1.  Initial Scene Assessment

1. 1.    Body Substance Isolation Precautions
   

2. 2.    Scene Safety Assessment
   

3. 3.    Incident/Illness Assessment
   

4. 4.    Assessing the Number of Patients
   

5. 5.    Requesting Backup
   

6. 6.    Assessing for Traumatic C-spine Injury
   

7. 7.    General Impression of the Patient
   

8. 8.    Levels of Awareness
   

9. 9.    Life Threats/Chief Complaints
   

10. 10.  Triage
    

11. 
    

2. Airway

Listening

1. 1.    Rapid Chest Auscultation
   

2. 2.    Look, listen and feel
   

Positioning

3. 3.    Head Tilt
   

4. 4.    Chin Lift
   

5. 5.    Jaw Thrust
   

6. 6.    SCSCI vs non-SCSCI (SCSCI = stable cervical spinal cord injury)
   

7. 7.    Cricoid Pressure / Sellick Maneuver / BURP
   

Choking

8. 8.    FBAO – Conscious Adult
   

9. 9.    FBAO – Unconscious Adult
   

10. 10.    FBAO – Conscious Child
    

11. 11.    FBAO – Unconscious Child
    

12. 12.    FBAO – Conscious Infant
    

13. 13.    FBAO – Unconscious Infant
    

Basic Airway Adjuncts

14. 14.    Nasal Airway
    

15. 15.    Oral Airway
    

Suctioning

16. 16.    Manual vs. Electrical Suctioning
    

17. 17.    Upper Airway Suctioning
    

18. 18.    Tracheobronchial Suctioning
    

19. 19.    Meconium Suctioning
    

Advanced Airway Adjuncts

20. 20.    Combitube / PTL
    

21. 21.    EOA
    

22. 22.    Laryngeal Mask / LMA
    

23. 23.    Direct Laryngoscopy - FB Removal
    

Mechanical Intubation Techniques

24. 24.Orotracheal Intubation
    

25. 25.Retrograde Intubation
    

26. 26.Lighted Stylet Intubation
    

27. 27.Digital Intubation
    

28. 28.Elastic Gum Bougie
    

Facilitated Intubation

29. 29.Medication Assisted Intubation (non-paralytic)
    

30. 30.Rapid Sequence Intubation
    

31. 31.     Surgical Airway Techniques
    

32. 32.Needle Cricothyroidotomy
    

33. 33.Surgical Cricothyrotomy
    

3. Breathing (Ventilation / Oxygenation)

1. 1.    Gastric Decompression - NG Tube
   

Adult

Child

Infant

2. 2.    Gastric Decompression - OG Tube
   

Adult

Child

Infant

3. 3.    Chest Needle Decompression
   

4. 4.    Pulse Oximetry
   

5. 5.    End Tidal CO2 Monitoring / Capnometry
   

6. 6.    Esophageal Detector Device - Toomy Syringe
   

7. 7.    Automatic Ventilator
   

Adult

Child

Infant

8. 8.    Oxygen Powered Demand Valve
   

Adult

Child

Infant

9. 9.    Oxygen Venturi Mask
   

10. 10.    Oxygen Tanks / Regulators
    

11. 11.    Bag-Valve-Mask (BVM)
    

    11.a Assembly and Disassembly

   11b.  One person technique

Adult

Child

Infant

    11c. Two person technique

Adult

Child

Infant

12. 12.    Mouth to Mouth Ventilation
    

Adult

Child

Infant

13. 13.    Mouth to Nose Ventilation
    

Adult

Child

Infant

14. 14.    Mouth to Stoma Ventilation
    

Adult

Child

Infant

15. 15.    Pocket Mask Ventilation
    

16. 16.    Oxygen Humidifiers
    

17. 17.    Nasal Cannula
    

18. 18.    Oxygen Non-Rebreather Mask
    

19. 19.    Oxygen Simple Face Mask
    

20. 20.    Blow-by Oxygenation (pediatrics)
    

4. Cardiovascular Circulation

Hemorrhage Control

1. 1.    Direct Pressure Hemorrhage Control
   

2. 2.    Pressure Point Hemorrhage Control
   

3. 3.    Tourniquet Hemorrhage Control
   

4. 4.    Dressing and bandaging
   

5. 5.    External Bleeding from the Ears
   

6. 6.    Bleeding from the Nose
   

Healthcare Provider CPR / Skills

7. 7.    Adult – One Rescuer CPR
   

8. 8.    Adult – Two Rescuer CPR
   

9. 9.    Child CPR
   

10. 10.    Infant CPR
    

11. 11.    Mechanical CPR Device
    

12. 12.    Automated / Semi-automated Defibrillation
    

ECG / Electrotherapeutics

13. 13.    Cardiac Monitor Application
    

14. 14.    12-Lead EKG Acquisition
    

15. 15.    Electrical Cardioversion
    

16. 16.    Defibrillation
    

17. 17.    Transcutaneous Pacing
    

18. 18.    Transvenous Pacing
    

19. 19.    Cardiac Monitoring - Single Lead
    

20. 20.    12-Lead EKG Interpretation
    

Intravenous Skills

21. 21.    Setting up an IV Set
    

22. 22.    Peripheral IV initiation and maintenance
    

23. 23.    External Jugular Vein IV
    

24. 24.    Intraosseous Initiation and maintenance
    

25. 25.    Maintenance IV Fluids
    

26. 26.    Administering a Bolus
    

27. 27.    Venous sampling
    

28. 28.    Maintenance Medicated IV Fluids
    

29. 29.    Calculating Drip Rate
    

30. 30.    Blood / Blood By-Products Administration
    

31. 31.    Initiation of an IV at a Central Line Port
    

32. 32.    Colloid (Albumin, Dextran, etc.)
    

33. 33.    Saline Lock
    

34. 34.    Intravenous Pumps
    

Vagal Maneouvers

35. 35.    Carotid Massage
    

36. 36.    Valsalva’s Maneuver
    

5. Immobiliation

1. 1.    Manual C-spine Stabilization
   

2. 2.    Cervical Collar
   

3. 3.    Long Board
   

3aProne

3bSemi-prone

3cSupine

3dSitting

3dStanding

3eInfants and Children

4. 4.    KED
   

4a    Preassessment

4b    Application

Adults

Children

4cTimely Removal

5. 5.    Rigid Splints
   

6. 6.    Air Splints
   

7. 7.    Vacuum Splints
   

8. 8.    Hare Traction Splints
   

9. 9.    SAGER Traction Splints
   

10. 10.    MAST/PASG
    

11. 11.    Restraints
    

12. 12.    Log Roll
    

13. 13.    Joint Immobilization
    

14. 14.    Triangular Bandage Use
    

14aFractured Clavicle

14bDonut

14cHead Dressing

14dSling and Swath

6. Wound Care

Closed Soft Tissue Injury

1. 1.    Abrasion
   

2. 2.    Contusion
   

3. 3.    Hematoma
   

4. 4.    Burn Care
   

4a    Dressing

4b    Escharotomy

Open Soft Tissue Injury

5. 5.    Lacerations
   

6. 6.    Avulsions
   

7. 7.    Penetration/Puncture Wound
   

8. 8.    Amputation
   

Impaled Objects

9. 9.    Cheek or Airway
   

10. 10.    Thorax
    

11. 11.    Extremity
    

12. 12.    Eye(s)
    

Other

13. 13.    Eye Avulsions
    

14. 14.    Lost Tooth
    

15. 15.    Open Neck Wounds
    

16. 16.    Open Chest Wound
    

17. 17.    Abdominal Injuries and Eviserations
    

7. Medications Administration Routes

1. 1.    Oral
   

2. 2.    Sub-lingual
   

3. 3.    Nasogastric
   

4. 4.    Subcutaneous
   

5. 5.    Buccal
   

6. 6.    Endotracheal
   

7. 7.    Intramuscular
   

8. 8.    Intravenous Push
   

9. 9.    Intravenous Piggyback
   

10. 10.    Rectal
    

11. 11.    Aersolized / Nebulized / MDI
    

12. 12.    OG / NG
    

13. 13.    Otic
    

14. 14.    Aural
    

1. 
   

8. Miscellaneous Skills

1. 1.    Blood Glucose Monitoring
   

2. 2.    Eye Irrigation
   

3. 3.    Urinary Catherization
   

4. 4.    Helmet Removal
   

5. 5.    Helmet Stabilization
   

9. Physical Assessment

Systems

    Nervous System

1. 1.AVPU
   

2. 2.Glasgow Coma Scale
   

3. 3.Alert
   

4. 4.Memory
   

5. 5.Orientation
   

6. 6.Decreased LOAs
   

7. 7.Unresponsive
   

8. 8.Cranial Nerve Exam
   

9. 9.Reflex Exam
   

10. 10.Major Dermatome Exam
    

    Cardiovascular

    Respiratory

    Endocrine

    GI/GU

Vital Signs

    Blood pressure

11. 11.    Auscultation
    

12. 12.    Palpation
    

    Circulation

13. 13.    Assessing for Gross Bleed
    

14. 14.    Carotid Pulse
    

15. 15.    Femoral Pulse
    

16. 16.    Apical
    

17. 17.    Brachial Pulse
    

18. 18.    Radial Pulse
    

19. 19.    Popliteal
    

20. 20.    Posterior Tibialis
    

21. 21.    Dorsalis Pedis
    

22. 22.    Pulse Rate
    

23. 23.    Pulse Regularity
    

            Regular

            Regularly Irregular

            Irregularly Irregular

    Skin

24. 24.    Colour
    

25. 25.    Temperature
    

26. 26.    Condition (Wetness)
    

27. 27.    Turgor
    

    Respirations

28. 28.    Adventitous Sounds
    

29. 29.    Rate
    

30. 30.    Pattern
    

    Temperature

31. 31.    Oral
    

32. 32.    Rectal
    

33. 33.    Axillary
    

34. 34.    Tympanic
    

35. 35.    Palpation
    

    Pupils

36. 36.    Reactivity
    

37. 37.    Nystagmus
    

38. 38.    Conjugate Gaze
    

39. 39.    Tracking
    

40. 40.    Cardinal Positions
    

41. 41.    Blink Reflex
    

Head to Toe

        See General Paramedic Physical Exam section of site.

10. Specific Complaints and Conditions

See Complaints and Conditions section of site.

11. Lifting Moving and Positioning

Patient Positioning

1. 1.Prone to Supine
   

2. 2.Supine to Lateral
   

3. 3.Fore and Aft
   

Stretcher Operations

4. 4.Raising and Lowering Platform
   

5. 5.Raising and Lowering Head
   

6. 6.Raising and Lowering Foot
   

7. 7.Side Rails
   

8. 8.Locking Wheels
   

9. 9.Loading and Unloading from Ambulance
   

10. 10.Rolling
    

Stretcher Alternatives

11. 11.Stair Chair
    

12. 12.Scoop Stretcher
    

13. 13.Pole Stretcher
    

14. 14.Wheelchair
    

Drags, Caries & Assists

15. 15.Blanket Drag
    

16. 16.Forearm Drag
    

17. 17.Shoulder or Clothes Drag
    

18. 18.One-Rescuer Assist
    

19. 19.Two Rescuer Assist
    

20. 20.Cross-armed Carry (“Handseat”)
    

21. 21.Two Rescuer Extremity Carry (“Fore and Aft”)
    

22. 22.Piggy Back Carry
    

23. 23.Shoulder Carry (“Firefighters Carry”)
    

Transfers

24. 24.Stretcher to Stretcher
    

25. 25.Stretcher to Bed
    

26. 26.Chair to Stretcher
    

27. 27.Floor to Stretcher
    

12. Oby/Gyn

Childbirth

1. 1.Uncomplicated / Normal
   

2. 2.Breech
   

3. 3.Prolapse
   

4. 4.Limb
   

5. 5.Multiple Births
   

Newborn Assessment

6. 6.APGAR
   

13. Children and Infants

1. 1.Pediatric assessment
   

2. 2.Approaching the Tentative Child
   

3. 3.Recognizing Developmental Milestones

© www.paramedicine.com

2009

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