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Scene Size-up Primary Assessment

404 Section 5 Shock and ResuscitationScene size -upScene SafetyEnsure Scene safety and address hazards. Standard precautions should include a minimum of gloves and eye protection. Consider the number of patients, the need for additional help/ALS, and cervical spine of Injury (MOI)/Nature of Illness (NOI)Determine the MOI/NOI. Observe the Scene and look for indicators of the MOI such as falls, motor vehicle crashes, gunshot wounds, or stabbings. Observe the patient for signs of NOI such as urticaria, chest pain, or AssessmentForm a General ImpressionAirway and BreathingDetermine level of consciousness and fi nd and treat any immediate life threats.

406 Section 5 Shock and Resuscitation Treating Cardiogenic Shock This type of shock is a failure of the pump (heart) and is often the result of a myocardial infarction.

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