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:
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