EMT Lesson Plans

3.13

Situa on: 82-year-old, dispatched as Abd Pain

Abdominal Pain I

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: NOI – abdominal pain Resources: ALS

Abd Pain

Primary Assessment: General Impression: Person si ng in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 16 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:

Unremarkable

Chest :

Unremarkable Breath sounds clear So , tender, at

Vitals: 1

2

3

Abdomen:

Pulse: 90

88

86

Pelvis:

Unremarkable

BP:

112/72

108/78

110/82

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

16

16

16

SPO2: 96

96

97

OPQRST: O:

SAMPLE: S:

I’ve had this before Nothing changes it Twis ng / Squeezing

My belly hurts

P: Q: R: S: T:

A: M:

None

Atrial Fibrilla on

Le Shoulder and le jaw

P: L: E:

Coumadin

9/10

Bagel 1 hour ago Reading a book

25 minutes

OTHER: