EMT Lesson Plans

4.18

Situation: 32-year-old, dispatches as behavioral emergency

Behavioral II

Scene Size-up: Safety:

Scene is safe, cops and family are on scene

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – psych Resources: BLS

Primary Assessment: General Impression: Person sitting quietly in kitchen Mental Status: Alert Airway: Patent Breathing: 14 per minute 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: 78

72

70

Pelvis:

Unremarkable

BP:

112/70

114/78

112/80

Extremities: Unremarkable Posterior : Unremarkable

Resp:

12

12

12

SPO2: 98

97

98

OPQRST: O:

SAMPLE: (bystander provided when no quoted) S: “I’ve been thinking about killing myself” A: None M: Zoloft P: Severe depression L: ham sandwich 4 hours ago E:

“ Been feeling like this for a week”

P: Q: R: S: T:

N/A N/A N/A N/A

4 hours ago

“ I just can’t do it anymore – I don’t want to go to the hospital.”

OTHER: This patient wants to RMA but will eventually accept medical transportation to psych facility if EMTs press – she will refuse to go 3 time before relenting.