Detailed Detailed Physical Physical ExaminationExamination

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Detailed Physical Detailed Physical ExaminationExaminationDetailed Physical Detailed Physical ExaminationExamination

Patients Needing a Detailed ExaminationPatients Needing a

Detailed Examination

You may not You may not

always have an always have an

opportunity to do aopportunity to do a

detailed physical detailed physical

examination.examination.

ExaminationExaminationProcedureProcedure

ExaminationExaminationProcedureProcedure

The detailed

physical

exam

evaluates

the DCAP-

BTLS more

precisely.

Palpate the Palpate the headhead beginning beginning with the superior surface.with the superior surface.

Palpate the Palpate the frontal areafrontal area of the of the face.face.

Inspect the Inspect the earsears and look for and look for

bloodblood or or fluid.fluid.

Assess the Assess the eyeseyes for pupillary for pupillary response and any response and any discoloration.discoloration.

Inspect the Inspect the mouthmouth forfor injuryinjury oror foreign bodies.foreign bodies.

Palpate the Palpate the neckneck while an while an assistant maintains assistant maintains stabilization.stabilization.

Examine the Examine the chestchest and look for and look for paradoxical movementparadoxical movement or or deformity.deformity.

Auscultate Auscultate breath soundsbreath sounds bilaterally.bilaterally.

Bilateral:Bilateral:

Refers to both the right and left Refers to both the right and left sides of the body.sides of the body.

Normal breath sounds are clear and equal bilaterally.

Palpate the Palpate the four quadrantsfour quadrants of of the the abdomen.abdomen.

Palpate the Palpate the pelvis.pelvis.

Palpate the Palpate the lower extremitieslower extremities & & assess pulse, motor function & assess pulse, motor function & sensation.sensation.

Palpate the Palpate the upper extremitiesupper extremities & & assess pulse, motor function & assess pulse, motor function & sensation.sensation.

Ideally, a Ideally, a detailed detailed exam should exam should be performedbe performed while en while en routeroute to the to the facility.facility.

Assessing Vital SignsAssessing Vital SignsAssessing Vital SignsAssessing Vital Signs

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RY Detailed Physical ExaminationDetailed Physical Examination

Assessing Vital SignsAssessing Vital Signs