EMT Lesson Plans

4.15

Situa on: 66-year old, dispatches as nose bleed

NTO/ENT II

Scene Size-up: Safety:

Moderate bleeding from nose

Scene is safe

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: NOI – nosebleed Resources: BLS Primary Assessment: General Impression: Pa ent si ng in bed Mental Status: Alert Airway: Patent Breathing: 16, non-labored Circula on:

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

Desired Response:

Primary then focused secondary

Physical Exam: Head:

moderate nose bleed

Neck:

Unremarkable

Chest :

Unremarkable Clear breath sounds

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 92

90

90

Pelvis:

Unremarkable

BP:

188/100

190/98

180/96

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

16

16

18

SPO2: 98

98

96

OPQRST: O:

SAMPLE: S:

This has never happened

Bleeding from nose

P: Q: R: S: T:

It does not change

A: M:

None

N/A NA N/A

Metoprolol – have not taken in a week

P: L: E:

High blood pressure

Ramen noodles – 3 hours ago

20 minutes ago

Was gardening and it just started bleeding out

of nowhere

OTHER: