I need the power of the panel here...Alert and oriented times FOUR? - EMTLife.com - The #1 Online Forum for EMS-Related Discussion

mycrofft · 12-20-2008, 10:55 AM

A new supervisor insists this is the "new" way to do it. Google comes up with ONE hit on the Internet. Suggestijons for the fourth orientation in this setting so far by staff members have included the following:
1. Medical insurance carrier.
2. Smell ("Is this a flower, or an ammonia inhaler?".
3. Credit balance for their commissary account.
4. Falling ("OOPS!" crash).

(

akflightmedic · 12-20-2008, 11:01 AM

The "new" way...that is funny.

It has been A/O x4 for many years now.

Alert to person, place, time and situation.

Anyone else teaching or hear anything different?

KEVD18 · 12-20-2008, 11:39 AM

person, place, time and event(situation)

Scout · 12-20-2008, 11:42 AM

I dont use a/ox2 we have

AVPU; alert, responds to voice, pain, nothing

And GCS 0-15

**Airwaygoddess** · 12-20-2008, 12:26 PM

Same here in my neck of the woods, person, place, time and event along with AVPU and GCS

Code 3 · 12-20-2008, 12:46 PM

Quote:

Originally Posted by akflightmedic

The "new" way...that is funny.

It has been A/O x4 for many years now.

Alert to person, place, time and situation.

Anyone else teaching or hear anything different?

The 4th element is briefly mentioned in class, however the agencies in my area only use A/Ox3 (person, place, time). If you need/want to document the event(s) leading to the incident you can do so in your SAMPLE and state whether or not the pt was aware.

KEVD18 · 12-20-2008, 01:05 PM

the problem becomes one of local custom. in one area, caox3 is perfect and in another its deficient.

yet another reason why every emt needs to be taught the same standards.

marineman · 12-20-2008, 01:09 PM

Quote:

Originally Posted by Scout

And GCS 0-15

Are you sure on that?

41 Duck · 12-20-2008, 01:17 PM

GCS is 3-15, way I learned it, and CAOx4= person, place, time, and event.

Later!

--Coop

MSDeltaFlt · 12-20-2008, 04:36 PM

Quote:

Originally Posted by Code 3

The 4th element is briefly mentioned in class, however the agencies in my area only use A/Ox3 (person, place, time). If you need/want to document the event(s) leading to the incident you can do so in your SAMPLE and state whether or not the pt was aware.

Well, here's the deal. If you're C-A-O x 4, then you know "who" you are, "where" you are, "when" you are and "why" you are. You can be C-A-O x 3 and have amnesia of events which should set off red flags on your assessment as far as neuro goes.

12-20-2008, 12:26 PM	#5
Airwaygoddess Community Leader Emeritus Community Leader Emeritus Join Date: Sep 2006 Location: The north country in Santa Barbara Ca. Posts: 1,923 Training: EMT-Basic	Same here in my neck of the woods, person, place, time and event along with AVPU and GCS __________________ Anna, EMT-1 "Walk with grace and listen, you shall be told of great things and you will learn from them!" "The patient is in extreme pain Rampart!

12-20-2008, 01:17 PM	#9
41 Duck Forum Lieutenant Join Date: Feb 2007 Location: Pennsyltucky Posts: 145 Training: Drunk Magnet	GCS is 3-15, way I learned it, and CAOx4= person, place, time, and event. Later! --Coop __________________ "With all the poor people of this city who wanted only to live and were viciously murdered, you have the nerve to sit here, wanting to die, and not go through with it? You make me sick!" --Frank Pierce, BRINGING OUT THE DEAD

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12-20-2008, 10:55 AM	#1
mycrofft Premium+ Member Grumpier YET old Bolshi Join Date: Jun 2008 Location: Central California Posts: 9,391 Training: Rusty EMT-Ambulance	I need the power of the panel here...Alert and oriented times FOUR? A new supervisor insists this is the "new" way to do it. Google comes up with ONE hit on the Internet. Suggestijons for the fourth orientation in this setting so far by staff members have included the following: 1. Medical insurance carrier. 2. Smell ("Is this a flower, or an ammonia inhaler?". 3. Credit balance for their commissary account. 4. Falling ("OOPS!" crash).(

12-20-2008, 11:01 AM	#2
akflightmedic Forum Deputy Chief Join Date: Jul 2005 Location: Florida/Afghanistan Posts: 1,873 Training: Lil' of this n that	The "new" way...that is funny. It has been A/O x4 for many years now. Alert to person, place, time and situation. Anyone else teaching or hear anything different?

12-20-2008, 11:39 AM	#3
KEVD18 Forum Deputy Chief Join Date: Apr 2005 Location: mass Posts: 2,165 Training: retired	person, place, time and event(situation)

12-20-2008, 11:42 AM	#4
Scout Para-Noid Join Date: Jul 2008 Location: Ireland Posts: 575 Training: EMT-KISS Evr Lrn	I dont use a/ox2 we have AVPU; alert, responds to voice, pain, nothing And GCS 0-15

12-20-2008, 01:05 PM	#7
KEVD18 Forum Deputy Chief Join Date: Apr 2005 Location: mass Posts: 2,165 Training: retired	the problem becomes one of local custom. in one area, caox3 is perfect and in another its deficient. yet another reason why every emt needs to be taught the same standards.