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 general impression of the patient

1

Determines responsiveness/level of consciousness

1

Determines chief complaint/apparent life-threats

1

Airway

-Opens and assesses airway = 1 point

-Inserts adjunct as indicated = 1 point

2

Breathing
-Assess breathing (1 point)

-Assures adequate ventilation (1 point)
-Initiates appropriate oxygen therapy (1 point)

-Manages any injury which may compromise breathing/ventilation (1 point)

4

Circulation
-Checks pulse (1point)
-Assess skin [either skin color, temperature or condition] (1 point)
-Assesses for and controls major bleeding if present (1 point)

-Initiates shock management [positions patient properly, conserves body heat] (1 point)

4

Identifies patient priority and makes treatment/transport decision (based upon calculated GCS)

1

HISTORY TAKING

Obtains baseline vital signs [must include BP, P and R]

1

Attempts to obtain SAMPLE history

1

SECONDARY ASSESSMENT

Head
-Inspects and palpates scalp and ears (1 point)  -Assesses eyes (1 point)
-Inspects mouth**, nose** and assesses facial area (1 point)

3

Neck**

-Checks position of trachea (1 point)

-Checks jugular veins (1 point)

-Palpates cervical spine (1 point)

3

Chest**
-Inspects chest (1 point)

-Palpates chest (1 point)

-Auscultates chest (1 point)

3

Abdomen/pelvis**
-Inspects and palpates abdomen (1 point)

-Assesses pelvis (1 point)

-Verbalizes assessment of genitalia/perineum as needed (1 point)

3

Lower extremities**
-Inspects, palpates and assesses motor, sensory and distal circulatory functions (1 point/leg)

2

Upper extremities
-Inspects, palpates and assesses motor, sensory and distal circulatory functions (1 point/arm)

2

Posterior thorax, lumbar and buttocks**
-Inspects and palpates posterior thorax (1 point) -Inspects and palpates lumbar and buttocks areas (1 point)

2

Manages secondary injuries and wounds appropriately

1

REASSESSMENT

Demonstrates how and when to reassess the patient

1