Emergency Medical Technician
Patient Assessment - Medical Situations
Scene Safe _____ BSI _____ # of PT's
_____ MOI _____ ALS Requested _____
Scene
Assessment
Determine Nature of Illness ( Verify dispatch information with
patient )
___________________________________________________________________
Identify Life Threatening Illnesses ( Chest Pain, Difficulty
Breathing, Anaphylaxis, Other )
___________________________________________________________________
Primary /
Initial
Assessment
Applied O2 ( min
15 LPM via Non - Rebreather Mask )
Mental Status _____alert, _____verbal, _____painful,
_____unresponsive
Pulse __________ rate, rhythm, strength -
Skin __________ color, temp., condition
Respiration
__________
- Pupils __________
B/P
________________
- Lung Sounds __________
Focused History
and Physical
Assessment
O____________________
onset S
_____________________ signs/symptoms
P ____________________ provokes A
_____________________ allergies
Q ____________________ quality M
_____________________ medication
R ____________________ radiates P ______________________
past HX
S _____________________severity L ______________________
last oral intake
T _____________________
time E
______________________ events prior to
Treatment
Verify Viagra
usage - with Nitro usage only
Verify dose taken prior to EMS arrival
Verify name / medication / route / dosage / expiration date
Assist PT with medication Administration ( directions for administration /
side effects )
Reassess vital signs
Extricate to unit
Medical Command
/ ALS
Report
__________ Age /
Sex
____________________Past Medical HX
__________ Mental
Status
____________________Baseline Vital Signs
__________ Chief Complaint
____________________Treatment Rendered
__________ Pertinent History of present illness __________Response
to treatment
______________________________________Pertinent findings from assessment
Other
