Baseline Vitals and SAMPLE History Company Drill

Baseline Vitals and Sample History Company Drill Motivation The Baseline Vitals and SAMPLE History are part of the essential information necessary to obtain and document in order to give a patient the best possible care in the field. This...


Baseline Vitals and Sample History Company Drill

Motivation

The Baseline Vitals and SAMPLE History are part of the essential information necessary to obtain and document in order to give a patient the best possible care in the field. This information can alert the provider to call for additional resources if necessary and can give those accepting care of the patient at the next level of patient care a good idea of what may be going on inside the patient’s body.

Objective (SPO) 1-1:

Given a live victim; blood pressure cuff; stethoscope; pencil; paper; pen light; clock or wrist watch, the student will be able to demonstrate, from memory and without assistance, the proper procedures in obtaining a set of Baseline Vitals, to include: pulse, respirations, skin color, skin temperature and condition, pupil appearance, blood pressure and be able to document the same at a practical station, as governed by The Maryland Medical Protocols for Emergency Medical Services Providers, Effective January 1, 2002 and the Brady Emergency Care, 7th Edition, EMT-Basic National Standard Curriculum. The student will also be able to score a 70% or above on a written exam.

Objective (SPO) 2-1:

Given a live victim, pen and paper, the student will be able to demonstrate, from memory and without assistance, the proper procedure in obtaining a SAMPLE History, to include: signs and symptoms, allergies, medications, past pertinent history, last oral intake and events that lead to the problem, and be able to document the same at a practical station as governed by The Maryland Medical Protocols for Emergency Medical Services Providers, Effective January 1, 2002 and the Brady Emergency Care, 7th Edition, EMT-Basic National Standard Curriculum. The student will also be able to score a 70% or above on a written exam.

Overview:

Review of properly obtaining and documenting Baseline Vitals and a SAMPLE History

   • Pulse

   • Respirations

   • Skin color

   • Skin temperature and condition

   • Pupil appearance

   • Blood pressure

   • Signs and symptoms

   • Allergies

   • Medications

   • Past pertinent history

   • Last oral intake

   • Events that lead to problem

Session 1

Baseline Vitals

SPO 1-1 Given a live victim; blood pressure cuff; stethoscope; pen or pencil; paper; pen light; clock or wrist watch, the student will be able to demonstrate, from memory and without assistance, the proper procedures in obtaining and documenting a set of Baseline Vitals.

EO 1-1-1 Demonstrate the method of obtaining, assessing and documenting a pulse rate.

EO 1-1-2 Demonstrate the method of obtaining, assessing and documenting a respiratory rate.

EO 1-1-3 Demonstrate the method of obtaining and documenting skin color.

EO 1-1-4 Demonstrate the method of obtaining and documenting skin temperature and condition.

EO 1-1-5 Demonstrate the method of obtaining, assessing and documenting pupil appearance.

EO 1-1-6 Demonstrate the method of obtaining and documenting a blood pressure by auscultation and palpation.

SPO 2-1 Given a live victim, pen and paper, the student will be able to demonstrate, from memory and without assistance, the proper procedure in obtaining and documenting a SAMPLE History.

EO 2-1-1 Demonstrate the method of obtaining and documenting a SAMPLE History.

I. Pulse (1-1-1)

A. Pulse rate – number of heart beats per minute

  1. Factors that affect pulse rate

      a. Age

      b. Physical Condition

      c. Degree of exercise just completed

      d. Medical condition

      e. Medication

      f. Blood Loss

      g. Stress

      h. Body temperature

      i. Fear

B. Pulse types

  1. Tachycardia - rapid rate

  2. Bradycardia – slow rate

C. Pulse quality

  1. Rhythm

      a. Regularity

      b. intervals between beats constant

  2. Force - pressure of pulse wave as it expands artery

  3. Full pulse – strong wave

  4. Thready pulse – weak wave

D. Pulse locations

  1. Radial

      a. one year and above

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