Saturday, August 13, 2011

Pre-hospital Care

You got house call
patuent at home
Case: trauma / medical

Pre-hospital care

From the time you received the call, went to the house and till going back to the hospital

Question : describe pre-hospital care

Scope & Run OR Stay & Play

What do you do when you arrive at the scene

1) Scene size up
- Make sure the environment is safe for you to go in
- hazard present or that can happen
2) Initial assessment : primary survey
3) General impression
4) Priority despatch - respiration, pulse, mental
5) Targetted and short history
6) Physical examination : secondary survey
7) Initial management
8) Transport process
- from the house to the ambulance, how you do it
- either patient come with ambulance or patient come to the hospital with their own vehicle
- challenges : if patient is obese / bed-ridden : how
- if stucked in jam, how?
- inform ETA ( estimated time of arrival)
- let the receiving hand know
9) Ongoing assessment and management

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