EMSE11
Module 11: Assessment of a Medical Patient (Core)
Outcome
Investigate strategies for assessing a patient during an emergency.
Indicators
(a) Identify the purpose of medical identification jewellery (e.g., bracelet, neckpiece).
(b) Assess the importance of searching a patient’s wrist and neck for medical identification jewellery.
(c) Describe elements of an initial general assessment (e.g., posture, facial expression, sitting position, breathing that interferes with the ability to speak) that might provide diagnostic clues to the patient’s condition or illness.
(d)

Research ways to assess the following in an injured person:

  • airway patency;
  • effective breathing;
  • pulse; and,
  • different types of bleeding (i.e., capillary, venous and arterial).
(e) Examine the AVPU (i.e., Alert, Verbal, Pain, Unresponsive) scale that helps determine a patient’s level of consciousness.
(f)

Propose questions to be asked when following the SAMPLE history mnemonic for an individual’s medical assessment, including:

  • Signs and symptoms (What seems to be bothering you?);
  • Allergies (Do you have any allergies I should know about?);
  • Medications (Are you on any medication?);
  • Past medical history (Has this happened to you before?);
  • Last oral intake (When was your last meal? Did you have breakfast/lunch/dinner?); and,
  • Event (What were you doing when this happened?).
(g) Assess the vital signs (i.e., consciousness, breathing, pulse, skin temperature, pupils) to be monitored while treating an injured person, and the frequency (e.g., every 5 to 10 minutes) for doing so.
(h)

Examine elements of the LOCPRESS acronym for monitoring vital signs, including

  • LOC – level of consciousness
  • P – pulse
  • R – respiration;
  • E – eyes;
  • S – skin colour; and,
  • S – skin temperature.
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