In this chapter, you will learn: Explain what a drug is, identify the four types of drug names, explain the meaning of drug terms that are necessary to interpret information in drug references safely, outline drug standards and legislation and the enforcement agencies pertinent to the paramedic profession. | 9/10/2012 1 Chapter 19 Primary Assessment 2 Learning Objectives • Identify the components of the scene size‐up. • Identify the priorities in each component of patient assessment. • Outline the critical steps in primary patient assessment. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/10/2012 Learning Objectives • Describe findings in the primary assessment that may indicate a life‐threatening condition. • Discuss interventions for life‐threatening conditions that are identified in the primary assessment. • Distinguish priorities in the care of the medical versus trauma patient. 4 Scene Size‐Up and Personal Safety • First steps taken during every response – Ensure scene safety • • • • Paramedic crew Patient(s) Bystanders Scene assessment and surroundings offer key information 5 Scene Size‐Up and Personal Safety • Scene size‐up priorities – Determine nature of incident – Determine maximum potential number of persons already ill or injured and needing care – Assess scene for hazards – Initiate mass casualty plan if indicated 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/10/2012 Scene Size‐Up and Personal Safety • Scene size‐up priorities – Notify dispatch to request more resources and alert area hospitals as needed • • • • Law enforcement Fire Rescue Utility companies – Determine best access routes and staging areas for responders – Secure area, clear unneeded persons from scene – Begin triage if needed 7 Scene Size‐Up and Personal Safety • Scene size‐up priorities – Scenes that seem safe may still be dangerous – .