Other signs and symptoms you should note at this time are skin color, temperature and dampness. Wet, cool, gray skin is a sure sign of a problem. Changes in skin color are harder to detect in people of color. By evaluating the inside of their lips or eyelids you will be able to make an accurate assessment.

Keep in mind, the majority of patients you care for will be alert and need to know who you are and that you are there to help them. As your patient answers questions, you will obtain key pieces of information. The fact that they can speak confirms the presence of an open airway and that they are breathing. Ask about the patient's chief complaint; what is hurting or bothering them most. You may also want to ask questions about their past medical history; heart or lung trouble, diabetes, seizures, stroke. Also ask if they regularly take any kind of medication. Be sure to pass this information along to EMS when they arrive. The most important skill you can perform is to comfort and reassure your patient.