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NYS EMT-B Practical Skills Assessment |
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The six components of a scene size-up are: - ✔✔ BSI/PPE Scene safety MOI/NOI Number of patients Additional help Spinal considerations The seven components of a primary assessment are: - ✔✔ General impression AVPU Chief complaint/Life threats Airway/Breathing Circulation Decision to transport EMS update The seven components of a secondary assessment for a medical patient are: - ✔✔ Vitals OPQRST SAMPLE General impression Interventions Reassessment
Radio report The seven components of a secondary assessment for a trauma patient are: - ✔✔SAMPLE Rapid head-to-toe exam Vitals Injury management Interventions Reassessment Radio report During the primary assessment, airway/breathing is evaluated by assessing: - ✔✔airway patency and ventilatory adequacy. Assess airway patency by examining for the presence/absence of ____ symptoms such as abnormal ____ ____ or injuries of the ____ and ____. - ✔✔obstructive; breath sounds; face; neck If the airway is not patent, open the airway with a ____-____/____-____ maneuver for patients without suspected spinal injury and with a ____-____ maneuver if spinal injury is suspected. - ✔✔head-tilt/chin- lift; jaw-thrust Two additional methods for managing airway patency are: - ✔✔Suctioning Airway adjuncts Assess breathing by looking for adequate ____ ____/____ and feeling for ____ ____. - ✔✔chest rise/fall; air movement If breathing rate and/or depth are insufficient, ____ ____ can be provided via the following three means:
- ✔✔supplemental oxygen Nasal cannula at 6L/min
Eviscerations Rebound tenderness Masses The cardiovascular system can be assessed by palpating the ____ for pain and examining the neck for ____, the extremities for ____, the skin for ____, and the lungs for ____ ____ ____. - ✔✔chest; JVD; edema; hypoperfusion; abnormal breath sounds Pedal edema is suggestive of ____. - ✔✔CHF Crackles (rales) and JVD are suggestive of ____ ____. - ✔✔heart failure If a patient complains of "tearing" pain, a difference in blood pressure between the right and left arms may reinforce your suspicion of ____ ____. - ✔✔aortic dissection Apneic patients with a pulse should be ventilated at a rate of 1 breath every - seconds, for a total of - breaths per minute. - ✔✔ 5 - 6; 10- 12 The patient should be ventilated at an ____ volume to achieve ____ ____ ____. - ✔✔adequate; visible chest rise A suction tip should initially be inserted (with/without) suction on (e.g. finger on/off the hole). - ✔✔without A tourniquet is adequately tightened when: - ✔✔bleeding has stopped With a traction splint, the first strap applied should be the: - ✔✔ischial strap With a traction splint, mechanical traction should be applied until the patient: - ✔✔feels relief
With a traction splint, mechanical traction should be applied (before/after) securing the support straps. - ✔✔before
