EMT Lesson Plans

3.13

Situation: 23-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 pains Resources:

ALS , should probably cancel them later

Primary Assessment:

General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 12 per minute, unlabored Circulation:

Strong 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: 82

80

80

Pelvis:

Unremarkable

BP:

118/72

122/78

118/72

Extremities:

Unremarkable

Resp:

12

12

12

SPO2: 97

96

96

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

Never had this before It hurts when I move

My chest hurts

P: Q: R:

A:

None None None

Stabbing

M:

None

P: L: E:

S: T:

8 / 10 when I move

Cereal 2 hours ago

20 minutes

At work digging a trench for a sewer

OTHER: