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This chapter discuss how assessment‐based management contributes to effective patient and scene assessment, describe factors that affect assessment and decision making in the prehospital setting, outline effective techniques for scene and patient assessment and choreography, identify essential take‐in equipment for general and selected patient situations,. | 9/11/2012 1 Chapter 59 Putting It All Together 2 Learning Objectives • Discuss how assessment‐based management contributes to effective patient and scene assessment. • Describe factors that affect assessment and decision making in the prehospital setting. • Outline effective techniques for scene and patient assessment and choreography. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Identify essential take‐in equipment for general and selected patient situations. • Outline strategies for patient approach that promote an effective patient encounter. • Describe techniques to permit efficient and accurate presentation of the patient. 4 Effective Assessment • Assessment‐based management – Describes comprehensive care based on patient assessment – Effective assessment depends on patient’s history and physical examination – Paramedic’s knowledge of disease allows him or her to hold high degree of suspicion for possible illness • Helps to focus history toward patients complaint and associated problems 5 Effective Assessment • Paramedic must focus physical examination toward body systems associated with complaint – Some field situations may impair thoroughness of examination • Unsafe scenes or entrapment may hinder process – Paramedic must not overlook importance of physical examination nor perform it hastily 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 Pattern Recognition • Once paramedics obtain patient’s history and perform physical examination, can compare information gathered with their knowledge base of medical illness and disease – Must ask whether history and physical examination match recognized pattern of illness • Pattern recognition 7 Pattern Recognition • Pattern recognition – Makes it possible for paramedic to form field impression and to begin treatment plan – .
