Mfrdmanager at 13:22, 13 November 2020

2020-11-13T13:22:55Z

Mfrdmanager: Protected "Initial Medical Assessment and Care" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T13:45:44Z

Protected "Initial Medical Assessment and Care" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "NOTOC ==Section 2 - PRIMARY CARE== === 2.01 INITIAL MEDICAL ASSESSMENT AND CARE=== ==== INITIAL ASSESSMENT:==== ===== GENERAL IMPRESSION===== '''Level of Consciousness'''..."

2018-02-01T19:06:40Z

Created page with "__NOTOC__ ==Section 2 - PRIMARY CARE== === 2.01 INITIAL MEDICAL ASSESSMENT AND CARE=== ==== INITIAL ASSESSMENT:==== ===== GENERAL IMPRESSION===== '''Level of Consciousness'''..."

New page

__NOTOC__
==Section 2 - PRIMARY CARE==
=== 2.01 INITIAL MEDICAL ASSESSMENT AND CARE===
==== INITIAL ASSESSMENT:====
===== GENERAL IMPRESSION=====

'''Level of Consciousness'''
{| class="wikitable"
|-
| A - Alert
|-
| V - Responds to Verbal stimuli
|-
| P - Responds to Painful stimuli
|-
| U - Unresponsive
|}

'''ORIENTATION x 4/4'''
{| class="wikitable"
|-
| 4/4 - Person, place, time, incident
|-
| 3/4 - One faculty absent
|-
| 2/4 - Two faculties absent
|-
| 1/4 - Three faculties absent
|}

=====Altered Mental Status (AMS) is defined as an alteration in either the patient’s LOC or Orientation.=====
{| class="wikitable"
|-
| AIRWAY|| Establish and maintain airway. Utilize cervical spine precautions when indicated.
|-
| BREATHING|| Provide oxygen or assist ventilations as indicated.
|-
| CIRCULATION|| Check pulses, skin & control any external hemorrhage.
|}

=====FOCUSED AND DETAILED HISTORY AND PHYSICAL EXAM:=====
* Obtain history of present illness and past medical history.
* Record allergies and medications. Record name, dosage & frequency of medications.
* Systematic head-to-toe and neurological assessment.
* Establish a baseline set of vitals signs. Initial set of vitals must be obtained manually.

=====PERFORM INITIAL MEDICAL CARE SIMULTANEOUSLY WITH THERAPIES:=====
* Loosen tight clothing and reassure patient.
* Place patient in position of comfort if not contraindicated.
* [[Medical Gases|OXYGEN]]: Nasal cannula, NRB mask, or BVM as appropriate for patient condition:
**Provide supplemental OXYGEN, assist ventilations, intubate and suction as indicated by inadequate breathing / impaired gas exchange.
* Once a medication route has been established, administer medication as indicated per Practice Parameters, (i.e., IV, IO, IN).
* CARDIAC MONITOR LD II, MCL I, or 12 LEAD ASSESSMENT if available. Record strips at least every 5-10 minutes, AND before and after pharmacological or electrical intervention.
* Establish IV or IO of 9% NaCl at KVO, or IV Lock system as indicated by patient condition.
** '''Attempt X 2 unless situation demands further repeated attempts. Failure to obtain IV access does not preclude the intervention of other definitive therapy.'''
* Apply pulse oximeter, if available, to all patients with potential cardiac or respiratory emergencies.
* Apply EtCO2 monitor device to patients with potential cardiac or respiratory emergencies.
* Assess blood glucose with glucometer as indicated per Practice Parameters. Repeat vital signs and assess patient EVERY 10 MINUTES (STABLE) or 5 MINUTES (UNSTABLE).
* Document each ALS INTERVENTION and their corresponding times.

'''Document the patient's condition or behaviors which result in a variance to Practice Parameters. If no response to Practice Parameters, contact Medical Control for consult.
'''
[[Category:Primary Care|0201]]

@@ Line 49: / Line 49: @@
 * Loosen tight clothing and reassure patient.
 * Place patient in position of comfort if not contraindicated.
-* [[Medical Gases|OXYGEN]]: Nasal cannula, NRB mask, or BVM as appropriate for patient condition:
+* [[Oxygen|OXYGEN]]: Nasal cannula, NRB mask, or BVM as appropriate for patient condition:
 **Provide supplemental OXYGEN, assist ventilations, intubate and suction as indicated by inadequate breathing / impaired gas exchange.
 * Once a medication route has been established, administer medication as indicated per Practice Parameters, (i.e., IV, IO, IN).

← Older revision	Revision as of 13:45, 10 February 2018
(No difference)

Initial Medical Assessment and Care - Revision history

Mfrdmanager at 13:22, 13 November 2020

Mfrdmanager: Protected "Initial Medical Assessment and Care" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "__NOTOC__ ==Section 2 - PRIMARY CARE== === 2.01 INITIAL MEDICAL ASSESSMENT AND CARE=== ==== INITIAL ASSESSMENT:==== ===== GENERAL IMPRESSION===== '''Level of Consciousness'''..."

Mfrdmanager: Created page with "NOTOC ==Section 2 - PRIMARY CARE== === 2.01 INITIAL MEDICAL ASSESSMENT AND CARE=== ==== INITIAL ASSESSMENT:==== ===== GENERAL IMPRESSION===== '''Level of Consciousness'''..."