Presentation given at AAD re search and rescue to SAR team members at Casey station

1. Patient Assessment Stop ! Size up the scene. Survey the scene for hazards Immediate danger to rescuers Immediate danger to bystanders Immediate danger to patients

2. Patient Assessment Determine the mechanism of Injury (MOI) Establish body substance isolation (BSI) Determine the number of patients

3. Patient Assessment From a general impression of the patient Very Sick / Very Hurt: Rapid assessment and transport Not Sick/Not seriously hurt: focused history and exam, transport soon or manage in field

4. Patient Assessment Stop ! Survey the patient for immediate threats to life. Initial Assessment: This is a stop and fix survey!

5. Patient Assessment Identify self and level of training, obtain consent to treat. Establish Responsiveness and C Spine Control: Assess for verbal or pain response and stabilize the spine. Airway management: Look in the mouth and clear obstructions. Breathing adequacy: Look Listen and feel. Circulation: Assess for pulse and major bleeding; control bleeding, treat for shock Disability: Maintain manual stabilization of the spine unless patient has no significant MOI Environment/ Expose: Assess and treat environmental hazards; expose serious life threatening wounds.DEA

6. Patient Assessment Stop! Complete a Focused Exam and History Patient Exam: Inspect, inquire, palpate, check from head to toe. Order: Head, trunk, feet, arms, back (hint get matt ready before checking back then roll on – if not done in IA. CSM Vital Signs Time Level of responsiveness Heart rate, rhythm, and quality Respiratory rate, rhythm and quality Skin color, temperature and moisture Blood pressure Pupil pressure Temperature

7. Patient Assessment Patient History Chief complaint Mechanism of Injury (MOI) History of present illness Symptoms Allergies Medications Pertinent medical history Last intake/outtake (previous 24 hours) Events preceding the incident or illness

8. Patient Assessment Stop! Complete patient care and soap note: Make evacuation decision. Stop! Continually monitor your patient.