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Incident Response Pocket Guide - KUMEYAAY.info

Incident Response Pocket Guide - KUMEYAAY.info

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Patient Assessment<br />

Patient Information:<br />

• Name • Weight • Date of Birth/Age<br />

• Sex • Chief complaint<br />

Oriented to:<br />

• Person • Purpose<br />

• Time • Place<br />

<strong>Response</strong> to pain:<br />

• Purposeful • No response • Non-purposeful<br />

• Unconscious<br />

Breathing:<br />

• Normal • Unequal • Rales<br />

• Stridor • Wheezes • Apnea<br />

• Other<br />

Skin Vitals:<br />

Color Moisture Temperature<br />

Normal Normal Normal<br />

Pale/Ashen Dry Hot<br />

Cyanotic Moist Cool<br />

Flushed Profuse Cold<br />

Pupils:<br />

• Equal and reactive to light • Fixed<br />

• Unequal • Dilated<br />

Patient History:<br />

• Cardiac • Seizure • Diabetes<br />

• Hypertension • Other<br />

• Unknown History<br />

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