Assessment and interventions | Performed N = 81 N (%) |
---|---|
The first survey according to ABCDEa | 71 (87.7) |
Triage color overall (RETTS)a | |
Green | 2 (2.5) |
Yellow | 73 (90.1) |
Orange | 4 (4.9) |
Red | 1 (1.2) |
No triage | 1 (1.2) |
Vital signs | |
Respiration ratea | 76 (93.8) |
Oxygen saturationa | 79 (97.5) |
Pulse ratea | 78 (96.3) |
Systolic blood pressurea | 76 (93.8) |
Diastolic blood pressurea | 75 (92.6) |
Disabilitya | 79 (97.5) |
Body temperaturea | 78 (96.3) |
The secondary survey, clinical history | |
Major complaintsa | 81 (100) |
Allergiesa | 36 (44.4) |
Medicationa | 55 (67.9) |
Previous historya | 75 (92.6) |
Nutrition, eliminationa | 26 (32.1) |
What preceded the onset of symptomsa | 80 (98.8) |
Focused assessment | |
Plasma glucose | 22 (27.2) |
ECG | 34 (42) |
Lung auscultationa | 29 (35.8) |
Abdominal examination | 5 (6.2) |
Neurological examinationa | 16 (19.8) |
Pain assessmenta | 25 (30.9) |
Interventions | |
Drug administration | 15 (18.5) |
Physician contacted | 23 (28.4) |