2019 EMT Refresher Instructor Manual

Situation: 28-year-old, dispatches as Shortness of Breath

B.2.C

Anaphylaxis

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – Shortness of breath Resources: ALS

Hives Itching

Primary Assessment: General Impression: Patient tripoding in chair Mental Status: Alert Airway: Patent Breathing: 22 per minute Circulation:

Palpable pulse at wrist, pale/sweaty, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Hives, itching

Chest :

Hives, itching Breath sounds wheezy

Abdomen:

Unremarkable

Vitals: 1

2

3

Pulse: 112

114

108

Pelvis:

Unremarkable

BP:

102/70

98/68

96/60

Extremities:

Unremarkable

Resp:

22

22

22

Posterior :

Unremarkable

SPO2: 95

94

95

OPQRST: O:

SAMPLE: S:

I’m short of breath once in a while

I can’t breathe…. itchy

P: Q: R:

N/A N/A N/A 9/10

A:

Peanuts

M:

Albuterol, EPI-PEN

P: L: E:

Asthma

S: T:

Egg Rolls, 20 minutes ago

About 15 minutes

Watching TV

OTHER: