EMT Lesson Plans

4.19

Situation: 38 year old, dispatched as Shortness of Breath

Allergy II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

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

Primary Assessment:

Swelling, hives

General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: Rapid 20 per minute - labored Circulation:

Palpable pulse at wrist, pale and sweaty, 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: 108

110

110

Pelvis:

Unremarkable

BP:

90/70

90/70

88/68

Extremities:

Unremarkable

Resp:

20

20

20

SPO2: 92

90

90

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve never a real reaction

Short of breath, dizzy

P: Q: R:

Nothing changes it

A:

Latex None None

N/A N/A 8/10

M:

P: L: E:

S: T:

Chicken Fingers / Fries – 1 hour ago Put on some gloves to clean my floor

45 minutes ago

OTHER: