1. Assessment of the Medical Patient Nine Chapter

3. Scene Size-Up Initial Assessment Trauma Medical Physical Exam Vital Signs & SAMPLE History SAMPLE History Physical Exam & Vital Signs Detailed Physical Exam Ongoing Assessment HOSP O VERALL ASSESSMENT SCHEME

4. F OCUSED HISTORY AND PHYSICAL EXAM: RESPONSIVE MEDICAL PATIENT

6. History of Present Illness Onset Provocation Quality Radiation Severity Time = = = = = = O P Q R S T

7. SAMPLE History Signs and symptoms Allergies Medications Pertinent past history Last oral intake Events leading to problem = = = = = = S A M P L E

10. When the patient has a chief complaint for which you can administer treatment, you will need to get certain additional information. (Continued) Additional Information

12. P RECEPTOR P EARL The assessment and management of a medical patient need to incorporate as much pertinent information as you can obtain about the patient’s medical history, medications, and recent illnesses. It is not uncommon for patients to have multiple overlapping medical conditions that may contribute to today’s problem.

13. F OCUSED HISTORY AND PHYSICAL EXAM: UNRESPONSIVE MEDICAL PATIENT

15. Position patient to correct airway. Initial Step

18. SAMPLE History Get SAMPLE history from bystanders, family, or friends.

25. 1. How is the focused history and physical exam performed for a medical patient? 2. What is the difference between the assessments of responsive and unresponsive medical patients? 3. What is done in the ongoing assessment of the medical patient? R EVIEW QUESTIONS