Assessment Process Course Ax & Tx Plan Unit A4L / Outline

Find & Fix Lesson (“must know” for all levels)

EMR / Assessment and Treatment Plan-Find and Fix Lesson Video Link1. List the five steps in the Assessment and Treatment Plan.

2. During “Find and Fix”, what injuries are you looking for?

3. Which injuries MUST you stop and fix before continuing your survey?

4. How should you manage open wounds in the chest?

5. How should you manage impaled objects anywhere in the body?

6. What is your first step in managing external bleeding?

BCFPD EMS Curriculum

Assessment Process Course Ax & Tx Plan Unit A4L / Outline

7. What do you add to that if it is not sufficient to stop the bleeding?

8. Describe how to manage wounds.

9. Describe how to manage injuries.

10. What is the appropriate splint for any injury in a critical patient?

BCFPD EMS Curriculum

Assessment Process Course Ax & Tx Plan Unit A4L / Outline

▾ Find and FIx Life Threats Unit (some specific terminology MUST know)• Assessment Methods: inspection (cutting clothing), palpation, auscultation• What is crepitus?• What is JVD?• What is peripheral edema (pitting edema)?• Lung Sounds (where to listen) (listen for air movement and any bubbles / crackles

/ whistles)• Pupils—how to check, what we are looking for• CPSS (pronator drift is palms up)—what is it for, how sensitive is it, how specific

is it, how do you do it?

▾ Advanced Provider concepts (nice to know unless specified as MUST know)▾ field neurological exam to test cranial nerves (must know)

• nystagmus—general understanding (must know)▾ nice to know stuff:

• deep tendon reflexes? • heel to shin? • plantar and dorsiflexion against resistance?

• Heart sounds? • bowel sounds?• carotid bruit?• Hepatojugular reflex for fluid overload?• Rebound tenderness? • Murphy’s sign?• McBurney’s point? • Rovsing’s sign?

BCFPD EMS Curriculum