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Emergency medical doctor
Emergency Room Physician
Emergency Room Physician training program

Assessment in medical emergency situation.


What should be your first question in case a patient is referred to you?

Where is the patient now?
Evaluation of a patient in an emergency room by emergency room physician.
Evaluation of a patient on the spot by an emergency medical responder, a physician.

Evaluation of a patient in an emergency room by emergency room physician.

How old is the patient?
What is the gender of the patient?
Can the patient talk?
Can the patient respond to verbal questions accurately?
Can the patient do spontaneous eye opening?
Does the patient respond to painful stimulus?
Is the patient conscious, oriented in time, space, and person?
Conscious means able to see, hear, and talk.
In pediatric patients younger than six months of age, the ability to make any verbal noise or cry is equivalent to talking.

How do you do quick assessment, diagnosis, and treatment of the patient?

A medical emergency with an individual victim.
Emergency medical record
What should an emergency medical record look like?
What should be displayed on an emergency medical record?
Details of the patient.
Details of the diagnosing and treating medical doctor.


Details of the patient.

Where is the patient now?

_________________________

How old is the patient?

_________________________

What is the gender of the patient?

_________________________

Who is reporting this emergency?

_________________________

What are the sources of medical history?

_________________________

Patient.
Family.
Patient not responding to medical history questions.
Community member.
Police officer.
Referral from medical doctor.
Other.

What is the reason for consultation?

_________________________

What seems to be the problem?

_________________________

How much time has elapsed from the start of the emergency until now?

_________________________

Does one individual or many individuals have medical emergencies at this location?

_________________________

How many individuals have medical emergencies at this location?

_________________________

Is it a Medical Emergency?

___________________________

Is the victim's condition life or limb threatening?

___________________________

Could the victim's condition worsen and become life or limb-threatening on the way to the hospital?

___________________________

Could moving the victim cause further injury?

___________________________

Does the victim need the skills or equipment of paramedics or emergency medical technicians?

___________________________

Would distance or traffic conditions cause a delay in getting the victim to the hospital?

___________________________

What best describes your problem?

_________________________

Patient Name:________________________

Referred by:_________________________

Mailing Address:_____________________

Telephone:___________________________

Your Email Address:__________________

Date of Birth:_______________________

Gender: Male Female

Primary Care Physician Name, Address and Phone:__________________

Emergency Contact Name:______________

Relationship:________________________

Phone:_______________________________

Your Height:_________________________

Your Weight:_________________________

Race::_______________________________

White
Black/African American
Hispanic/Latino
Pacific Islander
Asian
Asian/American

Consciousness of a human being has to be included in vital signs.

Vital Signs

Consciousness, pulse, blood pressure, respiratory rate, temperature.

Consciousness is extremely essential in reaching a correct diagnosis and treatment.

What are the vital signs on the date and time of diagnosis and treatment?

Date: Time: Consciousness: Pulse: Blood pressure: Respiratory rate: Temperature:
------- ------- ------- ------- ------- ------- -------


http://www.qureshiuniversity.com/medicalhistory.html

http://www.qureshiuniversity.com/vitals.html

Are there any obvious injuries? What are they?

Where was patient when the injuries occurred?

1. inside other building ______________________________________
2. outdoor location ___________________________________________
3. unknown Date of first E.R. Visit ____/____/____ Arrival Time :______________

How did patient get to hospital?
1. ambulance (name company____________________________)
2. private vehicle
3. public transportation
4. walked or was carried
5. helicopter
6. other (specify________________________________)
7. unknown

Was the patient transported from another health care facility?
Y/N Unknown
If yes, specify: ________________________________________

Disposition from Emergency Department
1. discharged home
2. admitted
3. transferred to other facility (specify _________________________________________)
4. left against medical advice
5. dead on arrival
6. expired in emergency department
8. other
(specify___________________________________________)
9. unknown

If patient was admitted:
Date of Admission ____/____/____ Date of Discharge/Death ____/____/____

Discharge Disposition:
1. home
2. acute care hospital _____________________________
3. skilled nursing facility __________________________
4. intermediate care facility ________________________
5. other hospital ___________________________________
6. home health care
7. left against medical advice
8. expired in hospital
9. other _________________________________________
10. unknown

How did injury occur:
Injury Report Form
Are long-term physical disability/sequelae likely?
___definite
___likely
___unlikely
___unknown
If so, what type of disability?
___neurologic
___physical
___hearing
___vision
___ other

Details of the diagnosing and treating medical doctor.

What is the name, date of birth, phone number, and other contact information of the person diagnosing and treating this patient?

_____________________________________________

What is the date and time you are diagnosing and treating this patient?

_____________________________________________

What is the location of the patient at the time you are diagnosing and treating this patient?

_____________________________________________

What best describes the location of diagnosis and treatment of this case?
1. On-the-spot diagnosis and treatment.
2. Emergency room diagnosis and treatment.
3. In the hospital diagnosis and treatment.
4. Long-distance health care advice.
5. Other
_____________________________________________
Can you reach a correct diagnosis and treatment of a human being?

_____________________________________________

What is the diagnosis of this patient?

_____________________________________________

How did your reach this diagnosis?

_____________________________________________

What is the treatment for this patient?

_____________________________________________

Does the patient need to be transferred to a medical emergency room?

_____________________________________________

In America up to February 12, 2012, most emergency medical records did not have these facts.

In what emergency medical category do you fit the condition of the patient you are diagnosing and treating on this date and time?

Undetermined, Good, Fair, Serious, Critical.

If on-the-spot diagnosis of a patient declared in serious or critical condition, arrange a bed in the Intensive Care unit.

How are most patients categorized in American triage locations up to February 12, 2012?

Immediately life threatening
Urgent, but not immediately life threatening
Less urgent

How should patients be categorized around the world, including in America, in case of a medical emergency?
Undetermined, Good, Fair, Serious, Critical.

Fair, serious, or critical will always get a medical diagnosis that needs emergency treatment.

This can be only done by an emergency medical doctor able to reach the correct diagnosis and provide treatment.

Is there a difference between emergency and non-emergency medical diagnosis?
Yes, there is.

What is the difference between non-emergency and emergency medical diagnosis?
This example will make you understand.
Diabetes is a non-emergency medical diagnosis.
Diabetes with hyperosmolar coma or diabetic ketoacidosis is an emergency medical diagnosis.

Date of Examination:_________________________

Physician Name:_________________________

Physician Address:_________________________
Surgical history.

Have you ever undergone surgery?
(Yes / No)
If yes, please list operations and dates:

Social history

Do you smoke now?
(Yes / No)
How much?
__________________

Have you ever smoked?
(Yes / No)
If yes, for how many years?
________
When did you quit?
_______________

Do you drink alcohol?
(Yes / No)
If yes, how much?
__________________
How often?
___________________

Have you used recreational drugs?
(Yes / No)
If yes, which ones?
_______________________________________________

When was the last time you used one/them?
___________________________

Allergies

Are you allergic to anything (medications, foods, latex)?
(Yes / No)
If yes, please list:

Do you need assistance with getting around( ie cane, wheel chair, etc)?
(Yes / No)

Do you exercise?
(Yes / No)

(For women only)
Are you pregnant or breast feeding? _____________________
Date of your last menstrual period: ______________________
How many children do you have? ______________________
How were they delivered? ______________________

Human Vital Signs

1. Consciousness:_________________________

2. Pulse rate:_________________________

3. Blood pressure:_________________________

4. Respiration rate:_________________________

5. Body temperature:_________________________

6. Emotion:_________________________

Vital Signs. These are some vital signs checked by your doctor:
Blood pressure: less than 120 over 80 is a normal blood pressure. Doctors define high blood pressure (hypertension) as 140 over 90 or higher.
Heart rate: Values between 60 and 100 are considered normal. Many healthy people have heart rates slower than 60, however.
Respiration rate: Around 16 is normal. Breathing more than 20 times per minute can suggest heart or lung problems.
Temperature: 98.6 degrees Fahrenheit is the average, but healthy people can have resting temperatures slightly higher or lower.

Vision & Hearing Screening

Height:_________________________

Weight:_________________________

Waist, hip circumferences:_________________________

BMI:_________________________

    Calculate the body mass index (BMI = wt (kg) ÷ ht(m2)
    < 20 BMI Low body weight
    20 to 25 BMI Healthy weight for most people
    >25 to 27 BMI Weight may lead to health problems
    27 to 29 BMI Overweight. Associated with increase in morbidity and mortality.
    > 30 BMI Obese
Eyes:_________________________

Ears/Nose:_________________________

Oral Cavity:_________________________

Endocrine:_________________________

Lymph Nodes:_________________________

Lungs:_________________________

Heart:_________________________

Breasts:_________________________

Abdomen:_________________________

Genitals:_________________________

Female Physical Exam:_________________________

Male Physical Exam:_________________________

Extremities / Musculoskeletal:_________________________

Habitus:_________________________

Skin:_________________________

Psychiatric:_________________________

Neurologic:_________________________

Laboratory Tests

Complete blood count

Chemistry panel

Urinalysis (UA)

Prescription

Here are further guidelines.

Who may utilize this program for education and reference?
Emergency medical doctor
What should an emergency room physician know?
Assessment in medical emergency situation.
A–Z alphabetical listing of human health emergency symptoms and signs.
Difference between an emergency room physician and physician at other locations.
Evaluation of a patient in an emergency room by emergency room physician.
Evaluation of a patient on the spot by an emergency medical responder, a physician.
Emergency room physician telephone conversation.
Emergency diagnosis and treatment.
Emergency
Emergency Room (ER)
Patient assessment
Symptoms, signs of medical emergencies.

Difference between an emergency room physician and physician at other locations.
What is the difference between an emergency room physician training program and an emergency room physician on duty at a location?
Establishing a training program for an emergency room physician and working at a specific location as an emergency room physician with eight hours duty with three shifts in 24 hours as an emergency room physician are two different services.

Who has established this emergency room physician training program?
Doctor Asif Qureshi has established this emergency room physician training program.
Biodata or profile of Doctor Asif Qureshi is at this resource: http://www.qureshiuniversity.com/aboutthefounder.html

Is there a difference between an emergency room physician and an emergency medical responder?
Yes.

What are the differences between the duties of an emergency room physician and an emergency medical responder?
http://www.qureshiuniversity.com/dutiesandemergencymedicine.html

What advice is there for all emergency room physicians?
Take every complaint relevant to a patient seriously.
Do not wait until the patient goes into coma.
Do not wait until there is irreparable harm to the patient.
If you know that anyone else have inflicted intentional harms, report it immediately.
Update your abilities regularly every day.
Associate with truthful, well behaved, competent emergency room physicians and guide.
These resources http://www.qureshiuniversity.com/emergencymedicinedoctor.html are best to update your abilities as an emergency room physician.

Emergency room physician telephone conversation.
Can I speak to the emergency room physician?
Who is the supervisor at this medical emergency room?
What is the mailing address of this medical emergency room?

Medical Emergency Room
How does a medical emergency room look?

Where are other nonmedical emergency rooms?
Usually nonmedical emergency rooms are at walkable distance of a medical emergency room.

Evaluation of a patient on the spot by emergency medical responder, a physician.
Where is the patient now?

What is the exact location of the patient now?

Is the location reachable within 3–10 minutes by the physician who received this report?

Who is the nearest emergency medical responder a physician to attend to this medical emergency?

What should others do who are not physicians or paramedics?

Make sure airway of the patient is open and clear.

What is a patent airway?
A patent airway is one that is open and clear.

Can the patient talk?
If the patient can talk, alert airway is patent.

A patient who is talking and alert has a patent airway.
Take a look at emergency medical complaints.
What emergency medical complaint does the patient have?
Specific emergency medical complaint patient has to go ahead accordingly.

What questions should you ask in case of a medical emergency?
What questions should you ask the patient?
What questions should you ask person with or reporting for the patient?

Emergency

Are you the person reporting a medical emergency for yourself?

Do you have any existing medical condition?
Did you have any previous medical condition that does not exist now?
Do you take any medications now?
Did you take any medications in the past that you are not taking now?
Do you think any health care details need to be added?
Are you the person reporting a medical emergency of another person?
What do you have to do while reporting a medical emergency of another person?
What details should be ready?
How are you related to the person?
How do you know him or her?
How do you do a quick assessment, diagnosis, and treatment of a conscious patient?
What should you enclose with the referral of the patient?
New Patient Consultation
Emergency call center
Emergency medical record
What are various emergency medical diagnoses?
How do you treat them?
How do you do a quick assessment, diagnosis, and treatment of an unconscious patient?

If the patient is unconscious, these questions need to be answered.

How long has he/she been unconscious?
What do you think is the likely cause of the problem?
Does he/she have any existing medical condition?
Did he/she have any previous medical condition that does not exist now?
Does he/she take any medications now?
Did he/she take any medications in the past that he/she is not taking now?
What are the reasons patients are not satisfied with services of medical doctors?
How do you do a quick assessment, diagnosis, and treatment of pediatric cases under the age of 28 days, six months, one year, and five years?
How do you do a quick assessment, diagnosis, and treatment of a person who is deaf and mute?
How do you do a quick assessment, diagnosis, and treatment of a person under anesthesia, sedation, or asleep?
Chief Complaint(s),
Depending on the situation.(Further questions)

What is a medical emergency?
How should you guide others?
What are various medical emergencies?
Medical emergencies as per diagnosis and treatment.
Medical emergencies as per specialties.
Medical emergencies related to symptoms, signs, statements, questions, issues, and histories that raise suspicion of a medical emergency.
What are various symptoms, signs, statements, questions, issues, and histories that should raise suspicion of a medical emergency?
What kinds of situations should be included in an organization's emergency management plans?
What tools are available for responders?
    Who has the answer?
    Who is willing to answer?
    Who has the duty and responsibility to answer?
Who should do diagnosis and treatment in emergency medical cases?
Who should practice cardiopulmonary resuscitation, advanced cardiac life support, advanced trauma life support, or endotracheal intubation in an emergency setting?
What are the differences in the duties and responsibilities of an emergency medical consultant, emergency medical doctor, nurse, and paramedic?

Does being any board-certified emergency physician guarantee correct diagnosis and treatment?
No, it is not.
Is it a medical emergency or medicolegal emergency?
What type of medical emergency or medicolegal emergency is it?

Do the symptoms, signs, statements, questions, issues, and histories fit in trauma, human pregnancy, cardiology, pulmonary, renal, gastroenteritis, neurology, ophthalmology, ear, nose & throat, pediatric, endocrinology, psychiatry, non traumatic orthopedic, or non traumatic surgical medical emergency?

Is it a trauma, human pregnancy, cardiology, pulmonary, renal, gastroenterology, neurology, Ophthalmology, ear nose and throat, pediatric, Endocrinology, psychiatry, non-traumatic orthopedic, or non-traumatic surgical medical emergency?

What is the diagnosis?
What is the treatment?
How could this be prevented?
What are medical emergencies as per specialties?

Trauma medical emergencies
Cardiology medical emergencies
Pulmonary medical emergencies
Renal medical emergencies
Gastroenterological medical emergencies
Neurological medical emergencies
Opthalmologic medical emergencies
Ear, nose & throat medical emergencies
Pediatric medical emergencies
Endocrinologic medical emergencies
Psychiatric medical emergencies
Non-traumatic orthopedic medical emergencies
Non-traumatic surgical emergencies
Human pregnancy medical emergencies
What are trauma medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a trauma medical emergency?
What are cardiology medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a cardiology medical emergency?
What are pulmonary medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a pulmonary medical emergency?
What are renal medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a renal medical emergency?


What are the criteria for diagnosis of acute renal failure?
When is dialysis required in acute renal failure?
When should patient with chronic renal failure be admitted to hospital and treated with emergency dialysis?
What are gastroenterological medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a gastroenterological medical emergency?
What are neurological medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a neurological medical emergency?
What are ophthalmological medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as an ophthalmological medical emergency?
What are ear, nose & throat medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as an ear, nose & throat medical emergency?
What are pediatric medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a pediatric medical emergency?
Pediatric Patient History Questionnaire
Pediatric History:
Pediatric update
What are endocrinological medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as an endocrinological medical emergency?
What are psychiatric medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a psychiatric medical emergency?
Orthopaedic Injuries & Conditions
What are non-traumatic orthopedic medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a non-traumatic orthopedic medical emergency?
What are non-traumatic surgical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a non-traumatic surgical medical emergency?
What are human pregnancy medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a human pregnancy medical emergency?
How do you do a diagnosis and treatment audit?
How do you determine a disability?
What are various types of disability?
How do you evaluate, diagnose, or treat a hospitalized person?
How do you audit admission to hospitals?
An annual preventative exam
Are there things about your medical care that could be better?
How do you assess preparedness, quality, competence, and infrastructure of emergency medical services in the state?
Medical Doctor
Should priority go to quality training of medical doctors or paramedical workers?
What should be done to improve the quality of medical doctors?
What should a medical doctor know about a medical condition?
How do you do quick assessment, diagnosis, and treatment of the patient?
How do you reach to correct diagnosis?
What should be the skills and knowledge of a medical doctor?
Q: How long will it take you to become a medical doctor?
Q: What will enhance your early completion?
Q: What is the most important duty and responsibility of a medical doctor?
Q: What's the second most important duty and responsibility of a medical doctor?
Q: What are the four most important duties of a medical doctor?
Q: What other duties and responsibilities can a medical doctor have?
What is medical malpractice?
What is the difference between allopathic medicine and homeopathic medicine?
What kind of global medical college does this world require?
Who is a surgeon?
What should be considered for treatment?
Diagnosis-specific counseling.
Diagnosis-specific physical therapy.
Diagnosis-specific prescription drugs.
Diagnosis-specific surgery if required.
Recommendations for surgery should be rare.
What medical conditions should a medical doctor be able to diagnose and treat?
All medical emergencies.
All medical disabilities.
All medical conditions without medical emergency or disability.

BLS
ACLS
BLS
Update
What should be the skills and knowledge of a paramedical worker?
How do you do a diagnosis audit?
How do you do a diagnosis and treatment audit?
How do you do a diagnosis audit?
How do you do a treatment audit?
What cases can counseling help?
What cases can physical rehabilitation help?
What cases can medication or drugs help?
What cases can a combination help?
What cases can intervention or surgery help?
In what cases are medication or drugs the only option?
In what cases are intervention or surgery the only option?
In what scenarios is "don't disturb" the best recommendation?
Even if things seem to be normal, an annual health checkup is recommended.
Expressions a doctor uses about medicine and tests
Can a medical doctor specialize in more than one specialty?
Yes.
Q: How long will it take you to become a medical doctor?
Q: What will enhance your early completion?
Q: What is the most important duty and responsibility of a medical doctor?
Q: What's the second most important duty and responsibility of a medical doctor?
Q: What are the four most important duties of a medical doctor?
Review of Systems
Medication
Does the patient have any known medical allergies?
Where and when did the patient last see a medical doctor?
Obstetrics & Gynecology History
Cardiology
Psychiatry
Public Health
Hospital Patient
Intake Screening
more coming soon
Coding

Where and when did the patient last see a medical doctor?
What is a Symptom?
What is a Sign?
Review of Systems
Can you count from 1 to 10?
Can you count backwards from 10 to 1?
New Patient Forms

* Patient Registration Form
* Patient History Form
* Patient Record of Disclosures
* Acknowledgement of Receipt of Notice of Privacy Practices

Other Forms

* Adolescent Medicine – Patient History
* Adolescent Medicine - Parent History
* Asthma Action Plan
* Medical Record Release Form
* Modified Checklist for Autism in Toddlers (M-CHAT)
* NICHQ Vanderbilt Assessment Scale - Parent
* NICHQ Vanderbilt Assessment Scale - Teacher
* PPD Questionairre
* Refusal of Immunization Form
* School Entrance Exam Health Form
* Special Dietary Needs Form

Demographic Information Form
New Adult Patient History Form
New Pediatric Patient History Form
Notice of Privacy Practices Form
Elders
PHYSICAL EXAM ITEMS (The next few items may be performed by nursing staff in some settings)

I'm going to write you a prescription.

What cases can counseling help?
What cases can physical rehabilitation help?
What cases can medication or drugs help?
What cases can a combination help?
What cases can intervention or surgery help?
In what cases are medication or drugs the only option?
In what cases are intervention or surgery the only option?
In what scenarios is "don't disturb" the best recommendation?
Even if things seem to be normal, an annual health checkup is recommended.
Where is your emergency?
What is the number you are calling from?
What is the Emergency?
What is your name?
Is the patient conscious? (Able to talk)
Is the patient breathing NORMALLY?
Is the patient short of breath or does it hurt to breathe?
Is the patient bleeding?
Can it be controlled with pressure?
Has law enforcement been notified?

Was it a physical assault vs. sexual assault?
Is the patient bleeding?
How was the victim assaulted?
(Stabbing, gunshot or major trauma go to appropriate I card)
Where is the patient injured?
Can the patient answer your questions?

ASSAULT

Is patient alert?
Is patient breathing normally?
Where is the bleeding from?
Can it be controlled with pressure?
Can the patient answer your questions?
Is blood squirting out?
Is the patient a hemophiliac (a bleeder)?

CHEMICAL

What chemical caused the burn?
How was the patient burned?
Is the patient short of breath or does it hurt to breathe?
Is the patient having difficulty swallowing?
Where is the patient burned?

ELECTRICAL

Is the patient still in contact with the electric source?
Are they coughing?
How was patient electrocuted?
Are their nose hairs burned?
Are there burns around their mouth and nose?
Are there any other injuries?

EYE PROBLEMS / INJURIES

Is patient alert?
Is eyeball cut open or leaking fluid?
Is patient breathing normally?
Are there any other injuries?
What caused the injury?

FALL VICTIM

Is patient breathing normally?
Is the patient able to move their fingers and toes?
Is patient alert?
Is the patient bleeding?
How far did the patient fall?
What kind of surface did the patient land on?
Are there any obvious injuries? What are they?
Did the patient complain of any pain or illness just prior to the fall?

Is Rescue needed?
Is patient alert?
Does the patient respond to you and follow simple commands?
Is patient breathing normally?
What happened? Can the patient answer your questions?
What was the source of the heat or cold? Is the patient acting normal for him or her?
What was the length of exposure? If not, what is different?
Does the patient have any complaints?
Is the patient sweating profusely?
Is the patient complaining of pain? If so where? How does the patient act when he/she sits up?
Can the patient talk in full sentences?
Is the patient dizzy, weak, or feeling faint?

HEAT / COLD EXPOSURE

INDUSTRIAL ACCIDENTS

Is patient alert?
Is the patient bleeding?
Is patient breathing normally?
Are there any obvious injuries? What are they?
Do you have the amputated parts?
What part of the body has been amputated?
Can it be controlled with pressure?
Is the patient entrapped?
Is the patient able to move their fingers and toes?
Is Fire Department needed?
Is Aeromedical Evacuation needed?

STABBING/GUNSHOT/ASSAULT

When did this happen?
What part(s) of the body is injured?
Is there a weapon present?
Is there bleeding?
Is patient alert?
Is patient breathing normally?
Can it be controlled with pressure?
Is there more than one person injured?
Is there more than one wound?

TRAUMATIC INJURY

Is patient alert?
Is the patient bleeding?
Is patient breathing normally?
How was the patient injured?
Where is the patient injured?
Describe what happened.

TRAUMATIC INJURY

Are there any hazards present?
What type of vehicle(s) are involved?
Is patient alert? Describe what happened?
Is patient breathing normally?
(Consider breathing card). Are all of the patients free of the vehicle?
Did you stop or drive by?
How many patients are injured? Is anyone trapped in the vehicle?
Was anyone thrown from the vehicle?
Is Rescue needed?
Is the Fire Department needed?
Could she be pregnant?
Is patient breathing normally?
(Consider breathing Has she said she felt dizzy?
Is the pain due to an injury to the patient?
Has there been vaginal bleeding?
Has the patient vomited?
How does the patient act when he/she sits up?
Is the patient wearing a Medic Alert tag?
What is the patient complaining of?
Is the patient having difficulty swallowing?
How long ago was the patient exposed?
How does the patient act when they sit up?
Does the patient have a rash or hives? Are the symptoms getting worse?
Is the patient complaining of itching?
Is patient breathing normally?
Is the patient wearing a Medic Alert tag?
Is the pain due to an injury to the patient?
Has the patient felt dizzy or fainted?
Is the patient able to speak in full sentences?
Could the patient be having an allergic reaction?
Does the patient have to sit up to breathe?
Is the patient experiencing any other problems right now?
Has the patient ever had this problem before? them?
What was the patient doing just prior to when he/she became short of breath?
Is the patient on oxygen?

BREATHING PROBLEMS

Is patient alert?
Is patient breathing normally? (Consider breathing Is the patient sweating profusely? card)
Is the patient experiencing rapid heart rate with chest pain?
Where in the chest is the pain located?
Does the patient feel pain anywhere else? If so, where?
Does the patient have a history of rapid heart rate?
How long has the pain been present?
How does the patient act when he/she sits up?
Does the pain change when the person breathes or moves?
Is the patient weak, dizzy, or faint?
Does the patient take nitroglycerin? Have they taken it?
Has the patient ever had heart surgery or a previous heart attack?
Has the patient ever had a heart problem?
Is the patient nauseated or vomiting?

CHEST PAIN/HEART PROBLEMS

Does the patient have nitroglycerin?
If yes: Has the patient taken one?

DIABETIC PROBLEMS

Is patient alert?
Is the patient sweating profusely?
Is patient breathing normally?
Is the patient on insulin?
Is the patient complaining of any pain? Where is it How does the patient act when he/she sits up?
Are they dizzy, weak, or feeling faint?

Is patient alert?
Is patient breathing normally?
Has the patient had a recent illness or injury?
Did the headache come on suddenly or gradually?

Is patient alert?
Is the patient acting normally for him or her? If not, what is different?
Is the patient violent?
Has the patient vomited?
Is the patient having difficulty swallowing?
How old is the patient?
Is law enforcement needed?

PSYCHIATRIC/BEHAVIORAL PROBLEMS

Is patient alert?
Is patient breathing normally?
Can the patient talk to you?
Can the patient answer your questions?
Has the patient taken any drugs or alcohol?
Has the patient harmed himself?
Is patient a diabetic?
Is the patient acting in their normal manner?
Is the scene secure?
Where is the patient now?
Do you think the patient might harm himself?
Is the patient a diabetic?
Is patient alert?
Is patient breathing normally?
If child:
Describe what the patient is doing.
Has the child been sick?
Is the patient still seizing?
Does the child have a fever or feel hot?
How long has the patient been seizing? If female:
Has the patient had a seizure before?
Is the woman pregnant?
Does the patient have a medic alert bracelet on?
Is the patient a recreational drug user?
Has the patient had a recent head injury?

SICK PERSON

Is patient alert?
Is patient breathing normally?
Can I talk to the patient?
Have you checked for a medic alert tag?
If there is an alert tag, what does it say?
What is the problem?
Was the onset sudden or gradual?
Are you short of breath or is it hard to breath?
Are you feeling pain anywhere? If so where?
Do you feel light headed or dizzy?
Does the patient answer your questions?
What is the patient complaining of?
Is the patient complaining of pain?
How does the patient feel when he/she sits up?
Is the patient acting normally for him or her?
How does the patient look?
Is patient breathing normally?
What is the patient doing? Has the patient had a headache?
Has the patient had any recent injury/trauma?
Can the patient answer your questions?
How is the patient acting?
Is the patient able to speak in full sentences?
Has the patient had a stroke before?
Does the patients speech sound normal?
Is patient alert?
What was patient doing?
Is patient able to move at all?
Is patient breathing normally? (Consider breathing card)
Where exactly is the patient?
Why is the patient down?
Is patient able to talk?
Is patient alert?
Is patient breathing normally?
(Consider breathing What is the source of the contamination?
Has the patient been removed from the area or source of contamination?
Is a CO Detector activated?
What is the name of the contaminating agent?

CARDIAC ARREST

Is patient alert?
Is patient breathing normally?
Does the patient respond to you?
Does the patient move?
Are the pupils fixed and dilated?

ADULT CPR INSTRUCTIONS

Does anyone there know how to do CPR?
Do you have a cordless phone?
Is there a phone that may be closer to the patient?
Can someone there relay my instructions to you?
Do you have a cordless phone?
Is there a phone that may be closer to the patient?
Can someone there relay my instructions to you?

ARE YOU WILLING TO DO MOUTH TO MOUTH?

INFANT CPR?

Do you need help in remembering the procedures?

CHOKING

Is patient alert?
Is the patient able to speak or cry?
Is patient breathing normally?
Is the patient turning blue?
How old is the patient?
Describe the breathing.
Does the chest rise?
Does air enter freely?

Is the baby CONSCIOUS?
Is the baby breathing or crying?

INFANT CHOKING INSTRUCTIONS

-------------
Is patient alert?
Has the patient been removed from the water?
Is patient breathing normally?
Is the patient on land or in a boat?
How long was the patient under water?
What was the patient doing before the accident?
Is patient alert?
Is patient breathing normally?
(Consider breathing Is patient still in contact with the source?
Are there any other injuries? If so what are they?

PREGNANCY / CHILDBIRTH

Is patient alert?
Is patient breathing normally?
Does she feel the urge to go to the bathroom?
Is this the first pregnancy?
Was there an injury? What is it?
How far along is she? Has she had a seizure?
How long was she in labor before delivery?
Were there any complications?
How does she feel when she sits up?
Was the delivery vaginal or surgical?
Is she having cramping pains that come and go?

CHILDBIRTH INSTRUCTIONS

Has she had a baby before?
How far apart are the contractions (pains)?
How far apart are the contractions (pains)?
Less than More than More than Less than 5 Min. 5 Min. 2 Min. 2 Min.
Does she have a strong desire to push?
Does she have a strong desire to push?
------
Is patient alert?
Is patient breathing normally?
Did the patient have any complaints just before they became unconscious?
Is this the first time today the patient has been What were they?
How does the patient act when they sit up?
Have you or anyone else tried to wake the patient up?
Has the patient taken any medication or recreational Can the patient answer your questions?
Has the patient been drinking alcohol?
What was the patient doing before they became unconscious?
Does the patient have a medic alert tag?
Does the patient have any medical or surgical history?
Is anyone hurt or injured?
Are you in a position to help with the I victims?
Are there any injuries?
Where is the emergency?
How many people are injured?
What is the nature of the injuries?
Have personnel been evacuated?
Can you come and go as you please?
Have you or your family been threatened?
What are your working and living conditions like?
Where do you sleep and eat?
Do you have to ask permission to eat/sleep/go to the bathroom?

Make sure all questions are answered.
Who is filling out this form?
When was it started?
Are there any medical conditions you had that are not listed?
If you had any operation or fracture, what was the date and location, and who was the treating doctor?
If you are on any medication, what is its name, dose, and frequency of use?
When and who prescribed this medication?
What was the reason this medication was prescribed?
How long have you been taking this medication?
Did you ever pause in taking this medication?
How did stopping the medication affect you?
What is the name of the pharmacy or location you procure the medication?
What is an Emergency Medicine Doctor?

An Emergency Medicine Doctor, also known as an emergency physician, works in the emergency room of a facility and treats patients who need immediate care. Emergency physicians specialize in an advanced cardiac life support, trauma care and management of other life-threatening care. Emergency medicine doctors must be able to think quickly and remain calm during intensely stressful situations.

What skills and knowledge should an emergency medicine doctor have?

You should be able to reach a correct diagnosis and treatment of human beings.
You should be able to teach relevant workers including medical students and medical doctors.
You should be able to defend the diagnosis and treatment publicly.
You should be able to practice good character and good behavior.
You should be able to reply in a timely manner.
You should be able to reply to all questions.
You should be able to display your competence publicly by answering questions.
You should be able to elaborate a medical condition in at least 40 different questions and answers.
You should be able to prove that your services are better than other services.
You should be able to guide others by answering relevant questions.

He/she should be able to do endotracheal intubation.
He/she should be able to do cardiopulmonary resuscitation, and provide advanced cardiac life support and advanced trauma life support.
He/she should know about all emergency room medicines and equipment.
He/she should know about medical malpractice.
He/she should know about legal malpractice.
What is a medical emergency?
ER Equipment
Diagnostic Tests
ER Workers
Triage
Air Critical Care
Ground Ambulance Service
What is Emergency Medicine?
How did the field of Emergency Medicine get started?
What kind of patients do emergency physicians see?
Can I sub-specialize in something or do a fellowship as an emergency physician?
Are there any downsides to becoming and emergency physician?
Where can I find more info?
How do you do quick assessment, diagnosis, and treatment of the patient?
What are various medical emergencies?
Medical emergencies as per diagnosis and treatment.
Medical emergencies as per specialties.
Medical emergencies related to symptoms, signs, statements, questions, issues, and histories that raise suspicion of a medical emergency.
What are various symptoms, signs, statements, questions, issues, and histories that should raise suspicion of a medical emergency?
What kinds of situations should be included in an organization's emergency management plans?
What tools are available for responders?
    Who has the answer?
    Who is willing to answer?
    Who has the duty and responsibility to answer?
What does an emergency medicine physician do?
What kind of training does an emergency medicine physician need?
Who should do diagnosis and treatment in emergency medical cases?
Who should practice cardiopulmonary resuscitation, advanced cardiac life support, advanced trauma life support, or endotracheal intubation in an emergency setting?
What are the differences in the duties and responsibilities of an emergency medical consultant, emergency medical doctor, nurse, and paramedic?

Does being any board-certified emergency physician guarantee correct diagnosis and treatment?
No, it is not.
Is it a medical emergency or medicolegal emergency?
What type of medical emergency or medicolegal emergency is it?

Do the symptoms, signs, statements, questions, issues, and histories fit in trauma, human pregnancy, cardiology, pulmonary, renal, gastroenteritis, neurology, ophthalmology, ear, nose & throat, pediatric, endocrinology, psychiatry, non traumatic orthopedic, or non traumatic surgical medical emergency?

Is it a trauma, human pregnancy, cardiology, pulmonary, renal, gastroenterology, neurology, Ophthalmology, ear nose and throat, pediatric, Endocrinology, psychiatry, non-traumatic orthopedic, or non-traumatic surgical medical emergency?

What is the diagnosis?
What is the treatment?
How could this be prevented?
How do you assess preparedness, quality, competence, and infrastructure of emergency medical services in the state?
What is a Crash Cart?
How is code blue announced at your facility?
Listing of Conditions & Components
1.0 Signs, Symptoms and Presentations 9%
2.0 Abdominal & Gastrointestinal Disorders 9%
3.0 Cardiovascular Disorders 10%
4.0 Cutaneous Disorders 2%
5.0 Endocrine, Metabolic & Nutritional Disorders 3%
6.0 Environmental Disorders 3%
7.0 Head, Ear, Eye, Nose & Throat Disorders 5%
8.0 Hematologic Disorders 2%
9.0 Immune System Disorders 2%
10.0 Systemic Infectious Disorders 5%
11.0 Musculoskeletal Disorders (Non-traumatic) 3%
12.0 Nervous System Disorders 5%
13.0 Obstetrics and Gynecology 4%
14.0 Psychobehavioral Disorders 3%
15.0 Renal and Urogenital Disorders 3%
16.0 Thoracic-Respiratory Disorders 8%
17.0 Toxicologic Disorders 4%
18.0 Traumatic Disorders 11%
Appendix I: Procedures & Skills 6%
Appendix II: Other Components 3%
Total 100%
What will happen if you do not treat or manage this medical condition?
What will happen if you do not diagnose and treat a medical emergency properly?
It can lead to death.
It can lead to disability.
It can lead to other harms.
It can lead to medical malpractice.
It can lead to legal malpractice.
Primary care physician

Annual health assessment.
Here are further guidelines.