EMT Lesson Plans

Situation: 82-year old, dispatched as Chest Pains

3.15

TEST MEDICAL II

Scene Size-up: Safety:

Scene is safe

Chest Pain

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – chest pains Resources: ALS

JVD

Primary Assessment: General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 22 per minute, labored Circulation:

Palpable pulse at wrist, pale, sweaty, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam: Head:

Edema

Unremarkable

Unremarkable

Neck:

Unremarkable Breath sounds clear

Chest :

Unremarkable

Abdomen:

Vitals: 1 Pulse: 88

2

3

86

92

Unremarkable

Pelvis:

BP:

104/70

102/78

110/72

Unremarkable

Extremities:

Resp:

22

22

22

Posterior :

Unremarkable

SPO2: 93

93

94

OPQRST: O:

SAMPLE: S:

I’ǀe had this ďefoƌe Nothing changes it Crushing, Squeezing

My chest hurts

P:

None

A:

Q: R:

Lasix, Potassium, Coreg CHF, hypertension Toast 2 hours ago Listening to the radio

M:

Left Shoulder and left jaw

P: L: E:

9/10

S: T:

25 minutes

OTHER: