EMT Lesson Plans

4.18

Situation: 59 years old, dispatches as Shortness of Breath

Respiratory I

Scene Size-up: Safety:

Scene is safe, cops and family are on scene

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – SOB Resources: ALS

Primary Assessment: General Impression: Person sitting quietly in kitchen Mental Status: Alert Airway: Patent Breathing: 22 per minute, labored Circulation:

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

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

JVD noted

Chest :

Rales ½ way up

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 110

112

110

Pelvis:

Unremarkable

BP:

148/70

142/78

148/80

Extremities: Unremarkable Posterior : Unremarkable

Resp:

22

22

24

SPO2: 92

93

91

OPQRST: O:

SAMPLE: S:

Never been like this

“I can’t breathe!”

P: Q: R: S: T:

N/A N/A N/A 8/10

A: M:

None

Potassium Chloride, Torsimide

P: L: E:

CHF

Chinese food last night

1 hour ago

I was watching TV when I started feeling short

of breath

OTHER: