Raven EMS Education Program ManualTrauma Distal Circulation, Sensation, and Movement Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
Take BSI precautions.
Explain the procedure to the patient (if conscious).
Check for circulation. If upper extremity injury, check radial pulse. If lower extremity injury, check posterior tibial pulse.
Test capillary refill on finger/toe of injured limb.
Release pressure. Pink color should return.
Check for sensation at fingertips or check for sensation at toes.
Check for movement of the upper extremities by asking the patient to open (left) and close (right) the fist. OR Check for movement of the lower extremities by asking the patient to flex the ankle (or doriflex the ankle) (left) and extend the ankle (or plantarflex the ankle) (right).
Passing criteria:
Pass: At least 70% (? of ?) successfully completed above. Currently at 0% completed.
Fail.
Did not explain and reassure the patient to allow informed consent.
