EMT Lesson Plans

4.15

Situa on: 56 years old, dispatched as Shortness of Breath

Infec Disease I

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: NOI – Shortness of Breath Resources: ALS Primary Assessment: General Impression: Pa ent si ng in chair Mental Status: Alert Airway: Patent Breathing: 18 Slightly labored Circula on:

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

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Rhonchi Unremarkable

Vitals: 1

2

3

Abdomen:

Pulse: 108

106

108

Pelvis:

Unremarkable

BP:

106/62

104/78

108/60

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

18

18

18

SPO2: 92

92

93

OPQRST: O: to hospital P:

SAMPLE: S:

I’ve never had this – my doctor said to go

Having trouble breathing, feel feverish

A: M:

None

It does not change

Inteferon, AZT

Q: R: S: T:

N/A N/A N/A

P: L: E:

AIDS

Garden Salad, 2 hours ago

Reading a book

3 hours ago

OTHER: