EMT Lesson Plans

4.15

Situa on: 72-years-old, complaint of pain to hip and fever

NTO/ENT I

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: NOI – pain Resources: BLS

Primary Assessment: General Impression: Pa ent si ng in bed Mental Status: Alert Airway: Patent Breathing: 20. Slightly labored. Circula on:

Surgical scar, hot, red, pus coming out

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

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Clear breath sounds

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 88

80

80

Pelvis:

Surgical scar L hip Hot, red, pus coming out

BP:

112/80

144/78

138/62

Resp:

22

20

18

Extremi es: Unremarkable Posterior : Unremarkable

SPO2: 84

88

88

OPQRST: O:

SAMPLE: S:

This has never happened

My hip hurts

P: Q: R: S: T:

It does not change

A: M:

None

N/A NA N/A

Percocet

P: L: E:

Discharged 2 days ago – hip replacement

Soup 3 hours ago

all day now

Reading my magazine. My doctor told me not to bend my hip >90 degrees and to keep my legs apart

OTHER: This patient has had instructions to not bend the hips more than 90 degrees and to keep a pillow between the legs to keep them apart.