2019 EMT Refresher Instructor Manual
VP Shunt
Situation: 10-years-old – lying on couch at home
B.1.C
Scene Size-up: Safety:
Safe
BSI:
Gloves
Lump under scalp – feels like a tube running down neck
Patients: 1 Mechanism/Nature: NOI Resources: ALS
Primary Assessment: General Impression: Child in bed Mental Status:
Awake but confused
Airway:
Patent
Breathing: Circulation:
14 per minute
Pulse bounding at wrist, warm/dry, no bleeding
Desired Response: Primary ,Vitals, focused secondary exam.
Full Body Scan: Head:
Feels like there is a tube under his scalp from roughly top of head down into neck. Hot and red.
Neck:
Unremarkable
Chest :
Unremarkable
Abdomen:
Unremarkable
Pelvis:
Unremarkable
Extremities:
Unremarkable
Posterior :
Unremarkable
SAMPLE (by family) S:
Vitals: 1
2
OPQRST: O:
Lethargic, nauseous, vomiting
N/A N/A N/A N/A N/A
Pulse: 108
112
A:
None
P: Q: R:
M:
Diamox
BP:
143/90
150/82
P: L: E:
Hydrocephalus, Ventro Peritoneal shunt
pop tart 7 hours ago
Resp:
22
22
S: T:
Wasn’t feeling well this AM – got nauseous around lunch time and vomited. Been lethargic now for 2 hours
2 hours
SPO2: 94
95
OTHER: Patient will have a seizure during transport.
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