EMT Lesson Plans

3.14

Situation: 42-year-old, dispatched for pedestrian struck

Unconscious Unstable I

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: MOI – hit by car Resources: ALS

Distended, bruised, tender

Primary Assessment:

General Impression: Person lying on back Mental Status: Unresponsive Airway: Blood, vomitus Breathing:

42 per minute – very shallow

Circulation:

No pulse at wrist, weak pulse at neck, pale sweaty, no bleed

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

Full Body Scan:

Rapid Scan:

Head:

Unremarkable

Head:

Unremarkable

Neck:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Chest :

Unremarkable

Abdomen:

Distended, bruised, tender

Abdomen:

Distended, bruised, tender

Pelvis:

Crepitus

Pelvis:

Crepitus

Extremities:

Unremarkable

Extremities:

Unremarkable

Posterior :

Unremarkable

Posterior :

Unremarkable

SAMPLE: S:

Vitals: 1

2

3

N/A N/A N/A N/A N/A N/A

Pulse: 118

124

126

A:

M:

BP:

92/70

88/62

82/60

P: L: E:

Resp:

42

46

48

SPO2: 92

90

86

OTHER: