EMR Chapter 9: Patient Assessment

The patient assessment sequence consists of all of the following components, except:

• scene size-up.

• primary assessment.

• secondary assessment.

• family medical history.

With assessment-based care, treatment rendered to the patient is based on:

• scene size-up findings.

• the patient’s symptoms.

• past medical history findings.

• the patient’s current medications.

All of the following are components of the scene size-up, except:

• ensuring that the scene is safe for you to enter.

• determining the need for additional resources.

• determining whether the patient is sick or injured.

• strict adherence to standard precautions at all times.

Which of the following statements regarding the scene size-up is correct?

• Dispatch information is usually of minimal value during your size-up of a scene.

• The scene size-up begins before you arrive at the actual scene of the emergency.

• A thorough scene size-up can provide you with only a limited amount of information.

• The time and day of the week can affect the decisions you make about the scene size-up.

When you arrive at an emergency scene, you should:

• park your vehicle so that it helps secure the scene and minimizes traffic blockage.

• assume that additional resources will be needed and summon them as soon as possible.

• immediately exit your vehicle and quickly determine if additional resources are needed.

• begin directing traffic until law enforcement personnel arrive and assume that function.

As you approach an emergency scene, you should first:

• determine the number of critically injured patients.

• notify the dispatcher of your scene size-up findings.

• scan the area to determine the extent of the incident.

• quickly gain access to the patient and begin treatment.

Scene hazards that are not visible to emergency responders include:

• spilled gasoline.

• ice on the road.

• poisonous fumes.

• unstable surfaces.

Upon arriving at the scene of an overturned tanker truck, you see green liquid leaking from the vehicle. The driver, who is still in the truck, appears to be unconscious and is bleeding heavily from the head. After requesting the appropriate personnel, you should:

• quickly remove the driver from the truck and begin treating him.

• look for potential exit routes for the transporting ambulance to take.

• direct all traffic away from the scene and request law enforcement.

• ensure that you, your partner, and bystanders are at a safe distance.

Identifying potential exit routes at an emergency scene is most important because:

• the quickest exit route is almost always the safest route to take.

• ambulances will need to take the quickest route to the hospital.

• law enforcement personnel need to be notified of all exit routes.

• you may need to exit the area rapidly if the scene becomes unsafe.

The emergency medical responder should never enter an enclosed space unless:

• the fire chief advises him or her to do so.

• he or she has proper training and equipment.

• no other personnel are available at the time.

• he or she is wearing a face mask and gloves.