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NREMT-Style Patient Assessment

Learn a repeatable EMT patient-assessment sequence, practice each part with focused tools, then apply the whole flow to a patient scenario and review your performance.

Training companion: This is NREMT-style practice, not an official NREMT testing station or scoring sheet. Use current course, state, local-protocol, and NREMT materials for actual examination and patient-care requirements.
1 · ReferenceLearn the sequence
2 · PracticeTrain weak skills
3 · SimulationWork a full call
4 · FeedbackReview the debrief

Assessment sequence

Work the patient in the same order every time

The exact order can flex when an immediate life threat demands action, but this structure helps prevent important steps from being missed.

1

Dispatch & Scene Size-Up

Use dispatch information and make sure the scene is safe before narrowing your attention to the patient.

  • PPE / standard precautions
  • Scene safety
  • Number of patients
  • Nature of illness or mechanism of injury
  • Additional resources
  • Spinal-motion concerns when indicated
2

Primary Assessment

Form a general impression, assess responsiveness, identify immediate life threats, and decide patient priority.

  • General impression
  • AVPU / mental status
  • Airway
  • Breathing
  • Circulation / major bleeding
  • Transport urgency
3

History: SAMPLE & OPQRST

Gather the information that changes risk, treatment, and transport decisions. Use natural questions rather than a robotic script.

  • Chief complaint
  • SAMPLE history
  • OPQRST when symptoms need focused clarification
  • Pertinent positives and negatives
4

Secondary Assessment

Perform the focused exam that matches the complaint or mechanism.

  • Focused medical assessment
  • Rapid or focused trauma exam
  • Neurologic, chest, abdominal, or other complaint-specific exam
5

Baseline Vital Signs

Measure, interpret, and document findings that can be trended during care.

  • Blood pressure
  • Pulse
  • Respirations
  • SpO₂
  • Skin signs
  • Glucose, temperature, pupils, or GCS when indicated
6

Treatment / Intervention

Treat findings you actually discovered and document what was done.

  • Airway and breathing support
  • Bleeding / shock care
  • Protocol-authorized medications
  • Positioning, splinting, or other EMT care
7

Reassessment

Prove whether the patient is improving, worsening, or unchanged.

  • Repeat ABCs
  • Repeat key vital signs
  • Recheck the chief complaint
  • Assess response to treatment
  • Adjust transport or care priorities
8

Transport, Handoff & PCR

Package the important story so the receiving team understands what happened and what changed.

  • Working impression
  • Priority and destination
  • Pertinent history and exam findings
  • Vital-sign trends
  • Treatments and patient response

Run the sequence from memory

Check each section as you mentally work through a patient. The goal is to build a repeatable assessment rhythm before entering a full scenario.

0 of 8 sections completed

Quick practice

Build difficult pieces separately, then use them on a patient

Patient interview

Practice complaint-specific SAMPLE and OPQRST phrasing, then apply it in a full patient encounter.

SAMPLE →   OPQRST →