PAS/BLS
SCENE

❑ Recognize and safely manage scene dangers including personal protective equipment
❑ Establish number of patients.
❑ Determine MOI.

INITIAL ASSESSMENT

❑ Rapidly assess Critical Systems status ( Circulatory, Respiratory, Neurologic ).

Basic Life Support

❑ Demonstrates ability to assess the Critical Systems and determine need for interventions.
❑ Demonstrates rapid repositioning of patients with Critical Systems problems and potential spine injury.
❑ Demonstrates proficiency in CPR and FBAO according to AHA standards.
❑ Demonstrates proficiency in NPA and OPA use.
❑ Demonstrates proficiency in BVM use and PPV. technique.
❑ Demonstrates proficiency in AED use.

Focused Assessment

❑ Accurately completes physical exam for traumatic and non-traumatic patient.
❑ Vital signs (P,R,S,C,T). B/P and lung sounds if applicable.
❑ SAMPLE History

Treatment and SOAP formatting

❑ Create an accurate problem list.
❑ Create an accurate anticipated problem list.
❑ Create a treatment plan.
❑ Fill out a SOAP note.

Spine Assessment

Assessment

❑ Verify context and obtain consent from patient.
❑ Demonstrate ability to roll patient in a spine stable manner for assessment purposes with a second rescuer.

 Demonstrate spine assessment guidelines by evaluating:

❑ patient’s mental status and reliability.
❑ spine pain and/or tenderness
❑ Motor/ sensory exam (as outlined in text)
❑ Document findings upon completion of procedure.
❑ patient’s mental status and reliability.
❑ spine pain and/or tenderness
❑ Motor/ sensory exam (as outlined in text)
❑ Document findings upon completion of procedure.
❑ Verify context and obtain consent from patient.
❑ Demonstrate ability to roll patient in a spine stable manner for assessment purposes with a second rescuer.

Demonstrate spine assessment guidelines by evaluating:
❑ patient’s mental status and reliability.
❑ spine pain and/or tenderness
❑ Motor/ sensory exam (as outlined in text)
❑ Document findings upon completion of procedure.

EXTRICATION / Immobilization

Demonstrates ability to measure and properly apply both a:
❑ manufactured cervical collar
❑ improvised cervicol collar
❑ Demonstrates ability to participate and lead in a rescue team which can properly move a potentially spine injured patient from various body positions onto backboards and litters.
❑ Demonstrates ability to participate and lead in a rescue team properly immobilizing a patient in both a backboard and litter.

Wilderness Rescue

Patient and Litter Carries

❑ Demonstrates ability to create a “piggy back” carry system using webbing, rope and other available materials.
❑ Demonstrates ability to participate in a rescue team on rough terrain using appropriate carrying and passing technique

Improvised Litters

❑ Demonstrates ability to build improvised stretchers and litters for non-spine injured patients.
❑ Demonstrates ability to build a “hypothermia wrap” in a litter or backboard.

Wounds and Burns

❑ Using BSI Technique, shows ability to expose bleeding area and apply eel aimed direct pressure (WADP)
❑ Demonstrate ability to create a pressure bandage.
❑ Identify the context and situations in which removal of impaled objects is appropriate.

Allergies/Anaphylaxis (sticks lab) 

❑ Prepares injection site
❑ Examines syringe for presence of excessive air and purges appropriately. L-3
❑ Successfully performs injection.
❑ Disposes of syringe appropriately.

 Musculoskeletal System

Stable Injuries 

❑ Assess distal CMS before beginning treatment.
❑ Assess musculoskeletal injury and correctly identify stable injuries.
❑ Appropriately and effectively treat stable injuries.
❑ Re-assess distal CMS upon completion of treatment.

UNStable Injuries 

❑ Assess distal CMS before beginning treatment.
❑ Assess musculoskeletal injury and correctly identify unstable injuries.
❑ Appropriately and effectively treat unstable injuries, including:
❑ Lower leg, ankle and knee.
❑ Upper arm, forearm, and wrist.
❑ Re-assess distal CMS upon completion of treatment.

Shoulder Dislocation Reduction

❑ Verify wilderness context and obtain consent from patient.
❑ Check distal CSM before proceeding with reduction, including sensation in deltoid region.
❑ Demonstrate ability to reduce dislocation using traction, abduction and external rotation.
❑ Demonstrate alternative method of reduction (hanging, scapula manipulation).
❑ Stabilizes area post reduction and re-assess distal CSM.

Patella Dislocation Reduction

❑ Verify wilderness context and obtain consent from patient.
❑ Check distal CSM before procedure (not critical).
❑ Demonstrate appropriate patella reduction technique.
❑ Stabilizes area post reduction and re-check CSM.
❑ Demonstrate appropriate patella reduction technique.
❑ Stabilizes area post reduction and re-check CSM.

Digit Dislocation Reduction</span class=”font-681074″>

❑ Verify wilderness context and obtain consent from patient.
❑ Check distal CSM before procedure.
❑ Demonstrate appropriate digit reduction technique.
❑ Stabilizes area post reduction and re-assess distal CSM.

TRACTION SPLINTING

❑ Demonstrates correct assessment of fractured femur that would benefit from traction splint.
❑ Assesses distal CSM
❑ Properly manages injury and applies:
❑ Manufactured traction splint ❑ Improvised traction splint
❑ Re-assess distal CSM upon completion of treatment.