Clinical Indications: Last update 06/2011
- Any patient requesting a medical evaluation that is too large to be measured with a Broselow-Luten Resuscitation Tape.
Procedure:
- 1. Scene size-up, including universal precautions, scene safety, environmental hazards assessment, need for additional resources, by-stander safety, and patient/caregiver interaction
- 2. Assess need for additional resources.
- 3. Initial assessment includes a general impression as well as the status of a patient's airway, breathing, and circulation.
- 4. Assess mental status (e.g., AVPU) and disability (e.g., GCS).
- 5. Control major hemorrhage and assess overall priority of patient.
- 6. Perform a focused history and physical based on patient's chief complaint.
- 7. Perform vital signs to include pulse, respirations, cap refill, skin condition, temperature, lung sounds, blood pressure, glucose check, pupils(First BP must be manual. Minimum of 2 BP's for BLS patients, minimum of 3 BP's for ALS patients)
includingSA02 and ETCO2 with ALS patients every five (5) minutes
- 8. Assess need for critical interventions.
- 9. Complete SAMPLE and OPQRRRST.
- 10. Maintain an on-going assessment throughout transport, to include patient response/possible complications of interventions, need for additional interventions, and assessment of evolving patient complaints/conditions.
Competency Based Skill Requirements:
- Successfully complete an annual skill evaluation inclusive of the indications, contraindications, technique, and the possible complications of the procedure.
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