For Los Angeles EMR cirriculum DCAP-BTLS is a mandatory skill. What do you mean I should do OPQRST for every chief complaint? What if its insignificant trauma (low grade abrasions, sprained ankle, etc)?
Ya for TESTING purposes,
They want to see you do SAMPLE on both Medical and Trauma. And Of coarse if you can do a SAMPLE on a Trauma pt. then add your S (opqrst) AMPLE, then your DCAP-BTLS. Trauma/Medical you want to treat ALL life threats 1ST!!! Then if you have time in Route you can do your OPQRST for trauma.
So you would just say (when testing on Trauma if your pt. isnt alert and oriented) is there any family members or close friends who can give me a SAMPLE on my pt. If they say NO, then move on.
From NREMT skills sheet.
FOCUSED HISTORY AND PHYSICAL EXAMINATION/RAPID ASSESSMENT
Selects appropriate assessment (focused or rapid assessment)
Obtains, or directs assistance to obtain, baseline vital signs
Obtains S.A.M.P.L.E. history
If Rapid, you are going to another quick head to toe running your hands down each exterminty checking for DCAP-BTLS and Blood then load an go. Do your focused in Route)
DETAILED PHYSICAL EXAMINATION
Inspects and palpates the scalp and ears
Assesses the head Assesses the eyes
Assesses the facial areas including oral and nasal areas
Inspects and palpates the neck
Assesses the neck Assesses for JVD
Assesses for tracheal deviation
Inspects
Assesses the chest Palpates
Auscultates
Assesses the abdomen
Assesses the abdomen/pelvis Assesses the pelvis
Verbalizes assessment of genitalia/perineum as needed
1 point for each extremity
Assesses the extremities includes inspection, palpation, assessment of motor,
sensory and circulatory function
Assesses the posterior Assesses thorax
Assesses lumbar
Manages secondary injuries and wounds appropriately
1 point for appropriate management of the secondary injury/wound
Verbalizes re-assessment of the vital signs