TL;DR
Patient Assessment Sequence: Scene safety, primary survey (ABCs), secondary survey, vital signs, SAMPLE history.
Patient Assessment Sequence
Definition
Scene safety, primary survey (ABCs), secondary survey, vital signs, SAMPLE history.
Exam Focus Areas
On the Nremt Emt, Nremt Paramedic exam(s), questions about patient assessment sequence typically test:
- Appropriate transport decisions and hospital notification criteria
- Recognition of signs and symptoms requiring immediate intervention
- Assessment findings that differentiate between similar presentations
- Correct medication selection, dosing, and route of administration
Equipment & Tools
Equipment used in patient assessment sequence assessment and treatment:
- Pulse oximeter
- Measures SpO2 via infrared absorption through capillary bed. Available sizes: Finger clip, Earlobe, Pediatric wrap
- King airway
- Supraglottic blind-insertion airway device. Available sizes: Size 3 (4-5 ft), Size 4 (5-6 ft), Size 5 (over 6 ft)
- Waveform capnograph
- Measures end-tidal CO2 continuously with waveform display. Available sizes: Mainstream (inline), Sidestream (sampling)
Calculation Methods
Dosage calculations related to patient assessment sequence in EMS:
- amiodarone: 300mg IV/IO first dose, 150mg second dose (IV/IO)
- epinephrine: 1:10,000 1mg IV/IO q3-5min (cardiac arrest), 1:1,000 0.3mg IM (anaphylaxis) (IV/IO, IM, ET)
- adenosine: 6mg rapid IV push, then 12mg if needed (IV rapid push with flush)
Pediatric dosing: always calculate by weight (mg/kg). Use Broselow tape if weight is unknown.
Patient Communication
Communication about patient assessment sequence in the prehospital setting includes: explaining procedures to the patient in simple terms, obtaining informed consent when possible (implied consent for unresponsive patients), providing a calm and reassuring presence, and delivering a structured handoff report (SBAR: Situation, Background, Assessment, Recommendation) to the receiving facility.
Why It Matters
Framework for every NREMT practical station.
Related Terms
Practice This Topic
Ready to practice for the NREMT EMT?
Adaptive practice powered by Item Response Theory targets your weak areas. Start with 3 free sessions.
Start free practice →