Tag: history taking
- History & Physical Of Acute Abdomen Patients ()
Ok, So Where Does It Hurt? Just figuring out exactly where the patient is experiencing pain is a logical first move to being able to figure out the nature of the patient’s problem. Unfortunately, the emergency department is not really in a position to perform definitive test for conditions related to the abdomen. They are […]
- What Does OPQRST Mean? ()
The Basics The interview is always the same and follows a set pattern of questions. Questions that occur to the ambulance crew after this conversation would be referred to as a follow up question. Subjective – This is the patient’s chief complaint as defined in terms of onset, provocation, quality, radiation, severity, and time. The […]
- History Taking ()
Collect The Right Information The best source of information about the patient is the patient. The patient knows what hurts and how bad. Just ask. In lieu of the patient, ask the family. Rarely does EMS experience patients who are completely alone. EMS is responsible for collecting the following information on all patients encountered: Correct […]
- Patient History For The Frequent Flier ()
SAMPLE History The focused history and physical exam answers the question, “why am I here?” When the EMS crew is confronted with a patient who has a medical problem but there is no mechanism of injury, the medics have to figure out the complaint and formulate a differential diagnosis. A differential diagnosis is a temporary […]
- Managing The Patient History ()
The Basics The interview is always the same and follows a set pattern of questions. Questions that occur to the ambulance crew after this conversation would be referred to as a follow up question. Subjective – This is the patient’s chief complaint as defined in terms of onset, provocation, quality, radiation, severity, and time. The […]
- Setting The Stage For Obtaining A Patient History ()
Setting The Stage The patient doesn’t have the privilege of checking out the ambulance crew on the internet before they arrive. They are stuck with who they get (the same can be said for medics). Given the realities of responding to incidents, the patient may have had to wait a considerable time. Despite the fact […]
- Modifying Assessment Based On Age ()
Pediatric Pediatric patients are treated specifically based on their age. For all practical intents and purposes, pediatric patients are patients who are under the age of 8 or have secondary sex characteristics. Older children (acting age appropriate) can be assessed and managed the same as adults. Assessing a pulse on an infant is performed by […]
- The Patient Interview ()
The patient interview is the only conversation that an EMS provider has with all of his or her patients that will remain exactly the same no matter how many calls he or she runs in their career. Signs and symptoms Most conditions are described by their signs and symptoms. Signs are things that the EMS […]
- What Is A Significant Mechanism of Injury? ()
A significant mechanism of injury is a force that could result in an injury so severe, the patient could die from it or suffer a debilitating injury for the rest of their life. What exactly constitutes a significant MOI? According to the CDC, examples of a significant MOI would include: Falls of greater than 20 […]
- When To Ask Questions Or Look For Injuries ()
Asking questions is what medics do when there is no mechanism of injury If the ambulance shows up to the scene of a 911 call and does not find a mechanism of injury, how would they know why they are even at the patient’s house? The answer is simple, ask the patient. If the patient […]