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A comprehensive overview of the practical skills assessment for new york state emergency medical technician - basic (nys emt-b) certification. It covers the six components of a scene size-up, the seven components of a primary assessment, the seven components of a secondary assessment for both medical and trauma patients, and various techniques for managing the airway, breathing, and circulation during the primary assessment. The document also includes information on performing cpr, assessing the cardiovascular system, and using various medical equipment and techniques. This detailed guide is likely to be useful for emt-b students and professionals preparing for their practical skills assessment or reviewing their knowledge of emergency medical procedures.
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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:
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