Skills Lab 5
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Transcript Skills Lab 5
CSI 102
Skills Lab 5
Emergency Assessment
Daryl P. Lofaso, M.Ed, RRT
Initial Assessment Guide
Primary Assessment
Observational Assessment
Appearance, WOB, and Circulation
Intervention to any life-threatening condition
Secondary Assessment (Serial)
Vital Signs
GCS
Primary Assessment
A = Airway / C-spine immobilization
B = Breathing
C = Circulation
D = Disability or Neurologic Status
Secondary Assessment
E = Exposure and environmental
control to prevent heat loss
F = Full set of vital signs, wt.
G = Give comfort measures
H = Head-to-toe assessment and
History (Hx)
I = Inspect posterior surfaces
Triage Assessment
Emergent
Urgent
Non-urgent
Emergent
Airway and Breathing Difficulties
Cardiac Arrest
C-spine compromise
Seizure states
Life or limb-threatening condition
Emergent (continued)
Severe medical problems
(Overdose,
poisoning, DM complications)
Obvious multiple injuries
Excessive high temperature
(> 105oF or 40.5oC)
Cardiac CP
Neurological Deficit – Stroke (CVA)
Urgent
Chest Pain (Non-Cardiac)
Burns
↓ LOC
Persistent nausea, vomiting, or diarrhea
Severe pain
Temperature (102-105oF or 39o-40.5oC)
Delay of up to 2 hrs will not compromise
life or limb
Non-Urgent
Chronic backache
Moderate headache
Minor Fx or other injuries
Obviously dead on arrival (DOA)
Stable illness or injury, wait > than
2 hrs without an increased risk of
morbidity or mortality
Patient’s Condition
Stable – VS within normal limits. Pt
conscious & comfortable.
Guarded – VS within normal limits.
Pt has some discomfort.
Unstable – VS outside of normal
limits. Major complications.
Prognosis guarded.
Universal Precautions
All Patients are potentially infectious.
Good Hand Hygiene is the key to
reducing nosocomial infections
Wash before and after patient contact
Wear a mask, eye protection, gloves
and gown when needed
3 Types of Precautions
Airborne
Droplet
Contact
Pathogens Requiring
Airborne Precautions
Tuberculosis
Measles (Rubeola)
Varicella (Chickenpox)
Airborne Precautions
Management
Place patient in an isolation room
with negative pressure
Keep door closed
Wear N-95 mask
Pathogens Requiring
Contact Precautions
Multi-drug resistance bacteria
(e.g., VRE – Vancomycin Resistant Enterococci,
MRSA - Methicillin Resistant Staphylococcus Aureus)
RSV - Respiratory Syncytial Virus
Clostridium difficile
Scabies