Académique Documents
Professionnel Documents
Culture Documents
1. Scene Size-Up
2. Initial Assessment
3. Physical Examination
4. Patient History
5. Ongoing Assessment
6. Endorsement
1. Scene Size-Up
Ensures the safety of the people at the scene, identifies MOI/NOI and determines need
for additional assistance
- Arrival on the scene
- Identify yourself
- Immediate Sources of Information
a) Arrival on the Scene
Personal safety
Patient safety
General impression
Begin initial assessment
Identify yourself (if responsive)
Identify life-threatening injuries
Stabilize and continue to monitor
b) Identify yourself
State name and organization
Ask patient if you may help (obtain consent)
c) Immediate sources of Information
Scene itself
Patient (if responsive)
Relative or bystanders
Mechanism of Injury
Any deformity/injury
Sign of illness
2. Initial Assessment
A process used to identify and treat conditions posing an immediate threat to the
patient’s life.
Form a general impression
Check for level of responsiveness (AVPU – Alert, Verbal, Pain and Unconscious)
Airway
Breathing
Circulation
Patient’s status update
3. Physical Exam
RAPID TRAUMA ASSESSMENT
Use D.O.T.S. (head to toe)
(Deformity, Open Wound, Tenderness, Swelling)
Head
Neck
Chest/Back
Abdomen
Pelvis
Extremities
Vital signs
- Respirations -Pulse
- Skin -Pupils
- Blood pressure
4. Patient History
“S.A.M.P.L.E.”
Signs and symptoms
Allergies
Medications
Past medical history
Last oral intake
Events leading to injury
5. Ongoing Assessment
Repeat initial assessment
If with pain, use OPQRST
Onset
Provocation
Quality
Radiation
Severity
Time
Repeat physical exam
Reassess treatment and interventions
Calm and reassure the patient
6. Endorsement
Patient’s age and sex
Chief complaint
Level of responsiveness
Patient’s status (Airway, Breathing and Circulation)
Physical exam findings
SAMPLE history
Interventions/Treatment given
Special reports