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Skills Station One

Patient Assessment/Management; Trauma

This station is designed to test your ability to perform a patient assessment of a victim of multi-system trauma and voice-treat all conditions and injuries discovered.  You must conduct your assessment as you would in the field, including communication with your patient.  You may remove the patient's clothing down to shorts or swimsuit if you feel it is necessary.  As you conduct your assessment, you should state everything you are assessing.  Clinical information not obtainable by visual or physical inspection--such as blood pressure--will be given to you after you demonstrate how you would normally gain that information.  You may assume that you have two EMTs working with you and that they are correctly carrying out the verbal treatments you indicate.

You have (10) ten minutes to complete this skill station.

 

Interface Features / Options

 - Review this skill and information

 - Take the skill knowledge test

 

Skills Station Details

Takes or verbalizes, body substance isolation precautions

1

SCENE SIZE-UP

Determine the scene is safe

1

Determines the mechanism of injury

1

Determines the number of patients

1

Requests additional help is necessary

1

Considers stabilization of spine

1

INITIAL ASSESSMENT

Verbalizes general impression of the patient

1

Determine responsiveness/level of consciousness

1

Determine chief complaint/apparent life threats

1

Assesses airway and berating

Assessment

Initiates appropriate oxygen therapy

Assures adequate ventilation

Injury management

1

1

1

1

Assesses circulation

Assesses/controls major bleeding

Assesses pulse

Assesses skin (color, temp, condition)

1

1

1

Identifies priority patients/makes transport decision

1

FOCUSED HISTORY AND PHYSICAL EXAM / RAPID ASSESSMENT

Selected appropriate assessment (focused or rapid assessment)

1

Obtains, or directs assistant to obtain baseline vital signs

1

Obtain S.A.M.P.L.E. history

1

DETAILED PHYSICAL EXAMINATION

Assesses the head

Inspects and palpates the scalp/ears

Assesses the eyes

Assesses the facial areas (oral/nasal)

1

1

1

Assesses the neck

Inspects and palpates the neck

Assesses for JVD

Assesses for tracheal deviation

1

1

1

Assesses the chest

Inspects

Palpates

Auscultates

1

1

1

Assesses the abdomen/pelvis

Assesses the abdomen

Assesses the pelvis

Verbalizes assessment of genitalia

1

1

1

Assesses the extremities

1 point for each extremity

Includes inspection, palpation, and assessment of motor, sensory and circulatory function.

4

Assesses the posterior

Assesses thorax

Assesses lumbar

1

1

Manages secondary injuries and wounds appropriately

1 point for appropriate management of the secondary injury/wound

 

1

Verbalizes reassessment of the vital signs

1

TOTAL:

40

 

CRITICAL CRITERIA

___ Did not take, or verbalize, body substance isolation precautions

___ Did not determine scene safety

___ Did not assess for spinal protection

___ Did not provide for spinal protection when indicated

___ Did not provide high concentration of oxygen

___ Did not find, or manage, problems associated with airway, berating, hemorrhage or shock

___ Did not transport patient within 10 minute time limit

 

 

 

Related Skill Stations

 - Skills Station 2 - Medical Assessment

 

Skills Station Testing

Knowledge Based Skills Testing

Skills Knowledge Test

Practical Skills Summary Test

Once you have reviewed the practical skill above, you may take a knowledge based test to ensure that you know the skill.

31 Questions

 

Take the Test Now

 

 

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