EMT Lesson Plans

4.19

Situation: 24-year-old, dispatched as Shortness of Breath

Allergy I

Scene Size-up:

Swelling, hives

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – Difficulty Breathing Resources: ALS

Primary Assessment:

General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 22 per minute - labored Circulation:

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

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

Swollen, hives

Chest :

Unremarkable Breath sounds wheezy

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 112

116

118

Pelvis:

Unremarkable

BP:

90/70

88/70

88/68

Extremities:

Unremarkable

Resp:

22

22

22

SPO2: 92

90

89

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve never a real reaction

Short of breath, dizzy

P: Q: R:

Nothing changes it

A:

Beestings

N/A N/A

M:

EPI-PEN

P: L: E:

None

S: T:

10/10

CheeseDog – 1 hour ago

15 minutes ago

Stung by a bee while jogging in park

OTHER: This patient left his EPI-PEN in his regular pants when he changed into his jogging pants