EMT Lesson Plans

4.18

Situation: 52-years-old, dispatches as Shortness of Breath

Respiratory II

Scene Size-up: Safety:

Scene is safe, cops and family are on scene

BSI:

Gloves

Diminished breath sounds

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, 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 : Breath sounds diminished on right

Vitals: 1

2

3

Pulse: 102

102

100

Abdomen:

Unremarkable

BP:

128/70

122/78

128/72

Pelvis:

Unremarkable

Resp:

22

22

24

Extremities: Unremarkable Posterior : Unremarkable

SPO2: 87 86 ** This SPO2 will not increase despite oxygen admin ** 86

OPQRST: O:

SAMPLE: S:

I’ve never had this before

“I’m really short of breath”

P: Q: R: S: T:

N/A N/A N/A 7/10

A: M:

None None

P: L: E:

Varicose veins

Hamburger 4 hours ago

30 minutes ago

Just got off a 22 hour flight from Asia

OTHER: