Download Toronto Fire Services / Emergency Patient Care Scenario

Toronto Fire Services / Emergency Patient Care
Scenario Assessment Checklist
Participant’s Name: ______________________________ Date: _____________ Instructor: _______________
Spinal
Immobilization
Primary Assessment
Introduction
Scene Survey
( EMCAP )
Assessment Items
Environment is safe
Mechanism of Injury
Count the casualties
Additional resources requested
Personal protective equipment
Approaches patient from front
Introduces self and intent
Cautions patient to remain still and obtains consent
Delegates C-Spine manual stabilization
LOC / LOA ( Alert, Verbal, Pain, Unresponsive )
Airway:
- visualizes / clear if required
- delegates airway adjunct
Breathing: - looks, listen, feel for breathing
- determines adequacy of breathing
- delegates ventilation / O2 if required
Circulation: - carotid and/or radial pulse for 6 seconds
- notes overall skin condition
- capillary refill assessed
- gross bleeding and control if required
Neck:
- CLAPS-D / TICS-D
- JVD
- midline/deviated trachea
Chest:
- delegates required critical interventions
- appropriately exposes chest to examine
- examines for CLAPS-D / TICS-D
- auscultate for air entry
- determine adequacy of breathing based on findings
Abdomen: - exposes to examine
- looks for pulsation/distention
- feels with one hand for rigidity
- palpates 4 quadrants
Pelvis:
- CLAPS-D / TICS-D
- palpates in 3 planes for stability
Femurs: - CLAPS-D / TICS-D
Priority Decision ( Critical / Non-critical )
Keeps patient warm
Packaging patient for transport
Selects appropriate collar size
Co-ordinates log roll and maintains alignment
Examines back while rolling patient on backboard
Lowers and positions patient on backboard
Properly applies straps and tightens
Secures head last and appropriately
Yes No
N/A
Comments
Acronyms
Completes Full Body Survey
Patient Interview
Vital Signs
Assessment Items
Yes No
N/A
Comments
LOA ( person, place and time )
Pulse ( rate, rhythm and volume )
Blood pressure
Respirations ( rate, rhythm and volume )
Pupils ( pearl, unequal )
Overall skin condition
Chief complaint
Signs and symptoms
Allergies
Medications ( prescribed and over the counter )
Past medical history ( relevant )
Last oral intake ( meals, drinks, etc )
Events leading up to problem
Head / Face: - CLAPS-D / TICS-D
- examines for fluid from nose and ears
- battle’s / raccoon signs
- reassess airway, breathing, pupils
Neck:
- CLAPS-D / TICS-D
- JVD
- Trachea is midline/deviated
Chest:
- CLAPS-D / TICS-D
- auscultates for air entry
- reassesses/adjusts critical interventions
Back:
- CLAPS-D / TICS-D
Abdomen:
- CLAPS-D / TICS-D
- looks for pulsating mass/distention
- feels for rigidity/tenderness
- palpates 4 quadrants
Pelvis:
- CLAPS-D / TICS-D
- examines 3 planes for stability
- checks for incontinence/priapism
Femurs:
- CLAPS-D / TICS-D
- circulation, sensation, mobility ( CSM )
Legs:
- CLAPS-D / TICS-D
- circulation, sensation, mobility ( CSM )
Arms:
- CLAPS-D / TICS-D
- circulation, sensation, mobility ( CSM )
EMCAP
LOC
LOA
AVPU
CLAPS-D
TICS-D
JVD
SAMPLE
OPQRST
CSM
PEARL
CC
Comments / Points To Work On:
Environment, Mechanism of Injury, Count Casualties, Additional Resources, PPE
Level of Consciousness
Level of Awareness
Alert, Verbal, Painful, Unresponsive
Contusions, Lacerations, Abrasions, Punctures, Symmetry/Swelling, Deformity
Tenderness, Instability, Crepitus, Subcutaneous Emphysema, Discolouration
Jugular Vein Distention
Signs & Symptoms, Allergies, Medications, Past Medical History, Last Oral Intake, Events
Onset, Provoking factors, Quality of Pain, Radiating/Referring, Severity (1-10), Time of Pain
Circulation, Sensation and Mobility
Pupils Equal and Reactive to Light ( be aware of glass eyes or other false positives 0
Chief Complaint