INITIAL ACTIONS ON SCENE - Signs & symptoms
 
Every illness and injury manifests itself in distinctive ways that may help your diagnosis. These indications are divided into two groups: signs and symptoms.
 
Signs

Our senses will help us discover signs, i.e. sight, touch, hearing and smell (Also remember to smell a patient's breath). Signs are details of a patient's condition that you can see, feel, hear or smell. Assess the patient's level of response (AVPU). If he is unconscious or unable to speak clearly, you may have to make a diagnosis based on information obtained from people at the scene and the signs you find.

  • Signs we may see: sweating, abnormal skin colour, swelling, needle marks, vomit, etc
  • Signs we may feel: abnormal body temperature, deformity, tenderness to the touch
  • Signs we may hear: noisy or distressed breathing, response to touch, response to speech
  • Signs we may smell: Acetone, alcohol, solvents, etc
Symptoms

Symptoms are sensations that the patient experiences and may be able to describe - if he is conscious. For example, is there:

  • Pain? If yes, where is it, what type of pain is it and how does movement affect it? How and where did it begin?
  • Nausea?
  • Giddiness?
  • Heat?
  • Cold?
  • Weakness?
  • Thirst?

NB Always remember to ask a conscious patient if he is on any medication.

 
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