mnemonics detailed

body substance isolation

environmental hazards

number of patients

additional resources

mechanism of injury (MOI) / nature of illness (NOI)

extrication

spinal precaution

determine lvl of consciousness / responsiveness (LOC)

Alert- notices ur presence

Verbal- notices u after u speak w/ them

Pain- notices u only after u gently squeeze trapezius

Unresponsive- doesn’t notice or react

assess airway

assess breathing

assess circulation

Glasgow Coma Scale

eye opening response (4-1)

best verbal response (5-1)

best motor response (6-1)

comatose client

dead hooman

used during secondary assessment

s/sx

allergies

medications

pertinent medical history

last oral intake/ last bowel movement

event leading up to illness/ injury

used for pain (general)

onset (“what were u doing when this happened?”)

provocation (“what makes it worst?” sitting, laying, standing)

quality (“can u describe how it feels like?”)

radiation (“does this pain/discomfort move anywhere?”)

severity (“on a scale of 1-10 how would u rate this?”)

time (“how long has this been happening?”)

used for pt’s w/ breathing issues

productive cough

associated chest pain

sputum production

talk tiredness

exercise tolerance/intolerance (“hypothetically, can u walk over there without falling?”)

used for pt’s in altered lvl of consciousness (ALOC)

alcohol

epilepsy

insulin

overdose

uremia (kidney failure)

trauma

infection

poison

shock, stroke

used for suspected physical trauma

deformities

contusions (bruising?)

abrasions (scrapes?)

puntures/penetrations

burns

tenderness

lacerations

swelling