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TASK
Scene Size-up
BODY SUBSTANCE
ISOLATION
SCENE SAFETY
MECHANISM OF
INJURY / NATURE OF
ILLNESS
Owner: _______________
ACTION
STATEMENT
TRIAGE
RESOURCES
Revised: 11/10/2014
Assessment - Trauma
College of Southern Nevada EMS Program
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C-SPINE
ACTION
(cont)
The student may call for
additional resources at this time
such as fire, police, ALS backup, or EMS supervisor.
Determine if there is a need for
c-spine precautions (remember
that this is a trauma call)
Owner: _______________
STATEMENT
(cont)
I will call for assistance the 1st moment
we deem it to be necessary.
I will now call for appropriate additional
resources which are _____.
Since this is a trauma call I WILL
actively pursue c-spine precautions
unless otherwise indicated. I will have a
silent partner provide in-line immobilize
of the neck now.
INTRODUCTION
DETERMINES
RESPONSIVENESS /
LEVEL OF
CONSCIOUSNESS
Assessment - Trauma
College of Southern Nevada EMS Program
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DETERMINES CHIEF
COMPLAINT
STATEMENT
(cont)
If the patient does not answer
any of the three questions
correctly, the student must rephrase the question at least
one different way
The student must determine
the chief complaint (if
obtainable):
(cont)
(Rephrase the question if conscious)
(Attempt verbal stimulus if unconscious)
(Attempt painful stimulus if unconscious)
(If unresponsive ABCs!!!)
DETERMINES LIFE
THREATS
Owner: _______________
ACTION
AIRWAY
Revised: 11/10/2014
Assessment - Trauma
College of Southern Nevada EMS Program
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BREATHING
Owner: _______________
ACTION
difficulty).
STATEMENT
(cont)
If the evaluator states that the
airway is compromised then
the student must physically
evaluate /create an
airway/inserts adjuncts as
indicated.
The specific scenario will
mandate the detail in which the
student performs this portion of
the assessment.
(cont)
Since the patient is unresponsive then I
would perform a modified jaw thrust (or
head-tilt, chin-lift) and visualize the
airway for any obstructions. I will clear
the airway of any obstructions, and
insert an OPA or NPA if necessary.
Revised: 11/10/2014
1) Assessing breathing
2) Assuring adequate
ventilation.
(Tidal volume and general rate)
Assessment - Trauma
College of Southern Nevada EMS Program
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ACTION
Owner: _______________
STATEMENT
appropriate, or fast rate, and.
(cont)
(cont)
3) Effort of Breathing:
(Labored or Non Labored)
5) Sp02-PRN.
6) Symmetry of Excursion
PRN.
7) Application of 02-PRN
Assessment - Trauma
College of Southern Nevada EMS Program
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ACTION
Owner: _______________
STATEMENT
(Cont)
CIRCULATION
(Cont)
Revised: 11/10/2014
Assessment - Trauma
College of Southern Nevada EMS Program
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ACTION
Owner: _______________
STATEMENT
ESTABLISH PATIENT
PRIORITY
(cont)
Based on the general
impression and the
assessment of the patients
mental status, airway,
breathing, and circulation the
student must decide whether
the patient is a priority patient
(PUHA) or non-priority patient
(STAY AND PLAY)
(cont)
Assessment - Trauma
College of Southern Nevada EMS Program
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HISTORY TAKING
HISTORY TAKING
ACTION
chest, abdomen
12:Hidden injuries from seatbelts and air bag(s)
13:Falls from more than 10 feet
for infants
14:Children involved in bicycle
collisions
Owner: _______________
STATEMENT
Revised: 11/10/2014
Provoke/Palliation
Quality:
Radiation:
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Owner: _______________
ACTION
STATEMENT
Severity:
(cont)
Time:
(cont)
How long has this pain been going on
for? When did it get worse?
Assessment - Trauma
College of Southern Nevada EMS Program
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ACTION
and gen. facial area:
Scalp and skull:
Owner: _______________
STATEMENT
(cont)
Assessment - Trauma
College of Southern Nevada EMS Program
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STATEMENT
(cont)
The student must perform a
physical while the silent BLS
partner simultaneously obtains
vital signs. The student must
state this:
(cont)
1) respiratory rate and quality,
2) pulse rate and quality,
3) blood pressure
4) Sp02
5) pupil check
6) PMS (prn. in all four extremities)
(distal pulses, movement
and sensation)
Owner: _______________
ACTION
Additional Interventions:
TRANPORT
DECISION
REASSESSMENT
Verbalizes ReAssessment of the Vital
Signs
Assessment - Trauma
College of Southern Nevada EMS Program
11 of 13
CONCLUSION
ACTION
minutes for a critical or
potentially critical patient or
every 15 minutes for a stable
patient.
The student will end the
scenario by stating so.
Owner: _______________
STATEMENT
1) Repeating the primary survey,
2) Repeating the physical exam based
on the chief complaint and MOI
3) Repeating the vital signs,
I am at the hospital
or something to this effect.
(end of station)
Revised: 11/10/2014
Assessment - Trauma
College of Southern Nevada EMS Program
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ACTION
Owner: _______________
STATEMENT
IMPORTANT NOTE FOR THE STUDENT: You must treat all life-threatening situations as they are found!
Critical Criteria:
Did not transport patient within (10) minute time limit
Did not take, or verbalize, body substance isolation when necessary
Did not determine scene safety
Did not assess for spinal precaution
Did not provide for spinal precaution when indicated
Did not provide high concentration oxygen
Failure to assess/provide adequate ventilation
Did not find or manage problems associated with airway, breathing, hemorrhage or shock
(hypoperfusion)
Did not differentiate patients need for transportation versus continued assessment at the scene
Did detailed or focused history/physical examination before assessing airway, breathing and
circulation
Exhibits unacceptable affect with patient or other personnel
Orders a dangerous or inappropriate intervention
Revised: 11/10/2014
Assessment - Trauma
College of Southern Nevada EMS Program
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