed
Open the airway
4
You obtain a respiratory rate during the primary assessment.
False
True
5
A memory aid for classifying a pts. level of responsiveness or mental status.
Primary Assessment
General Impression
ABCs
AVPU
6
A patient whose mental status is "painful" is able to do what?
Have eyes open spontaneously and has awareness
Unresponsive
Respond to speaking or shouting
Respond to painful stimuli
7
The first element in pt assessment steps taken for discovering & dealing with the pts. problems
Primary Assessment
ABCs
AVPU
General Impression
8
What should be done first when a pulse is not present in a patient?
Apply an AED
Give two breaths
Start CPR
Apply the LUCAS
9
You walk into a room and see a 18 year-old in the tripod position you suspect?
Allergic Reaction
Cardiac
Respiratory Distress
Abdominal Pain
10
How does a systematic approach to assessment help an EMT?
The secondary assessment
Getting a detailed medical history
Determining if there are any life-threatening conditions
The scene size-up
11
Which of the follow best describes an EMT's "sixth sense"?
Experience
General Impresssion
Luck
Clinical Judgement
12
Which of the following would be considered normal during the breathing phase of the primary assessment?
Respirations are 16 and noisy
Respirations are 6 and shallow
Respirations are 28 and deep
Resporations are 12 and normal
13
How do you check the responsiveness in an apparently unresponsive infant?
Tap the shoulder
Shaking the infant
Flicking the soles of the feet
Sternum rub
14
You find an unconscious pt. unresponsive laying on the ground near a ladder what should you do?
Place him supine
Use the scoop stretcher
Move the ladder
Manually immobilize the head
15
What is airway, breathing, and circulation?
General Impression
Primary Assessment
AVPU
ABCs
16
What kind of pt. is considered a high priority transport?
Pt. with a broken leg
Pt. with abdominal pain
Pt. with respiratory distress
Pt. with a headache
17
When finding a unconscious pt., no trauma, slow wet sounding respiration what do you do first?
Open airway with the head-tilt-chin-lift
Open airway with jaw-thrust maneuver
Insert a NPA
Insert an OPA
18
How long does an EMT check for a pulse in the primary assessment?
At least 2 seconds no longer than 9 seconds
At least 3 seconds no longer than 12 seconds
At least 5 seconds no longer than 10 seconds
At least 10 seconds no longer than 15 seconds
19
Actions taken to correct or manage a patient's problems.
Chief Complaint
Mental Status
Interventions
Priority
20
A weak, thready, slow, or rapid pulse would indicate what?
A cardiac problem
A renal problem
A respiratory problem
An abdominal problem
21
The decision regarding need for immediate transport vs further assessment & care at the scene
Priority
Interventions
Mental Status
Chief Complaint
22
A patient whose mental status is "verbal" is able to do what?
Have eyes open spontaneously & they have awareness
Unresponsive
Respond to speaking or shouting
Respond to painful stimuli
23
What do you do if the patient's breathing is adequate but there are signs of hypoxia?
Perform rescue breathing
Assist his ventilations with 100% oxygen
Provide oxygen based on the patient's needs
Provide positive pressure ventilations with 100% oxygen
24
When a patient has severe bleeding and is screaming at you to help, what should you do first?
Calm the pt. down
Control the pts. bleeding
Give the pt. oxygen
Assess the pts. breathing
25
When does the primary assessment begin?
When you walk into the room or on the scene and see the pt.
When you check for the patients level of responsiveness
When you get paged to the call.
When you arrive on scene & get out of the ambulance
26
What is the proper position for maintaining the airway in a child with decreased consciousness?
Flexing the neck to place the chin on the chest
Hyperextension of the neck
Placing the head in the neutral position
Using a cervical collar to keep in chin elevated
27
Your pt. was ejected, is not moving, does no have adequate breathing, and has moderate bleeding what do you do first?
Start CPR
Check Pulse
Open the Airway
Control the Bleeding
28
Impression of the patient's condition that is formed on first approaching the patient.
AVPU
Primary Assessment
ABCs
General Impression
29
What does mental status refer to?
Level of intelligence
History of Mental illnesss
Patient's level of awareness
Level of reponsiveness
30
A patient whose mental status is "alert" is able to do what?
Unresponsive
Have eyes open spontaneously & have awareness
Respond to painful stimuli
Respond to speaking or shouting
31
General Impression, AVPU, ABCs, and patient priority are the order of which of the following?
Scene Size-Up
Primary Assessment
Secondary Assessment
Vitals
32
How do you provide stabilization of the spine for a pt. with a possible c-spine injury?
Place the pt. on the stretcher and hold the head
Stand behind the pt. and hold the head.
Stand the pt. up and hold the head
Lay the pt. supine and hold the head
33
In emergency medicine, the reason EMS was called, usually in the patients own words.
Chief Complaint
Priority
Interventions
Mental Status
34
A fall from what height is considered significant for an adult?
10
20
15
8
35
Level of awareness of his surroundings.
Priority
Mental Status
Chief Complaint
Interventions