EMT Curriculum

3.12.F.2

Situation: 78-year-old, dispatched as Shortness of Breath

Shortness of Breath II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – Difficulty Breathing Resources: ALS

Primary Assessment:

General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 20 per minute - labored Circulation:

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

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds wheezy

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 96

92

94

Pelvis:

Unremarkable

BP:

122/70

124/78

128/78

Extremities:

Unremarkable

Resp:

20

20

22

SPO2: 86

84 86 ** This SPO2 will not go up with oxygen **

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I have this once in a while

Can’t catch my breath

P: Q: R:

Nothing changes it

A:

None

N/A N/A 6/10

M:

Spiriva

P: L: E:

Emphysema

S: T:

Soup 90 minutes ago Waiting daytime TV

2 hours

OTHER: