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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

    • 4.

      Hypoperfusion state

    • 5.

      Death

  • C.

    Initial assessment findings

    • 1.

      Airway/ breathing

      • a.

        Usually not affected

    • 2.

      Circulation (distal to or over the affected area)

      • a.

        Pain

      • b.

        Pallor

      • c.

        Pulselessness

      • d.

        Paralysis

      • e.

        Paresthesia

    • 3.

      Skin

      • a.

        Pallor or mottled distal to or over the affected area

      • b.

        Skin temperature may vary

  • D.

    Focused history

    • 1.

      Chief complaint

      • a.

        Sudden or gradual onset of discomfort

      • b.

        May be localized

      • c.

        Pain

        • (1)

          Chest, abdominal or involved extremity

          • (a)

            Sudden or gradual

          • (b)

            Radiating or localized

          • (c)

            Claudication

        • (2)

          Relief with rest or not

    • 2.

      Contributing history

      • a.

        Initial recognized event

      • b.

        Recurrent event

      • c.

        Increasing frequency and/ or duration of event

  • E.

    Detailed physical exam

    • 1.

      Airway

    • 2.

      Breath sounds

      • a.

        May be clear to auscultation

    • 3.

      Circulation

      • a.

        Alterations in heart rate and rhythm may occur

      • b.

        Peripheral pulses absent or diminished over the affected extremity

      • c.

        Blood pressure

        • (1)

          Unequal BP readings in each arm

          • (a)

            May indicate high thoracic aneurysm

      • d.

        Bruit over affected vessel(s)

      • e.

        Skin

        • (1)

          May be cool reflecting diminished circulation to the affected area or extremity

        • (2)

          May be moist or dry reflecting diminished circulation to the affected area or extremity

      • f.

        ECG findings may be non contributory

        • (1)

          Arrhythmias and ectopy may not be present

    • 4.

      Management

      • a.

        Position of comfort

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

35

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