2019 EMT Refresher Instructor Manual

B.3.A

Situation: 43-year-old, dispatches as altered mental status

Diabetic

Scene Size-up: Safety:

Scene is safe, cops are on scene

BSI:

Gloves

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

Primary Assessment: General Impression: Person carrying 7 shoes in his arms at the mall Mental Status: Alert Airway: Patent Breathing: 12 per minute Circulation:

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

Desired Response: Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

DIABETES medical alert

Chest :

Unremarkable Breath sounds clear

Vitals: 1 Pulse: 70

2

3

Abdomen:

Unremarkable

72

74

Pelvis:

Unremarkable

BP:

118/72

114/74

112/80

Extremities:

Unremarkable

Resp: 12

12

12

Posterior :

Unremarkable

SPO2: 96

97

96

OPQRST: O:

SAMPLE: (bystander provided when no quoted) S: Not enough feet A: Gilbert Godfried M: Insulin P: Can’t really remember L: An olive last night E: Lost my 5 other feet

Apparently I had 5 left feet and 2 right

P: Q: R:

I don’t know why my feet split

They were great feet They moved me all over Oh it’s severe all right

S: T:

I got all the time in the world

OTHER: