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Initial sizeup report12/25/2023 For example, if the patient fell, find out how far and if they were wearing a helmet.Is the patient ill or injured? If ill, gather a short history of the illness.Look around-your observations of the scene and questions of bystanders can offer clues about what happened.ĭetermining the mechanism provides critical information about the location and severity of injuries. Weather conditions: For example, cold, driving rain may make constructing shelter a priority to avoid hypothermia.ĭetermine the mechanism of injury or illness (MOI).Imminent hazards: Falling rock or an avalanche may dictate a rapid carry of the patient out of the path of danger.Difficulty reaching the patient: A cliff edge may mean you can’t approach the scene without adding protection for yourself.Your priority is your safety and that of your fellow first responders. What’s going on here? Survey the scene for hazards, including immediate danger to self, other rescuers, bystanders, and patients. Your observations of weather, terrain, bystanders, and the patient’s position are your first clues as to how an injury occurred, the patient’s condition, and possible scene hazards.įollow these five steps to complete a thorough scene size-up before starting your initial assessment. Sizing up the scene begins a process of making sense of the situation, a process that continues as you gather more information in the patient assessment. There’s no cell service here, let alone a conveniently located emergency room.Īttempting to remain calm, you take a deep breath and remember what you learned in the very first hour of your NOLS Wilderness Medicine course. Thoughts about the location’s remoteness, the safety of your companions, incoming weather, and potential evacuation flash through your head. You put your water bottle away and start walking toward the crumpled figure beside the trail. Pausing to take a sip from your water bottle, you survey your surroundings-and suddenly notice the fallen hiker up ahead. You’re out for a hike, enjoying a beautiful day in the mountains.
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