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Old 12-20-2008, 10:55 AM   #1
mycrofft
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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).(


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Old 12-20-2008, 11:01 AM   #2
akflightmedic
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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?
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Old 12-20-2008, 11:39 AM   #3
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person, place, time and event(situation)
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Old 12-20-2008, 11:42 AM   #4
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I dont use a/ox2 we have

AVPU; alert, responds to voice, pain, nothing

And GCS 0-15
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Old 12-20-2008, 12:26 PM   #5
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Talking

Same here in my neck of the woods, person, place, time and event along with AVPU and GCS
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Old 12-20-2008, 12:46 PM   #6
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Quote:
Originally Posted by akflightmedic View Post
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.
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Old 12-20-2008, 01:05 PM   #7
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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.
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Old 12-20-2008, 01:09 PM   #8
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And GCS 0-15
Are you sure on that?
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Old 12-20-2008, 01:17 PM   #9
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GCS is 3-15, way I learned it, and CAOx4= person, place, time, and event.




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Old 12-20-2008, 04:36 PM   #10
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Quote:
Originally Posted by Code 3 View Post
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.
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