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It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
Generally, rapid trauma assessment is indicated if: [3] [4] There was a significant mechanism of injury (for example, a high-speed car accident, falls >20 ft); OR; The patient has an altered mental status; OR; The medical responder suspects that the patient has multi-systems trauma
Deceased patients are easily identified by apnea with no return of spontaneous respirations when their airway is repositioned. These patients are triaged BLACK (EXPECTANT/DECEASED). [4] "RPM-30-2-Can do" helps responders differentiate between the other two triage categories: YELLOW (DELAYED) and RED (IMMEDIATE). "30, 2, Can Do" stands for the ...
An emergency medical technician (often, more simply, EMT) is a medical professional that provides emergency medical services. [1] [2] EMTs are most commonly found serving on ambulances and in fire departments in the US and Canada, as full-time and some part-time departments require their firefighters to at least be EMT certified.
eFAST (extended focused assessment with sonography for trauma) allows an emergency physician or a surgeon the ability to determine whether a patient has pneumothorax, hemothorax, pleural effusion, mass/tumor, or a lodged foreign body. The exam allows for visualization of the echogenic tissue, ribs, and lung tissue.
Patients who are breathing and have any of the following conditions are classified as immediate: Respiratory rate greater than 30 per minute; Radial pulse is absent, or capillary refill is over 2 seconds; Unable to follow simple commands; All other patients are classified as delayed. [1] [2]