EMT Lesson Plans

3.13

Situa on: 23-year-old, dispatched as Shortness of Breath

Anaphylaxis I

Scene Size-up: Safety:

Swelling, hives

Scene is safe

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: NOI – Di culty Breathing Resources: ALS

Primary Assessment: General Impression: Person si ng in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 22 per minute - labored Circula on:

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

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Swollen, hives

Chest :

Unremarkable Breath sounds wheezy

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 112

116

118

Pelvis:

Unremarkable

BP:

110/70

108/70

98/68

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

22

22

22

SPO2: 92

90

89

OPQRST: O:

SAMPLE: S:

I’ve never had it this bad

Short of breath, lightheaded

P: Q: R: S: T:

Nothing changes it

A: M:

Bees ngs Benadryl

N/A N/A

P: L: E:

Seasonal allergies Burrito – 1 hour ago Stung in neck by wasp

10/10

20 minutes ago

OTHER: