EMT Lesson Plans

3.14

Situa on: 23 year old, dispatched for industrial accident

Conscious Unstable II

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

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

Eviscera on with severe bleeding

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

Palpable pulse at wrist, pale sweaty, severe bleeding-belly

Desired Response:

Primary then rapid scan – trauma strip and full body scan in truck

Rapid Scan: Head:

Full Body Scan: Head:

Unremarkable Unremarkable

Unremarkable

Neck:

Neck:

Unremarkable

Chest :

Unremarkable

Chest :

Unremarkable Breath sounds clear

Abdomen:

Eviscerated bowel

Abdomen:

Eviscerated bowel

Pelvis:

Unremarkable

Pelvis:

Unremarkable

Extremi es: Unremarkable Posterior : Unremarkable

Extremi es: Unremarkable Posterior : Unremarkable

SAMPLE: S:

Vitals: 1

2

3

I have a huge cut to my belly

Pulse: 118

124

120

A: M:

Codeine

None None

BP:

100/80

96/62

82/60

P: L: E:

Resp:

22

24

24

Hot dog 30 minutes ago

Pane of glass slid of the truck, broke,

SPO2: 92

90

92

and sliced me right in the gut

OTHER: