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Chapter Objectives
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Knowledge Objectives

By the end of this chapter, you should be able to
  1. Discuss the components of scene size-up.
  2. Describe common hazards found at the scene of a trauma and a medical patient.
  3. Determine if the scene is safe to enter.
  4. Discuss common mechanisms of injury/nature of illness.
  5. Discuss the reason for identifying the total number of patients at the scene.
  6. Explain the reason for identifying the need for additional help or assistance.
  7. Summarize the reasons for forming a general impression of the patient.
  8. Discuss methods of assessing mental status.
  9. Differentiate between assessing mental status in the adult, child, and infant patient.
  10. Describe methods used for assessing if a patient is breathing.
  11. Differentiate between a patient with adequate and inadequate breathing.
  12. Describe the methods used to assess circulation.
  13. Differentiate between obtaining a pulse in an adult, child, and infant patient.
  14. Discuss the need for assessing the patient for external bleeding.
  15. Explain the reason for prioritizing a patient for care and transport.
  16. Discuss the components of the physical exam.
  17. State the areas of the body that are evaluated during the physical exam.
  18. Explain what additional questioning may be asked during the physical exam.
  19. Explain the components of the SAMPLE history.
  20. Discuss the components of the ongoing assessment.
  21. Describe the information included in the Emergency Medical Responder hand-off report.
Attitude Objectives
  1. Explain the rationale for crew members to evaluate scene safety prior to entering.
  2. Serve as a model for others by explaining how patient situations affect your evaluation of the mechanism of injury or illness.
  3. Explain the importance of forming a general impression of the patient.
  4. Explain the value of an initial assessment.
  5. Explain the value of questioning the patient and family.
  6. Explain the value of the physical exam.
  7. Explain the value of an ongoing assessment.
  8. Explain the rationale for the feelings that these patients might be experiencing.
  9. Demonstrate a caring attitude when performing patient assessments.
  10. Place the interests of the patient as the foremost consideration when making any and all patient care decisions during patient assessment.
  11. Communicate with empathy during patient assessment to patients as well as with family members and friends of the patient.
Skill Objectives
  1. Demonstrate the ability to differentiate various scenarios and identify potential hazards.
  2. Demonstrate the techniques for assessing mental status.
  3. Demonstrate the techniques for assessing the airway.
  4. Demonstrate the techniques for assessing if the patient is breathing.
  5. Demonstrate the techniques for assessing if the patient has a pulse.
  6. Demonstrate the techniques for assessing the patient for external bleeding.
  7. Demonstrate the techniques for assessing the patient's skin color, temperature, condition, and capillary refill (infants and children < six years of age only).
  8. Demonstrate questioning a patient to obtain a SAMPLE history.
  9. Demonstrate the skills involved in performing the physical exam.
  10. Demonstrate the ongoing assessment.









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