2019 EMT Refresher Instructor Manual

Situation: 3-year old, dispatches as Shortness of Breath

Anaphylaxis II

B.2.D

Raised welt Stinger in arm

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

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

Primary Assessment: General Impression: Patient held by mother Mental Status: Alert Airway: Patent Breathing: 30 per minute, labored Circulation:

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

Desired Response: Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds wheezy

Vitals: 1

2

3

Pulse: 128

130

132

Abdomen:

Unremarkable

BP:

82/60

78/60

76/60

Pelvis:

Unremarkable

Resp:

30

32

32

Extremities:

Unremarkable

SPO2: 93

93

92

Posterior :

Unremarkable

SAMPLE: (bystander provided) S: He can’t breathe A: Bee stings M: EPI-PEN P: None L: Cereal – 2 hours ago E:

OPQRST: O:

I’ve never seen him have this

P: Q: R:

N/A N/A N/A N/A

S: T:

In park playing and was stung by bee

About 15 minutes

OTHER: THIS PATIENT HAS NO EPI PEN WITH HIM - This patient has a stinger in his arm still.