2019 EMT Refresher Instructor Manual

Situation: 52-year-old dispatched as ejection from car

Head Injury

C.4.B 1

Depressed Skull

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: MOI - Ejection Resources: ALS

Primary Assessment: General Impression: Person on ground prone Mental Status: Pain only Airway: Blood, broken teeth Breathing: 48 per minute - shallow Circulation:

Crepitu s

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

Desired Response:

Primary then rapid scan on scene. Trauma strip and full body in truck

Rapid Scan:

Full Body Scan: Head:

Depressed fracture of skull, right pupil blown

Head:

Numerous lacerations and contusions

Neck:

Unremarkable

Neck:

Various contusions and abrasions Breath sounds clear

Chest :

Various contusions and abrasions

Chest :

Unremarkable

Abdomen:

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Pelvis has crepitus

Pelvis:

Pelvis has crepitus

Extremities:

Various abrasions

Extremities:

Various abrasions

Posterior :

Unremarkable

Posterior : Vitals: 1 Pulse: 62

Unremarkable

2

3

SAMPLE: S:

58

58

Not available Not available Not available Not available Not available Not available

A:

BP:

180/88

178/78

170/68

M:

P: L: E:

Resp:

48

44

48

SPO2: 68 Bagged: 93

70 93

66 94