EMT Curriculum

4.12.A.2

Situation: 28-year-old, dispatched as seizure

AMS II

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

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 112

98

82

Pelvis:

Unremarkable Incontinent of urine

BP:

143/80

128/76

118/72

Extremities:

Unremarkable

Resp:

24

18

16

SPO2: 91

96

96

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: (bystander) S:

He has had them before, but not for years

He sat down, looked up & started having a fit

P: Q: R:

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

A:

None

M:

Dilantin Seizures

P: L: E:

S: T:

Ham sandwich 2 hours ago was working on his motorcycle

3 minutes per bystander

OTHER: SEIZURE WILL STOP AFTER 2 MINUTES