Book 35 - EMS Field Manual - LAFD Training
Book 35 - EMS Field Manual - LAFD Training
Book 35 - EMS Field Manual - LAFD Training
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Section 1: <strong>Field</strong> Procedures 1 Protocols<br />
<strong>LAFD</strong> PATIENT ASSESSMENT GUIDELINES<br />
^ SCENE<br />
 Safety (BSI PrccautionsJPPE)<br />
+ Environment<br />
 Mechanism of Injury<br />
+ Number of Patients<br />
^ GENERAL IMPRESSION<br />
+ What you see!<br />
^ AIRWAY<br />
4 P U LS E (Rate, Rhythm, Quality)<br />
4 RESPIRATION (Rate, Rhythm, TV)<br />
4 B P (Systolic/Diastolic) [Orthostatic's PRN]<br />
^ BREATHING (AssistfOxygen)<br />
^ CIRCULATION (RadialICarotid)<br />
+ Pulses<br />
+ Capillary Refill<br />
+ Control Severe Bleeding (PRN)<br />
- j COMPLETE BODY CHECK<br />
/ SKIN SIGNS<br />
+ Color<br />
+ Temperature<br />
+ Moisture<br />
^ CHIEF COMPLAINT<br />
(SignsISymptoms)<br />
+ Objective Observation<br />
+ Subjective Findings<br />
(What they say!)<br />
FIRST- PERFORM FOCUSED BODY CHECK<br />
(Determined by LOG, Chief Complaint, and History)<br />
Glasgow Coma Scale (GCS)<br />
ASSESS BILATERAL BREATH SOUNDS<br />
for patients with chest injuries, difficulty<br />
breathing, and I or signs of shock<br />
LO 0 K for Tissue Damage, Scars, Deformities, Abnormal Behavior I Motion, Fluids<br />
F E EL for Tenderness, Instability, Crepitus<br />
4 HEAD 4 BREATHSOUNDS 4 NEUROLOGICAL<br />
4 NECK 4 ABDOMENIPELVIS 4 BACK<br />
4 CHEST 4 EXTREMITIES (UpperILower) 4 MEDICAL TAGS,<br />
TRACKS, TRAUMA<br />
DEFORMITY BURNS<br />
CONTUSION TENDERNESS<br />
ABRASION LACERATIONS<br />
PUNCTURE1 SWELLING<br />
PENETRATING<br />
PULSES<br />
MOTOR<br />
SENSORY<br />
Revised: 121200 1
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