EMT Lesson Plans

4.15

Situa on: 54-years-old, dispatched as di culty breathing

Infec Disease II

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 – covered in blanket Mental Status: Alert Airway: Patent Breathing: 20 – labored – coughing up blood nged sputum 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 Breath sounds rhonchi

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 102

106

104

Pelvis:

Unremarkable

BP:

144/90

142/94

138/92

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

20

20

20

SPO2: 90

92

90

OPQRST: O:

SAMPLE: S:

I’ve never had this It does not change

Having trouble breathing – coughing up blood

P: Q: R: S: T:

A: M:

None

N/A N/A 8/10

Rifampin

P: L: E:

Tuberculosis

Fish sandwich – 1 hour ago

Been ge ng bad last 2 days

Watching TV

OTHER: