EMT Lesson Plans

3.14

Situa on: 19 year old, dispatched for ght

Conscious Unstable I

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: MOI – ght Resources: ALS

Bubbling wound

Primary Assessment: General Impression: Person in chair si ng back pan ng Mental Status: Alert Airway: Patent Breathing: 22 per minute – very labored Circula on:

Palpable pulse at wrist, pale sweaty, no severe bleeding

Desired Response:

Primary then rapid scan. Trauma Strip and full body scan in truck

Rapid Scan: Head:

Full Body Scan: Head:

Unremarkable

Unremarkable

Neck:

+ JVD Trachea midline

Neck:

+ JVD Trachea midline

Chest :

Bubbling wound Breath sounds absent on right side

Chest :

Bubbling wound Breath sounds absent on right side

Abdomen:

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Unremarkable

Pelvis:

Unremarkable

Extremi es: Unremarkable Posterior : Unremarkable

Extremi es: Unremarkable Posterior : Unremarkable

SAMPLE: S:

Vitals: 1

2

3

I got stabbed!

Pulse: 112

114

120

A: M:

None None None

BP:

98/80

88/60

76/58

P: L: E:

Chicken 2 hours ago

Resp:

22

24

30 (shallow)

Was in a ght – got stabbed in chest

SPO2: 92

88

84

OTHER: By the time the third set of vitals happens the patient will require BVM ventilation. Be sure to make the scenario last that long.