MedicalMedicalThe AssessmentAssessment M y s t e r y CAN YOU SOLVE THE MYSTERY? S.A.M.P.P.L.E. Treat Signs & Symptoms Signs & Symptoms Signs = Objective Treat Life Threats • Treat the Patient! Symptoms = Subjective “What seems to be the trouble today?” Allergies B.S.I. To medications To environmental factors Is the Scene Safe? “Do you have any allergies?” D Medications Prescribed and over the counter Are they being taken as directed “What kind of medications do you A.V.P.U. take and what are they for?” A.B.C.D. Pertinent Past History Related to the chief complaint A&O Status Does not need to be an in depth novel “Has this happened before?” “What medical problems do you have?” S.A.M.P.P.L.E. Pain No = Move to “L” O.P.Q.R.S.T. Yes = OPQRST Last Oral Intake Vital Signs • D Could it relate/contribute to Chief Complaint Does it relate/contribute to Signs and Symptoms “When was the last time you ate anything, What’sWhat’s YourYour Impression?Impression? and what was it?” Events Leading to A.V.P.U. ASK OPEN ENDED Goes to possible causes or exacerbating factors Alert Patient is looking at you and aware QUESTIONS! Does it relate/contribute to Signs and Symptoms Verbal “What were you doing when it started?” Patient responds after you talk to them CloseClose EndedEnded ONLYONLY ifif Pain Patient only responds to painful stimuli Appropriate for O.P.Q.R.S.T. Unresponsive Patient does not respond to any stimuli Situation.Situation. Onset “When did it start?” A&O Status D = Decision Provocation Alert and Oriented Load and Go “Is there anything that makes it feel better?” x1 = Person • Patient has an immediate life threat and “Is there anything that makes it feel worse?” x2 = Place needs immediate transport to definitive care Quality x3 = Time Stay and Play “What does it feel like to you, can you describe it?” x4 = Situation • Can you start giving the patient some Radiation relief from symptoms before transport “Does it move to other areas of your body?” Level of Care without putting there health at risk? Severity Backup? Treat everything at • “On a scale of 1 to 10 with 10 being the worst Do you have enough resources on hand pain you have ever felt, what number would the basic level rst, to care for your patient? you give this pain right now?” then move to an • Do you have more than one patient? Time • Do you need to consult medical direction? advanced level of “How long has this been going on?” care only if it is • Is your scene still safe? • What kind of case is this? necessary. - Medical, Trauma, Psych, Combination? www.stevenscanlon.com