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Medical: 5 Pulmonary: 1

2.

contact If necessary, individuals with specialized training and equipment should be utilized to remove the patient from a hazardous environment Initial assessment c)

  • a)

    A major focus of the initial assessment is the recognition of life-threat; there are a variety of pulmonary conditions which may offer a very real risk for patient death

  • b)

    Recognition of life threat and the initiation of resuscitation takes priority over detailed assessment

  • c)

    Signs of life-threatening respiratory distress in adults, listed from most ominous to least severe

    • (1)

      Alterations in mental status

    • (2)

      Severe cyanosis

    • (3)

      Absent breath sounds

    • (4)

      Audible stridor

    • (5)

      1-2 word dyspnea

    • (6)

      Tachycardia > 130 beats/ minute

    • (7)

      Pallor and diaphoresis

    • (8)

      The presence of retractions/ use of the

accessory muscles

3.

Focused history and physi

cal examination

a)

Chief complaint

(1) (2) (3)

Dyspnea Chest pain Cough

(a)

Productive

(b)

Non-produc

(c)

Hemoptysis

tive

(4) (5)

Wheezing Signs of infect

  • (a)

    Fever/ chi

  • (b)

    Increased

ion lls sputum production

b)

History

(1)

Previous experi symptoms

ences with similar/ identical

(a)

(b)

The patien acuity is acuity of is chronic Asking the

t=s subjective description of an accurate indicator of the this episode if the pathology

patient Awhat happened the

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───────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

10

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