Initial Medical Assessment and Care - Revision history

Treloars: /* PERFORM INITIAL MEDICAL CARE SIMULTANEOUSLY WITH THERAPIES: */

2020-05-11T13:09:36Z

PERFORM INITIAL MEDICAL CARE SIMULTANEOUSLY WITH THERAPIES:

← Older revision		Revision as of 13:09, 11 May 2020
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	* Apply EtCO2 monitor device to patients with potential cardiac or respiratory emergencies.		* Apply EtCO2 monitor device to patients with potential cardiac or respiratory emergencies.
	* Assess blood glucose with glucometer as indicated per Practice Parameters.		* Assess blood glucose with glucometer as indicated per Practice Parameters.
	* Repeat vital signs and assess patient EVERY 10 MINUTES (STABLE) or 5 MINUTES (UNSTABLE) until patient care is ~~transfered~~.		* Repeat vital signs and assess patient EVERY 10 MINUTES (STABLE) or 5 MINUTES (UNSTABLE) until patient care is transferred.
	* Document each ALS INTERVENTION and their corresponding times.		* Document each ALS INTERVENTION and their corresponding times.

Treloars: /* PERFORM INITIAL MEDICAL CARE SIMULTANEOUSLY WITH THERAPIES: */

2020-05-11T13:09:13Z

PERFORM INITIAL MEDICAL CARE SIMULTANEOUSLY WITH THERAPIES:

← Older revision		Revision as of 13:09, 11 May 2020
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	* Apply pulse oximeter, if available, to all patients with potential cardiac or respiratory emergencies.		* Apply pulse oximeter, if available, to all patients with potential cardiac or respiratory emergencies.
	* Apply EtCO2 monitor device to patients with potential cardiac or respiratory emergencies.		* Apply EtCO2 monitor device to patients with potential cardiac or respiratory emergencies.
	* Assess blood glucose with glucometer as indicated per Practice Parameters. Repeat vital signs and assess patient EVERY 10 MINUTES (STABLE) or 5 MINUTES (UNSTABLE).		* Assess blood glucose with glucometer as indicated per Practice Parameters.
			* Repeat vital signs and assess patient EVERY 10 MINUTES (STABLE) or 5 MINUTES (UNSTABLE) until patient care is transfered.
	* Document each ALS INTERVENTION and their corresponding times.		* Document each ALS INTERVENTION and their corresponding times.

Treloars: /* FOCUSED AND DETAILED HISTORY AND PHYSICAL EXAM: */

2020-05-11T13:08:28Z

FOCUSED AND DETAILED HISTORY AND PHYSICAL EXAM:

← Older revision		Revision as of 13:08, 11 May 2020
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	* Record allergies and medications. Record name, dosage & frequency of medications.		* Record allergies and medications. Record name, dosage & frequency of medications.
	* Systematic head-to-toe and neurological assessment.		* Systematic head-to-toe and neurological assessment.
	* Establish a baseline set of vitals signs. Initial set of vitals must be obtained manually.		* Establish a baseline set of vitals signs. Initial set of vitals must be obtained manually. A baseline set of vital signs includes blood pressure (palpable systolic is acceptable), pulse, respiratory rate and effort, GCS, AVPU, pain score and scale, and SaO2.

	=====PERFORM INITIAL MEDICAL CARE SIMULTANEOUSLY WITH THERAPIES:=====		=====PERFORM INITIAL MEDICAL CARE SIMULTANEOUSLY WITH THERAPIES:=====

Treloars at 14:28, 24 April 2020

2020-04-24T14:28:19Z

← Older revision		Revision as of 14:28, 24 April 2020
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	* Loosen tight clothing and reassure patient.		* Loosen tight clothing and reassure patient.
	* Place patient in position of comfort if not contraindicated.		* Place patient in position of comfort if not contraindicated.
	* [[~~Medical Gases~~\|OXYGEN]]: Nasal cannula, NRB mask, or BVM as appropriate for patient condition:		* [[Oxygen\|OXYGEN]]: Nasal cannula, NRB mask, or BVM as appropriate for patient condition:
	**Provide supplemental OXYGEN, assist ventilations, intubate and suction as indicated by inadequate breathing / impaired gas exchange.		**Provide supplemental OXYGEN, assist ventilations, intubate and suction as indicated by inadequate breathing / impaired gas exchange.
	* Once a medication route has been established, administer medication as indicated per Practice Parameters, (i.e., IV, IO, IN).		* Once a medication route has been established, administer medication as indicated per Practice Parameters, (i.e., IV, IO, IN).

Treloars at 21:37, 31 January 2018

2018-01-31T21:37:11Z

← Older revision		Revision as of 21:37, 31 January 2018
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	\| P - Responds to Painful stimuli		\| P - Responds to Painful stimuli
	\|-		\|-
	\| U – Unresponsive		\| U - Unresponsive
	\|}		\|}

Treloars at 21:09, 31 January 2018

2018-01-31T21:09:37Z

← Older revision		Revision as of 21:09, 31 January 2018
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	'''Document the patient's condition or behaviors which result in a variance to Practice Parameters. If no response to Practice Parameters, contact Medical Control for consult.		'''Document the patient's condition or behaviors which result in a variance to Practice Parameters. If no response to Practice Parameters, contact Medical Control for consult.
	'''		'''
			[[Category:Primary Care\|0201]]

Treloars: /* Section 2 - PRIMARY CARE */

2012-01-31T19:51:56Z

Section 2 - PRIMARY CARE

← Older revision		Revision as of 19:51, 31 January 2012
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			__NOTOC__
	==Section 2 - PRIMARY CARE==		==Section 2 - PRIMARY CARE==
	=== 2.01 INITIAL MEDICAL ASSESSMENT AND CARE===		=== 2.01 INITIAL MEDICAL ASSESSMENT AND CARE===

Treloars: Created page with "==Section 2 - PRIMARY CARE== === 2.01 INITIAL MEDICAL ASSESSMENT AND CARE=== ==== INITIAL ASSESSMENT:==== ===== GENERAL IMPRESSION===== '''Level of Consciousness''' {| class=..."

2012-01-31T19:50:29Z

Created page with "==Section 2 - PRIMARY CARE== === 2.01 INITIAL MEDICAL ASSESSMENT AND CARE=== ==== INITIAL ASSESSMENT:==== ===== GENERAL IMPRESSION===== '''Level of Consciousness''' {| class=..."

New page

==Section 2 - PRIMARY CARE==
=== 2.01 INITIAL MEDICAL ASSESSMENT AND CARE===
==== INITIAL ASSESSMENT:====
===== GENERAL IMPRESSION=====

'''Level of Consciousness'''
{| class="wikitable"
|-
| A - Alert
|-
| V - Responds to Verbal stimuli
|-
| P - Responds to Painful stimuli
|-
| U – Unresponsive
|}

'''ORIENTATION x 4/4'''
{| class="wikitable"
|-
| 4/4 - Person, place, time, incident
|-
| 3/4 - One faculty absent
|-
| 2/4 - Two faculties absent
|-
| 1/4 - Three faculties absent
|}

=====Altered Mental Status (AMS) is defined as an alteration in either the patient’s LOC or Orientation.=====
{| class="wikitable"
|-
| AIRWAY|| Establish and maintain airway. Utilize cervical spine precautions when indicated.
|-
| BREATHING|| Provide oxygen or assist ventilations as indicated.
|-
| CIRCULATION|| Check pulses, skin & control any external hemorrhage.
|}

=====FOCUSED AND DETAILED HISTORY AND PHYSICAL EXAM:=====
* Obtain history of present illness and past medical history.
* Record allergies and medications. Record name, dosage & frequency of medications.
* Systematic head-to-toe and neurological assessment.
* Establish a baseline set of vitals signs. Initial set of vitals must be obtained manually.

=====PERFORM INITIAL MEDICAL CARE SIMULTANEOUSLY WITH THERAPIES:=====
* Loosen tight clothing and reassure patient.
* Place patient in position of comfort if not contraindicated.
* [[Medical Gases|OXYGEN]]: Nasal cannula, NRB mask, or BVM as appropriate for patient condition:
**Provide supplemental OXYGEN, assist ventilations, intubate and suction as indicated by inadequate breathing / impaired gas exchange.
* Once a medication route has been established, administer medication as indicated per Practice Parameters, (i.e., IV, IO, IN).
* CARDIAC MONITOR LD II, MCL I, or 12 LEAD ASSESSMENT if available. Record strips at least every 5-10 minutes, AND before and after pharmacological or electrical intervention.
* Establish IV or IO of 9% NaCl at KVO, or IV Lock system as indicated by patient condition.
** '''Attempt X 2 unless situation demands further repeated attempts. Failure to obtain IV access does not preclude the intervention of other definitive therapy.'''
* Apply pulse oximeter, if available, to all patients with potential cardiac or respiratory emergencies.
* Apply EtCO2 monitor device to patients with potential cardiac or respiratory emergencies.
* Assess blood glucose with glucometer as indicated per Practice Parameters. Repeat vital signs and assess patient EVERY 10 MINUTES (STABLE) or 5 MINUTES (UNSTABLE).
* Document each ALS INTERVENTION and their corresponding times.

'''Document the patient's condition or behaviors which result in a variance to Practice Parameters. If no response to Practice Parameters, contact Medical Control for consult.
'''