EMT Curriculum

4.12.A.1

Situation: 68-year-old, dispatched as confusion/disorientation

AMS I

Scene Size-up:

Facial Droop

Safety:

Scene is safe

BSI:

Gloves

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

Weakness

Primary Assessment:

General Impression: Patient is sitting in chair looking confused Mental Status: Alert Airway: Patent Breathing: 14 per minute, unlabored Circulation:

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

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable Pupil blown on left

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 62

64

64

Pelvis:

Unremarkable

BP:

188/100

184/106

180/98

Extremities:

Unremarkable Weak on right side

Resp:

14

14

14

SPO2: 94

94

94

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: (SPEECH IS SLURRED) S: I feel weak and dizzy A: None M: Coreg P: Hypertension L: Chicken soup 1 hour ago E:

I’ve never had this before It does not get worse/better

P: Q: R:

N/A N/A N/A

S: T:

30 minutes per bystander

I was sitting here reading the paper

OTHER: Cincinnatti Stroke Scale : SPEECH + . ARM DRIFT + / SMILE + - 3/3 affected areas