EMT Paramedic

A comprehensive study of skills and knowledge needed for Emergency Medical Technician and Paramedic certification exams.

Basic Concepts

Patient Assessment

Understanding Patient Assessment

Patient assessment is the cornerstone of emergency medical care. It involves gathering information, identifying life threats, and making decisions to guide treatment.

Steps in Patient Assessment

  • Scene Size-Up: Ensure your safety, note the mechanism of injury, and determine the number of patients.
  • Primary Assessment: Check airway, breathing, and circulation (the ABCs). Identify life-threatening conditions and intervene immediately.
  • Secondary Assessment: Obtain patient history, perform a physical exam, and measure vital signs.
  • Ongoing Assessment: Reassess the patient regularly to monitor changes.

Real-World Application

In the field, a rapid and systematic assessment can mean the difference between life and death. By following these steps, EMTs and paramedics can prioritize interventions and communicate effectively with hospital staff.

Tips

  • Always approach every scene with caution.
  • Use standardized mnemonics like SAMPLE and OPQRST to guide your history-taking.

Examples

  • A paramedic arrives at a car accident and rapidly checks for airway compromise, severe bleeding, and responsiveness.

  • During a call for chest pain, the EMT uses SAMPLE to gather patient history and OPQRST to assess pain.

In a Nutshell

Systematic patient assessment ensures quick identification and management of life-threatening conditions.

Key Terms

SAMPLE
A mnemonic for patient history: Signs/Symptoms, Allergies, Medications, Past medical history, Last oral intake, Events leading up.
OPQRST
A mnemonic for pain assessment: Onset, Provocation, Quality, Region/Radiation, Severity, Time.