2 Current symptoms, medication, injections, treatment, and questions
This item is the most important part of the communication. Please note that the next section explains how to ask the patient about his condition. In our experience, it appears that advice is not sought immediately; rather, advice is usually sought when the patient has failed to recover after having been treated in some way.
In the case of injury, attention should be focused not just on visible wounds and bleeding, but also on determining that there are no hidden or internal injuries. Injuries to internal organs in the head, chest and abdomen are often overlooked. By feeling the painful area with the palm of your hands, a medic can detect such symptoms as heat or hardness. This should serve as the first step in treatment.
In other words, the medic should ask the suffering patient careful and purposeful questions and take notes on symptoms, progress, treatment, and other conditions. The patient's overall condition should also be determined as well. The following vital signs must be checked for this purpose.
Vital signs consists of the following ten items. These can be classified into basic vital signs and basic life signs.
1]Pulse 2]Breathing 3]Temperature 4]Blood pressure 5]Consciousness
6]Sleep 7]Appetite 8]Excretion 9]Skin condition 10]Position, posture
Basic vital signs are those that must be present if the patient is alive, namely pulse, breathing, body temperature and blood pressure, If they are not present, the patient is not alive. Count the pulse rate and number of breaths per minute, and note the strength and depth of pulse and breathing. Note also the regularity or irregularity of rhythm.
Systolic and diastolic blood pressure are expressed as the height (in millimeters) of the mercury column, for example, 146/84. Blood pressure can be measured when the patient is seated or lying on his back; the lowest point of the mercury column is set at the height of the exitus of the heart (where the aorta begins).
Depending on the patient's condition, vital signs may change dramatically over time, so they should be measured several times at intervals and recorded each time.
Body temperature is expressed in degrees Celsius. Write down the location (i.e., under the tongue or in the anus) where temperature was measured if it was not measured under the arm.
Some telegrams only mention whether the pulse, breathing, or body temperature are "normal" or "abnormal," but measurements should be included. The physician will judge whether they are normal or not.
Although vital signs may be in normal ranges, there is the possibility of brain death if a patient does not regain consciousness. Thus, it is necessary to administer first aid and watch the patient's progress carefully.
Basic life signs, which include sleep, appetite and excretion, are the physiological rhythms that are necessary for daily life. You can obtain this information only from patients that are conscious.
These signs will be irregular when the patient is sick or in an unusual state, and they can be used in diagnosis along with other symptoms.
If the patient is not sleeping well, ask him if he has trouble getting to sleep, or if he can't sleep at all, and whether this is due to sweating, pain, worry, etc. There is no problem if the patient has an appetite. However, if the patient has no appetite, it is necessary to find out the reason for this, whether it is due to vomiting, nausea, belching, pain, etc.
