EMT Lesson Plans

4.18

Situation: 19-year-old, dispatched as headache

MISC MED II

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

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

Primary Assessment: General Impression: Female lying in dark bedroom with covers over head Mental Status: Alert Airway: Patent Breathing: 12 per minute - non-labored Circulation: Warm, Dry, pulse palpable at wrist, no bleeding

Desired Response:

Primary then focused secondary

Physical Exam: Head: Pupils PEARL but very painful to shine light (photophobic) Neck: Unremarkable Chest : Unremarkable Clear breath sounds Abdomen: Unremarkable Pelvis: Unremarkable Extremities: Unremarkable Posterior : Unremarkable

Vitals: 1

2

3

Pulse: 78

80

78

BP:

102/78

100/70

104/80

Resp:

16

16

16

SPO2: 97

98

97

OPQRST: O:

SAMPLE: S:

I’ve had this twice before

Crippling headache, nausea

P: Q: R: S: T:

Worse with light Dull and throbbing

A: M:

None None None

Mostly head

P: L: E:

10/10

Haven’t been able to eat for a day Woke up like this yesterday

About a day now

OTHER: