EMT Lesson Plans

4.18

Situation: 23-years-old, dispatched as vag bleeding

ABD GI GYN II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – vag bleeding Resources: BLS

Primary Assessment:

General Impression: Patient sitting in chair Mental Status: Alert, seems very upset Airway: Patent Breathing: 18, non-labored Circulation:

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

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 104

106

104

Pelvis:

Bleeding from perineal area, some clots

BP:

102/62

106/74

110/62

Resp:

18

18

18

Extremities:

Unremarkable

SPO2: 96

95

95

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve never had this It does not change

I’m bleeding from my groin

P: Q: R:

A:

None

N/A N/A 3/10

M:

Prenatal vitamins Pregnant 6 weeks

P: L: E:

S: T:

Broccoli and cheese – 1 hour ago

30 minutes ago

At work writing a report

OTHER: