Tier 2 Head Injury and Alert, Verbal, Pain, and Unresponsive (AVPU) Assessment Part 4: You are in a SAFE and SECURE location – The primary learning objective of this (and the next couple of scenarios) is to review the Alert, Verbal, Painful, and Unresponsive (AVPU) assessment. The estimated time to complete this scenario is 5 minutes. This scenario occurs in the Tactical Field Care Phase. Equipment Available: Combat Life Saver Pack. Evacuation/Disposition is possible through the tablet. Selecting the patient’s disposition will end the exercise.
Patient Communication
Patient: Can you tell me your name?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Do you remember what happened?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Do you feel any pain?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Do you have any medical problems?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Do you have any allergies?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Do you take any medications?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Are you feeling dizzy or confused?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Are you having trouble breathing?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Can you see clearly?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Do you feel any swelling in your throat?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Are your lips or tongue swollen?
Response: The patient only appears to be responding to pain
Location: Head
Patient: Is your voice hoarse or different?
Response: The patient only appears to be responding to pain
Location: Head
Audio Triggers
The patient doesn’t really move at all.
Scoring Details
Exam: Ask patient to move right leg
Exam: Ask patient to move left leg
Exam: Ask patient to move right arm
Exam: Ask patient to move left arm
Exam: Ask patient
Perform sternal rub
Patient disposition: Medical Evacuation