First Responder EMS Curriculum for Training Centers in Eurasia

Recent– Non-prescription:CurrentRecent4. Pertinent past history• "Are you seeing a doctor for anything?"• "Have you ever been in the hospital?"– Medical– Surgical– Trauma5. Last oral intake: Solid or liquid• "When was the last time you had anything to eat or drink?"– Time– Quantity6. Events leading to the injury or illness• "What were you doing when this happened?"• "Where there any other associated symptoms?"3. Technique for Ongoing AssessmentWhile awaiting additional emergency medical service resources, the First Responder shouldcontinue to assess the patient.1. Repeat the initial assessment:• Repeat every 15 minutes for a stable patient.• Repeat every 5 minutes for an unstable patient.• Reassess mental status.• Maintain an open airway.• Monitor breathing for rate and quality.• Reassess pulse for rate and quality.• Monitor skin color, temperature, and condition.2. Repeat First Responder physical exam as needed.3. Check interventions to ensure that they are effective.4. In addition to the continued assessments, the First Responder should calm and reassurethe patient.4. Technique for Patient “Hand-Off” Report1. Age and sex2. Chief complaint3. Responsiveness4. Airway and breathing status5. Circulation status6. Physical findings7. “SAMPLE” history8. Interventions provided276 First Responder EMS Curriculum/AIHA, July 2002