Patient assessments-ECA

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.

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.

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.

The purpose of noting the mechanism of injury (MOI) is to:

• identify life-threatening injuries that the patient has.

• rule out the possibility of any life-threatening injuries.

• allow you to predict what injuries the patient may have.

When assessing the MOI of a vehicle that struck a utility pole, you notice that the vehicle’s steering wheel is bent. You should:

• conclude that the air bag deployed.

• suspect injuries to the patient’s chest.

• be the most suspicious for head injuries.

• check the patient for extremity injuries first.

Upon arriving at the scene of an incident and determining that there are multiple patients, you should:

• begin immediate triage and care for all the patients.

• request additional resources before treating any patients.

• triage all patients first and then call for additional resources.

• call for help if at least two of the patients are critically injured.

During the primary assessment, you should:

• determine whether additional resources are needed.

• determine whether the scene is safe for you to enter.

• perform a comprehensive examination of the patient.

• identify and correct all life-threatening conditions.