2019 EMT Refresher Instructor Manual

Opiate I

A.5.1

Situation: 23 years old dispatched as collapsed

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – unconscious Resources: ALS

Primary Assessment: General Impression: Person lying quietly on ground Mental Status: Responsive to pain only Airway: Snoring Breathing: 4 shallow breaths per minute Circulation:

Palpable pulse at wrist, pale cyanotic no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam: Head:

Pupils pinpoint

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Abdomen:

Unremarkable

Vitals: 1 Pulse: 62

2

3

78

76

Pelvis:

Unremarkable

BP:

104/80

148/88

144/70

Extremities:

Unremarkable

Resp:

4

22

22

Posterior :

Unremarkable

SPO2: 84

96

94

BEFORE NALOXONE

AFTER NALOXONE

SAMPLE: (will provide after Naloxone) S: Anxious A: None M: None P: History of heroin use L: Toast last night E: Using heroin and listening to music

OPQRST: O:

I’ve had this before

P: Q: R:

None None None None

S: T:

30 minutes ago