tailieunhanh - Lecture Mosby's paramedic textbook (4th ed) - Chapter 20: Secondary assessment

This chapter include objectives: Identify the purpose of the patient care report; describe the uses of the patient care report; outline the components of an accurate, thorough patient care report; describe the elements of a properly written emergency medical services (EMS) document; describe an effective system for documenting the narrative section of a prehospital patient care report;. | 9/10/2012 1 Chapter 20 Secondary Assessment 2 Lesson Physical Examination 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/10/2012 Learning Objectives • Define the purpose of secondary assessment. • Describe physical examination techniques commonly used in prehospital settings. • Describe examination equipment commonly used in prehospital settings. 4 Learning Objectives • Describe the general approach to physical examination. • Outline steps of a comprehensive physical examination. • Detail components of the mental status examination. 5 Learning Objectives • Distinguish between normal and abnormal findings in the mental status examination. • Outline the steps in the general patient survey. • Distinguish between normal and abnormal findings in the general patient survey. 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/10/2012 Secondary Assessment • Components – Physical examination techniques – Measurement of vital signs – Assessment of body systems – Skillful use of examination equipment • Physical examination techniques vary by patient, depending on chief complaint, present illness, and history 7 Secondary Assessment • Appropriate assessment of patient depends on – Stability of patient – Complaint and history – Patient’s ability to communicate – Potential for unrecognized illness 8 Examination Techniques • Commonly used – Inspection – Palpation – Percussion – Auscultation 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 3 9/10/2012 Inspection • Visual assessment of patient and surroundings – Can alert paramedic to patient’s mental status, possible injury, or underlying illness – Patient hygiene, clothing, eye gaze, body language and position, skin color, and odor are significant inspection findings – EMS response may be to patient’s home • .

• Y học thường thức
• Mosbys paramedic
• Mosbys paramedic textbook
• Medical terminology
• EMS systems
• EMS system development
• Current health care reform
• Well‐being of the paramedic
• Physical fitness
• Components of wellness
• Injury prevention
• Public health
• Injury epidemiology
• Importance of documentation
• Elements of EMS documentation
• Emergency medical services
• EMS communications
• Roles of communications
• Phases of communication
• Medical legal issues
• Legal system
• Immunity statutes
• Professional accountability
• Medical ethics
• Personal ethics