2019 EMT Refresher Instructor Manual

SEIZURE

Situation: 28-year-old, dispatched as seizure

B.3.C

Scene Size-up: Safety:

Scene is safe

Bleeding slightly from mouth

BSI:

Gloves

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

Primary Assessment: General Impression: Patient on floor flailing Mental Status: Alert Airway:

Incontinent of urine

Patent – small amount of blood

Breathing: Circulation:

Hard to tell

Palpable pulse at wrist, warm/dry, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam: Head:

Unremarkable Bit tongue - bleeding

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vita ls: 1

2

3

Pulse: 112

98

82

Abdomen:

Unremarkable

BP:

143/80

128/76

118/72

Pelvis:

Unremarkable Incontinent of urine

Resp: 24

18

16

Extremities:

Unremarkable

SPO2: 91

96

96

Posterior :

Unremarkable

SAMPLE: (bystander) S:

OPQRST: O:

He sat down, looked up & started having a fit

He has had them before, but not for years

A:

None

P: Q: R:

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

M:

Dilantin Seizures

P: L: E:

Ham sandwich 2 hours ago was working on his motorcycle

S: T:

3 minutes per bystander

OTHER: SEIZURE WILL STOP AFTER 2 MINUTES