Emt Trauma Assessment PDF Details

The EMT Trauma Assessment Form serves as a comprehensive guideline and checklist for Emergency Medical Responders (EMRs) during the critical initial assessment and management of trauma patients. Created by the National Registry of Emergency Medical Technicians®, it outlines a structured approach for evaluating the severity and scope of a patient's injuries in a trauma scenario. Beginning with preliminary safety and precautionary measures, the form ensures that responders take or verbalize proper personal protective equipment precautions before sizing up the scene for safety and the mechanism of injury. It further guides the responder through a primary survey/resuscitation phase, focusing on immediate life-threatening conditions through systematic assessment of the airway, breathing, and circulation, including the initiation of appropriate interventions. The form stresses the importance of determining patient priority for treatment and transport based on the Glasgow Coma Scale (GCS). History taking, aimed at gathering baseline vital signs and a SAMPLE history, precedes a thorough secondary assessment, where each part of the body is inspected and assessed for damage or injury. It mandates a reassessment to demonstrate an understanding of when and how to continually reassess the patient. Specific critical criteria detail common pitfalls that could jeopardize patient care, providing a framework for immediate and efficient trauma management. This document not only serves as a guide for EMRs in the field but also as an educational tool to improve the quality of trauma care provided, ensuring that critical steps are not missed and that patients receive the best possible chance at recovery.

QuestionAnswer
Form NameEmt Trauma Assessment
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesemt medical assessment scenarios pdf, trauma assessment emt scenarios, nremt emt trauma scenarios, nremt trauma assessment scenarios

Form Preview Example

National Registry of Emergency Medical Technicians®

Emergency Medical Responder Psychomotor Examination

 

 

 

PATIENT ASSESSMENT/MANAGEMENT – TRAUMA

 

 

Candidate:

 

 

Examiner:

 

 

 

Date:

 

 

Signature:

 

 

 

Scenario #

 

 

 

 

Possible

Points

Actual Time Started: __________ Note: Areas denoted by “**” may be integrated within sequence of Primary Survey/Resuscitation

Points

Awarded

 

 

 

 

 

 

 

Takes or verbalizes appropriate PPE precautions

 

 

 

1

 

SCENE SIZE-UP

 

 

 

 

 

Determines the scene/situation is safe

 

 

 

1

 

Determines the mechanism of injury/nature of illness

 

 

 

1

 

Requests additional EMS assistance if necessary

 

 

 

1

 

Considers stabilization of the spine

 

 

 

1

 

PRIMARY SURVEY/RESUSCITATION

 

 

 

 

 

Determines responsiveness/level of consciousness

 

 

 

1

 

Determines chief complaint/apparent life-threats

 

 

 

1

 

Airway

 

 

 

2

 

-Opens and assesses airway (1 point)

-Inserts adjunct as indicated (1 point)

 

 

 

 

 

Breathing

-Assures adequate ventilation (1 point)

 

4

 

-Assess breathing (1 point)

 

 

-Initiates appropriate oxygen therapy (1 point)

-Manages any injury which may compromise breathing/ventilation (1 point)

 

 

Circulation

 

 

 

 

 

-Checks pulse (1point)

 

 

 

 

 

-Assess skin [either skin color, temperature or condition] (1 point)

 

4

 

-Assesses for and controls major bleeding if present (1 point)

 

 

 

-Initiates shock management [positions patient properly, conserves body heat] (1 point)

 

 

 

Identifies patient priority and makes treatment/transport decision (based upon calculated GCS)

 

1

 

HISTORY TAKING

 

 

 

 

 

Obtains baseline vital signs [must include BP, P and R] (1 point)

 

1

 

Attempts to obtain SAMPLE history

 

 

 

1

 

SECONDARY ASSESSMENT

 

 

 

 

 

Head

 

 

 

 

 

-Inspects and palpates scalp and ears (1 point) **

-Assesses eyes (1 point)

 

3

 

-Inspects mouth**, nose** and assesses facial area (1 point)

 

 

 

Neck**

 

 

 

3

 

-Checks position of trachea (1 point)

-Checks jugular veins (1 point)

-Palpates cervical spine (1 point)

 

 

 

Chest**

 

 

 

3

 

-Inspects chest (1 point)

-Palpates chest (1 point)

-Auscultates chest (1 point)

 

 

 

Abdomen/pelvis**

 

 

 

 

 

-Inspects and palpates abdomen (1 point)

-Assesses pelvis (1 point)

 

3

 

-Verbalizes assessment of genitalia/perineum as needed (1 point)

 

 

 

Lower extremities**

 

 

 

2

 

-Inspects, palpates and assesses motor, sensory and distal circulatory functions (1 point/leg)

 

 

Upper extremities

 

 

 

2

 

-Inspects, palpates and assesses motor, sensory and distal circulatory functions (1 point/arm)

 

 

Posterior thorax, lumbar and buttocks**

 

 

 

2

 

-Inspects and palpates posterior thorax (1 point) -Inspects and palpates lumbar and buttocks areas (1 point)

 

 

 

Manages secondary injuries and wounds appropriately

 

 

 

1

 

REASSESSMENT

 

 

 

 

 

Demonstrates how and when to reassess the patient

 

 

 

1

 

Actual Time Ended: ___________

 

 

TOTAL 40

 

CRITICAL CRITERIA

 

 

 

 

 

____ Failure to initiate or call for transport of the patient within 10 minute time limit

 

 

 

____ Failure to take or verbalize appropriate PPE precautions

 

 

 

____ Failure to determine scene safety

 

 

 

 

 

____ Failure to assess for and provide spinal protection when indicated

 

 

 

____ Failure to voice and ultimately provide high concentration oxygen

 

 

 

____ Failure to assess/provide adequate ventilation

 

 

 

 

 

____ Failure to find or appropriately manage problems associated with airway, breathing, hemorrhage or shock

____ Failure to differentiate patient’s need for immediate transportation versus continued assessment/treatment at the scene

____ Performs other assessment before assessing/treating threats to airway, breathing and circulation

____ Failure to manage the patient as a competent EMR

____ Exhibits unacceptable affect with patient or other personnel

____ Uses or orders a dangerous or inappropriate intervention

You must factually document your rationale for checking any of the above critical items on the reverse side of this form.

© 2016 by the National Registry of Emergency Medical Technicians, Inc., Columbus, OH

 

All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement.

r201/10-16

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