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Outline

1	Chapter 7 Assessment-Based Management
2	Topics Accurate Information Assessment/Management Choreography General Approach to the Patient Presenting the Patient
3	"While carrying out the assessment..." While carrying out the assessment in a systematic way, a paramedic is constantly thinking and reasoning.
4	Avoid tunnel vision while working toward a field diagnosis.
5	"Assessment forms the foundation for..." Assessment forms the foundation for patient care. Based on this you can plan patient management and priorities.
6	Accurate Information The decisions you make will be only as good as the information you collect.
7	If the patient is unable to provide a history, gather information for the patient history from family members or bystanders.
8	"Never minimize the importance of..." Never minimize the importance of a physical exam.
9	Pattern Recognition Remain alert to patterns. Compare information to what is in your knowledge base about various diseases. The ability to recognize patterns increases with experience.
10	Factors Affecting Assessment and Decision Making Personal attitudes Uncooperative patients Patient compliance Distracting injuries Environmental and personal considerations
11	"Treat every patient in the..." Treat every patient in the manner in which you want your loved ones treated, and you will never go wrong.
12	In treating substance-abuse patients, maintain a nonjudgmental attitude, and do not leave the patient alone.
13	When multiple responders are on scene, everyone should have a designated task.
14	Assessment/Management Choreography
15	Roles of the Team Leader Obtain history Perform physical exam Present patient Handle documentation Act as EMS commander
16	Roles of Patient Care Provider Provide scene cover Gather scene information Talk to relatives/bystanders Obtain vital signs Perform interventions Act as triage group leader
17	"If you do not have..." If you do not have the right equipment readily available, you have compromised patient care.
18	General Approach to the Patient Scene size-up Initial assessment Resuscitative approach Contemplative approach Immediate evacuation Focused history and physical exam Ongoing assessment and detailed physical exam
19	High-priority patients require immediate evacuation with continued assessment and care done en route.
20	Identify Life-Threatening Problems At all stages of the assessment, you must actively and continuously look for and manage life-threatening problems.
21	Presenting the Patient Establish trust and credibility. Develop effective presentation skills.
22	A clear, concise patient report will enable the hospital staff to prepare for the needs of the patient.
23	Summary Accurate Information Assessment/Management Choreography General Approach to the Patient Presenting the Patient