EMT Lesson Plans

4.19

Situation: 66 year old, dispatched as Chest Pains

Chest Pains II

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – chest pains Resources: ALS

Chest Pain

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, pale, sweaty, no severe bleeding

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 80

78

76

Pelvis:

Unremarkable

BP:

158/96

148/88

110/70

Extremities: Unremarkable Posterior : Unremarkable

Resp:

22

22

22

SPO2: 95

96

94

Pain:

8

4

0

OPQRST: O:

SAMPLE: S:

I’ve had this before Nothing changes it Crushing, Squeezing

My chest hurts a lot

P: Q: R: S: T:

A: M:

None

Nitroglycerin, aspirin, plavix Previous Heart attack 2 years ago

Center of chest

P: L: E:

8/10

Meatloaf 2 hours ago

1 hour ago

Sitting in traffic coming home

OTHER: Vitals 2 is after the 1 st nitro, vitals 3 is after the 2 nd nitro