소아응급실 case study : Initial Pediatric Assessment at ER(영어 + 한글)

목차

I. Initial Inspection
II. Initial Assessment: assessment should take less than 2 minutes
Ⅲ. Focused History & Physical Exam
IV. Detailed Assessment/Physical Exam

References

본문내용

I. Initial Inspection
A. While walking up to the child, observe/inspect the following:
1. General appearance, age-appropriate behavior and level of consciousness, affect, restlessness. Is child looking around, responding with curiosity or fear, playing, sucking on a pacifier or bottle, quiet, eyes open but not moving much or uninterested in environment?
2. Obvious respiratory distress or extreme pain
3. Level of consciousness, ie awake versus asleep or unresponsive
4. Position. Are the head, neck or arms being held in a position suggestive of spinal injury? Is the patient sitting up or tripoding?
5. Unusual/significant odors
6. Muscle tone: good or limp
7. Movement: spontaneous, purposeful, symmetrical
8. Color: pink, pale, flushed, cyanotic, mottled
9. Obvious injuries, bleeding, bruising, impaled objects, or gross deformities
B. General Impression of the Patient::Consider the following:
1. How ill or injured does the patient appear?
2. The environment
3. Patient's chief complaint
4. Associated complaints
5. PQRST of pain: P: Provoke
Q: Quality
R: Radiation
S: Severity
T: Temporal

참고자료

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· U.S. DOT, (1994).EMT-Basic Transitional Program, Module 2, pp. 3-11.