First Responder EMS Curriculum for Training Centers in Eurasia

Skill Descriptions: Patient AssessmentNote: All skills assume proper precautions are already taken, includinggloves and face mask if appropriate.1. Technique for Performing First Responder Physical ExamInspect (look) and palpate (feel) for the following signs of injury:1. Deformities2. Open injuries3. Tenderness4. Swelling5. The mnemonic “DOTS” is helpful in remembering the signs of injury.Briefly assess the following body in a logical manner:1. Head2. Neck3. Chest4. Abdomen5. Pelvis6. All four extremities2. Technique for Obtaining First Responder History from Patient, Family, orBystandersPerform “SAMPLE” history (Signs, Allergies, Medications, Pertinent medical history, Lastoral intake, Events leading to illness or injury).1. Signs/Symptoms• "Why did you call EMS today?"• Sign – Any medical or trauma condition displayed by the patient and identifiable bythe First Responder:– Hearing –- respiratory distress– Seeing –- bleeding– Feeling –- skin temperature• Symptom – any condition the patient describes:– Difficulty breathing– Headache– Pain2. Allergies• "Are you allergic to anything?"– Medications– Environmental allergies– Food3. Medications• "Do you take any prescription or non-prescription medicine?"– Prescription:CurrentFirst Responder EMS Curriculum/AIHA, July 2002 275