EMT Curriculum

4.12.C.1

Situation: 68-year-old, dispatched as chest pains

Chest Pains I

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Chest Pain

Patients: 1 Mechanism/Nature: NOI – Chest Pain Resources: ALS

Primary Assessment:

General Impression: Patient sitting in chair Mental Status: Alert Airway: Patent Breathing: 12, non-labored Circulation:

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

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 84

86

86

Pelvis:

Unremarkable

BP:

142/82

144/76

150/80

Extremities:

Unremarkable

Resp:

12

12

12

SPO2: 94

96

94

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: (bystander) S: My chest hurts A: None M:

I’ve never had this before

P: Q: R:

It does not change Crushing, squeezing

81mg aspirin daily, Crestor

Right shoulder

P: L: E:

High Cholesterol

S: T:

8/10

Burrito, 2 hours ago Reading a magazine

1 hour

OTHER: