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