EMS & MedicalAKA: SAMPLE assessment, patient history, medical evaluation

SAMPLE Assessment

SAMPLE is a standardized EMS medical history mnemonic used to gather patient history: S = Signs/Symptoms, A = Allergies, M = Medications, P = Pertinent past history, L = Last oral intake, E = Events l…

Definition & Operational Usage of SAMPLE Assessment

What Is SAMPLE Assessment?

SAMPLE is a standardized EMS medical history mnemonic used to gather patient history: S = Signs/Symptoms, A = Allergies, M = Medications, P = Pertinent past history, L = Last oral intake, E = Events leading up to injury/illness.

⚠️ Operational Safety Warning:Do not delay transport of critical trauma or stroke patients to gather a complete SAMPLE history — obtain history en route.

Why SAMPLE Assessment Matters on the Fireground

SAMPLE provides a structured framework ensuring critical medical history is not forgotten during high-stress calls. Knowing a patient's last meal prevents aspiration during intubation, while medication history reveals hidden cardiac conditions.

Relevant NFPA Standards

  • NREMT Standards: National Registry of Emergency Medical Technicians Practice Standards
  • NFPA 455: Standard for Emergency Medical Services (EMS)

Field Procedures & Tactical Steps

  1. S: Ask patient to describe chief complaint signs and symptoms.
  2. A: Inquire about known allergies to medications, food, or latex.
  3. M: Review all prescribed, over-the-counter, and herbal medications.
  4. P: Ask about underlying medical conditions (diabetes, HTN, cardiac history, surgeries).
  5. L & E: Determine time/nature of last oral intake and specific events leading to emergency call.

Common Context & Application

Gathered during the secondary assessment on medical and trauma prehospital calls after primary life threats are addressed.

Frequently Asked Questions about SAMPLE Assessment

Why is 'Last oral intake' critical to know before emergency surgery?
Recent food or liquid intake increases gastric volume, raising the risk of severe aspiration pneumonitis if the patient requires emergency anesthesia or intubation.
How does SAMPLE complement the OPQRST assessment?
OPQRST explores the details of pain/symptoms, while SAMPLE gathers broader medical context (allergies, medications, past history).

Other Names for SAMPLE Assessment

SAMPLE assessmentpatient historymedical evaluation

SAMPLE Assessment may also appear in training materials, NFPA standards, or department SOPs as: SAMPLE assessment, patient history, medical evaluation.

Relevant Tools

Operational calculators related to SAMPLE Assessment:

Category:EMS & Medical — Patient care, assessment, interventions, triage, and EMS system terms commonly used by firefighter/medics.
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