History and clues

HISTORY AND EXTERNAL CLUES

 

 

 

History

 

• Observe the environment

 

• Mechanism of injury

 

• Observe patient

 

• Previous history

 

• Question bystanders

 

• Establish chief complaint

 

• Consider patients age. (young & fit / elderly & susceptible?)

 

• Make a note of all information to pass on to professionals

 

External Clues

 

• Check pockets (beware syringes if drug abuse suspected)

 

• Appointment card for clinic or hospital

 

• Cards that tell you the casualty is on medication or has particular allergies

 

• Medication carried by the casualty for example:

 

Insulin syringe or sugar lumps for diabetics (diabetic coma Acetone smell)

 

Medicines (bottle or 'pop' cards)

 

Glycerol trinitrate for Angina

 

Phenobarbitone or Phenytoin for epilepsy

 

Inhaler or puffer aerosol

 

• Medical warning items (Medic-Alert or Talisman)

 

Medallion

 

Bracelet

 

Locket

 

Key ring

 

 

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