EMS University

Action

Points Possible

Points Awarded

Takes or verbalizes appropriate PPE precautions

1

SCENE SIZE-UP

Determines the scene/situation is safe

1

Determines the mechanism of injury/nature of illness

1

Determines the number of patients

1

Requests additional EMS assistance if necessary

1

Considers stabilization of the spine

1

PRIMARY SURVEY/RESUSCITATION

Verbalizes the general impression of the patient

1

Determines responsiveness/level of consciousness (AVPU)

1

Determines chief complaint/apparent life-threats

1

Assesses airway and breathing
-Assessment (1 point)

-Assures adequate ventilation (1 point)

-Initiates appropriate oxygen therapy (1 point)

3

Assesses circulation
-Assesses/controls major bleeding (1 point)

-Checks pulse (1 point)

-Assesses skin [either skin color, temperature or condition] (1 point)

3

Identifies patient priority and makes treatment/transport decision

1

HISTORY TAKING

History of the present illness
-Onset (1 point)

-Quality (1 point)

-Severity (1 point)
-Provocation (1 point)

-Radiation (1 point)

-Time (1 point)
-Clarifying questions of associated signs and symptoms related to OPQRST (2 points)

8

Past medical history
-Allergies (1 point)

-Past pertinent history (1 point)

-Events leading to present illness (1 point)
-Medications (1 point)

-Last oral intake (1 point)

5

SECONDARY ASSESSMENT

Assesses affected body part/system
-Cardiovascular -Neurological -Integumentary -Reproductive
-Pulmonary -Musculoskeletal -GI/GU -Psychological/Social

5

VITAL SIGNS

-Blood pressure (1 point) -Pulse (1 point) -Respiratory rate and quality (1 point each)

4

States field impression of patient

1

Interventions [verbalizes proper interventions/treatment]

1

REASSESSMENT

Demonstrates how and when to reassess the patient to determine changes in condition

1

Provides accurate verbal report to arriving EMS unit

1