INITIALASSESSMENT

*=CRITICALCRITERIA

Assessment

TreatmentorFeedback

Completed

SCENESIZEUP
Tacticalsituation/security/timeonsite
*

BSIprecautions
MOI/historyofevents
Determinenumberofpatients
Requesthelpifneeded

Direct/provideCspinestabilizationifindicated/C
collarPRN

INITIALASSESSMENT
AVPU
Chiefcomplaintifconscious
*

Determineimmediatelifethreats(massive
hemorrhage/airwayobstruction)applystopgaps

ASSESSAIRWAY(WITHINFIRST5MINS)
Assessairwayfor510seconds
Openairway(modifiedjawthrust)
Inspectmouthandclear
(suction/Heimlich/laryngoscope)
*

Airwayadjunct(NPA/OPA/ET/Cric)

Reassessairway/BLSasrequired

ASSESSBREATHING
Inspectanteriorchest
Occludechestwounds
Posteriorsweep/stopgaps
*

Manageinjuriesthatcouldcomplicateairwayor
breathing

ASSESSCIRCULATION
*

Identifyandcontrolmajorbleeding(pack,clamp,dress
PRN)

ApplytourniquetPRN(amputation,partialamputation
ormajorbleeding)
Bloodsweep
Assesspulse(radial/carotid)
Assessperipheralperfusion(skincolor/temp)
Exposeasneeded(environmental)
Logroll,ID/TXdownsidewounds
StategeneralimpressionofPtbasedoninj/findings

Initiatemovementwithintimelimit(timestops)

SECURITYHALT
*

ReassessLOC/ABC's/treatments

Reassesschest(IAPP)ifMOI

Needlethoracentesisindicatedyes/no

Considerpainmanagement

Initialmustbecompletedwithin6minutes

INITIALTIME:
POINTDEDUCTIONSFROMINITIAL:

5/21/2012

RAPIDASSESSMENT

*=CRITICALCRITERIA

Assessment

Section
*

TreatmentorFeedback

Completed

Movepatientsafely(nofurtherinjury)
Mentalstatus(AVPU)/allergies

Reassess

ReassessABCsandTXs
Controlfreeflowinghemorrhage
Airway

Airway(consideradjunct)
(reassessplacementPRN)
Inspect/palpatehead
Assessthepupils(PERRLA)
AssessforJVD

Neck

Assessfortrachealdeviation
PalpateCspine/applyCcollarifMOI
*

Treatallinjuries

Inspect/auscultatex3bilateral

ReassesspriorTXs/reinforcePRN
Anterior

Auscultateheart

Chest
*

Percussx3bilateralifMOI
Palpate/IDallinjuries/improvestopgaps
Inspecttheabdomenforobviousinjury

Abdomen

Palpateallquadrants

Pelvis

Assessthepelvis
IDallpelvicinjuries/improvestopgaps
I&Plegs

Extremities

I&Pshoulders/arms

(Hem/FX)
Logroll

MaintainC/Lspinecontrol

Lspine

Palpate/inspectLspine/TXinjuries

HeadtoFoot

Assess/TX
Posterior
Reassess

CheckplacementofETtube
Reassessalltreatments

Airway
Reassess

ID/treatsallinjuries/improvesstopgaps

Circulation
Vitals

ObtainbaselineVS/assessneedforfluids
*

ObtainperipheralIVaccess

Reconsiderpainmanagement

Tourniquet

Proximate/convert/pressuredressing

Splints

Vitals

IV
Reassess

ReassessABCs/TX
Splintallfractures
(tractionifneeded)
Assessandaddressvitalsigns
PriortoIV

VITALSIGNS

EndofClinic

LOC
B/P
PULSE

RESP

SkinTemp
Initialandrapidcombinedmustbecompletewithin29minutes

COMBINEDINITIALANDRAPIDTIME:
POINTDEDUCTIONSFROMRAPID:

5/21/2012

SUBTASKS

*=CRITICALCRITERIA

PERCUTANEOUSIV
Prepequipment
IDsite
Prepsitew/antiseptic(Mech/Chem)
*

Insertcatheter

Connecttubing
Checkpatency
Securetubing

NEEDLETHORACENTESIS(*within2minsofsymptoms)
*

IDlandmarks
Prepsitewithantiseptic(Mech/Chem)
Selectappropriatesizecath
Insertcatheterovertherib
Removeneedle(leavecatheter)

Reassessforreliefoftensionpneumothorax(IAPP)

Preoxygenate(2mins)

ENDOTRACHEALINTUBATION
Prepareequipment
*

Inserttube

Inflatecuff

Assessplacement

Assessrespiration
Insertbiteblock
Securetube

PRINT

DEDUCTIONSFROMINITIALASSESSMENT:

SIGNATURES

DEDUCTIONSFROMRAPIDASSESSMENT:

Instructor:

FINALSCORE:

Date:
Student:

RESULTS(Circleone):GO

Date:

TOTALPOINTS=150(50FORINITIALAND100FORRAPID)
112.5=75%
38POINTSLOSTIS<75%(FAILURECRITERIA)
*ITEMSAREMUSTPASSCRITERIA

5/21/2012

NOGO