EMT Lesson Plans

3.12

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

Unstable Trauma I

Depressed Skull

Scene Size-up:

Blown pupil

Safety:

Scene is safe

BSI:

Gloves

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

Primary Assessment:

Crepitus

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

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: Neck:

Numerous lacerations and contusions

Head:

Depressed fracture of skull, right pupil blown

Unremarkable

Chest :

Various contusions and abrasions

Neck:

Various contusions and abrasions Breath sounds clear

Abdomen:

Unremarkable

Chest :

Unremarkable

Pelvis:

Pelvis has crepitus

Abdomen:

Unremarkable

Extremities:

Various abrasions

Pelvis:

Pelvis has crepitus

Posterior :

Unremarkable

Extremities:

Various abrasions

Posterior :

Unremarkable

Vitals: 1

2

3

SAMPLE: S:

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

Pulse: 62

58

58

A:

M:

BP:

180/88

178/78

170/68

P: L: E:

Resp:

48

44

48

SPO2: 68 Bagged: 93

70 93

66 94

OTHER: