Premergency First Aid, CPR and AED Manual

2 PREmergency Scene Management

What are the parts of PREmergency Scene Management?

Does your patient require additional help from you? If so, what? Dylan appears stable but still requires monitoring of his vital signs to have his c-spine protected, and his injury needs to be supported. Should you remain at the scene and wait for the Paramedic unit? Yes. Once you initiate aid, you have a legal and moral responsibility to continue care until hand-off to the next level. Why are vital signs important? Vital signs are a snapshot of the patient’s LOC and ABCs and once initially obtained, subsequently show trends in the patient’s condition.

The five parts of PSM are Scene Assessment, Primary Assessment, Secondary Assessment, Ongoing Care, and Hand-off. They represent a logical approach to patient care. Is Dylan a Trauma or Medical patient, and what is the probable MOI/NOI? Dylan’s MOI is a fall from height. While this does not rule out a medical condition, your initial approach is for trauma. Are spinal precautions needed. Why or why not? Dylan has fallen from a height of approximately 12 feet. As this is more than double his own height, the MOI suggests possible spinal injury. Dylan needs his c-spine protected until such time as he is assessed by a physician.

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