Emergency Medical Technician
Patient Assessment - Trauma Situations
_____Scene Safe _____BSI _____# of
Patients _____MOI _____ALS Requested
Rapid Scene
Assessment
Identify
life threatening injury(s) ___LOC ___Airway
___Circulation ___Bleeding
Primary / Initial
Assessment
_____
Apply C- Collar- Assessing (1) Spine and (2) Tracheal Deviation
_____ Apply O2 ( minimum of 15 LPM via Non Rebreather Mask )
(< 5 minutes )
_____ Pulse _____ Resp. _____B/P
_____Skin _____Pupils _____Lung Sounds
Focused History and
Physical
Assessment
Deformity
_________________________________________________________
Contusion
_________________________________________________________
Abrasion
__________________________________________________________
Penetration
/ Puncture ________________________________________________
Burns
____________________________________________________________
Tenderness
________________________________________________________
Lacerations
________________________________________________________
Swelling
__________________________________________________________
**************
Signs / Symptoms
___________________________________________________
Allergies
__________________________________________________________
Medications
_______________________________________________________
Past Medical HX
___________________________________________________
Last Oral Intake
____________________________________________________
Events
___________________________________________________________
Treatment
_____
Immobilize with KED / Short Spine Board
_____ Splint Major fractures / Dress major wounds / injuries
_____ Immobilize with 6 ft. spine board
Proper securing - Straps - Hips - Legs - Chest - CID
_____ Extricate to unit
Medical
Command / ALS
Report
_____
Age /
Sex
_____ Past Medical HX
_____ Mental
Status
_____ Baseline Vital Signs
_____ MOI
_____ Treatment Rendered
_____ Pertinent findings from assessment
_____ Response to treatment
Other
___________________________________________________________________
