First Responder EMS Curriculum for Training Centers in Eurasia

19. Explain what additional questioning may be asked during the physical exam.20. Explain the components of the “SAMPLE” history.21. Discuss the components of the ongoing assessment.22. Describe the information included in the First Responder "hand-off" report.b. Affective ObjectivesAt the completion of this lesson, the First Responder student will be able to:1. Explain the rationale for crew members to evaluate scene safety beforeapproaching.2. Serve as a model for others by explaining how patient situations affect yourevaluation of the mechanism of injury or illness.3. Explain the importance of forming a general impression of the patient.4. Explain the value of an initial assessment.5. Explain the value of questioning the patient and family.6. Explain the value of the physical exam.7. Explain the value of an ongoing assessment.8. Explain the rationale for the feelings that these patients might be experiencing.9. Demonstrate a caring attitude when performing patient assessments.10. Place the interests of the patient as the foremost consideration when making any andall patient care decisions during patient assessment.11. Communicate with empathy during patient assessment to patients as well as withfamily members and friends of the patient.c. Psychomotor ObjectivesAt the completion of this lesson, the First Responder student will be able to:1. Demonstrate the ability to differentiate various scenarios and identify potentialhazards.2. Demonstrate the techniques for assessing mental status.3. Demonstrate the techniques for assessing the airway.4. Demonstrate the techniques for assessing if the patient is breathing.5. Demonstrate the techniques for assessing if the patient has a pulse.6. Demonstrate the techniques for assessing the patient for external bleeding.7. Demonstrate the techniques for assessing the patient's skin color, temperature,condition, and capillary refill (infants and children only).8. Demonstrate questioning a patient to obtain a “SAMPLE” history.9. Demonstrate the skills involved in performing the physical exam.10. Demonstrate the ongoing assessment.2. IntroductionSize-up is the first aspect of patient assessment. It begins as the First Responderapproaches the scene. During this phase, the First Responder surveys the scene todetermine if any threats may cause an injury to the First Responder, bystanders, oradditional injury to the patient. The initial assessment, physical exam, and patient/familyquestioning are used to identify patients who require critical interventions.3. Scene Size-UpOn arrival at the scene of any pre-hospital call, emergency personnel may be tempted toimmediately rush to the aid of a severely injured patient or one who otherwise appears to80First Responder EMS Curriculum/AIHA, July 2002