EMT Lesson Plans

4.06

Situa on: 28-year-old, dispatches as Shortness of Breath

Anaphylaxis I

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Hives Itching

Pa ents: 1 Mechanism/Nature: NOI – Shortness of breath Resources: ALS Primary Assessment: General Impression: Pa ent tripoding in chair Mental Status: Alert Airway: Patent Breathing: 22 per minute Circula on:

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

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Hives, itching

Chest :

Hives, itching Breath sounds wheezy

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 112

114

108

Pelvis:

Unremarkable

BP:

102/70

98/68

96/60

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

22

22

22

SPO2: 95

94

95

OPQRST: O:

SAMPLE: S:

I’m short of breath once in a while

I can’t breathe…. itchy

P: Q: R: S: T:

N/A N/A N/A 9/10

A: M:

Peanuts

Albuterol, EPI-PEN

P: L: E:

Asthma

Egg Rolls, 20 minutes ago

About 15 minutes

Watching TV

OTHER: