• Document: Frontline First Aid: EMR Cheat Sheet
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Frontline First Aid: EMR Cheat Sheet Assessment Model Scene Survey H Hazards – is there anything in the area that could cause problems or injuries E Environment – is the area hot…cold…toxic…unstable…etc… M Mechanism of Injury – what happened to cause the injury or condition P Number of Patients – how many people require assistance or transport A Additional Resources – more personnel…ambulance…fire dept…hazmat…poison control…tech rescue…etc… Primary Survey LOC AVPU – Alert…Verbal stimulus…Pain stimulus…Unresponsive D Delicate Spine – Presumed or Ruled Out A Airway – with “Cheater Carotid Check” and OPA if unresponsive B Breathing – Oxygen or Assisted Ventilations if needed C Circulation – Radial Pulse, Skin and Rapid Body Survey - Blanket Critical Interventions Quickly manage immediately life threatening conditions Stay & Play or Load & Go Transport decision and communication with Medical Control Secondary Survey Interview S Signs and Symptoms – what is hurting or causing discomfort O Onset – did this happen suddenly or gradually P Provokes – is there anything that makes the pain better or worse Q Quality – sharp…dull…throbbing…aching…stabbing…burning…crushing…squeezing…tingling…etc… R Radiating – where is the pain; and does it stay in one spot or move to other areas S Severity – how bad is the pain on a scale of 1-10 T Timing – when did the pain start; and does is come and go or stay constant A Allergies – are you allergic to anything…and have you been recently exposed M Medications – do you take medication…have you taken too much…too little…missed them…new ones recently P Previous Medical History – relevant medical conditions or past incidents; diabetes…high BP…asthma…COPD…etc L Last Meal – what and when did you last eat or drink…is that normal for you E Events Leading Up To – what were you doing when the pain or discomfort started Vital Signs LOC Glasgow Coma Scale Respirations Rate…Rhythm…Character Pulse Rate…Rhythm…Character SpO2 Pulse Oximeter – Blood Oxygen Level Blood Pressure Palpation or Auscultation – Record Systolic over Diastolic; or Systolic over “P” Pupils Pupils Equal and Reactive to Light – compare size and reactivity of each pupil Body Core Temp? Measure body core temperature if relevant Cap Bgl? Measure Capillary Blood Glucose Level if relevant Head to Toe Palpation Feel for injuries Auscultation Listen to the Chest if relevant Distal Circulation Assess bilateral pulses and check motor and sensory function in extremities Page 1 of 8 Frontline First Aid: EMR Cheat Sheet Glasgow Coma Scale Eye Opening Best Verbal Response Best Motor Response 6 Obeys commands 5 Oriented 5 Localizes to pain 4 Spontaneously 4 Confused 4 Withdraws to pain 3 To voice 3 Inappropriate words 3 Flex to pain(Decorticate) 2 To pain 2 Incomprehensible sounds 2 Extend to pain(Decerebrate) 1 No response 1 No response 1 No response GCS less than 13 is life threatening APGAR 0 1 2 Activity Limp Some extremity flexion Active Movement Pulse Absent Below 100 bpm 100 bpm or higher Grimace No response Grimace Cough, sneeze, cry Appearance Body/Extremities Blue/Pale Body Pink – Extremities Blue Completely pink Respiration Absent Slow and Irregular Strong, crying 7-10 is “Normal … 4-6 is “Fairly Low” … 0-3 is “Critically Low” CPR Compression: Ventilation Ratios Adult over 9 Child 1-8 Infant under 1 One Rescuer 30:2

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