EMT Lesson Plans

4.06

Situa on: 82-year-old, complaint of nausea/vomi ng

GI Bleed I

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: NOI – nausea/vomi ng Resources: ALS

Primary Assessment: General Impression: Pa ent is si ng in chair – looks ill Mental Status: Alert Airway: Patent Breathing: 16 per minute Circula on:

Palpable pulse at wrist, warm/dry, no severe bleeding

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 82

84

84

Pelvis:

Unremarkable

BP:

142/78

144/74

148/80

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

16

16

16

SPO2: 97

97

97

OPQRST: O:

SAMPLE: S:

I’ve never had this before It does not get worse/be er It feels like nausea – nothing else

My stomach has been bothering me, I’ve been Vomi ng up co ee grounds

P: Q: R: S: T:

A: M:

None

N/A 8/10

Coumadin

P: L: E:

Atrial Fibrilla on, mini-stroke 3 years ago

A li le over a day

Tea and crackers last night

Been res ng but I’m just ge ng worse

OTHER: