EMT Lesson Plans

4.15

Situation: 78-year-old, dispatched as fever

SEPSIS I

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – Difficulty Breathing Resources: ALS

Primary Assessment: General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 20 per minute - labored Circulation:

Palpable pulse at wrist, hot and 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: 112

114

114

Pelvis:

Unremarkable

BP:

88/62

86/60

84/62

Extremities: Unremarkable

Resp:

22

22

22

Posterior :

Unremarkable

SPO2: 92

92

93

SAMPLE: S:

OPQRST: O:

I feel hot and tired

I have this occasionally

A:

None

P: Q: R:

Nothing changes it

M:

Chemotherapy and radiation

N/A N/A

P: L: E:

Leukemia

sandwich 5 hours ago was resting in bed

S: T:

I just feel very hot

5 hours ago

OTHER: