EMT Lesson Plans

4.19

Situation: 72 year old, dispatched as confusion/disorientation

CVA II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

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

Flaccid – no tone

Primary Assessment:

General Impression: Patient is sitting in chair unconscious Mental Status: Unresponsive Airway: Patent Breathing: 10 per minute, unlabored Circulation:

Palpable pulse at wrist, warm/dry, 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: 74

72

72

Pelvis:

Unremarkable

BP:

180/90

188/88

180/90

Extremities:

Some tone on left No tone on right

Resp:

10

10

10

SPO2: 98

98

98

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: (BYSTANDER PROVIDED) S:

Has never had this before

He was feeling weak, so we put him to bed

P: Q: R:

N/A N/A N/A N/A

A:

None

M:

Coumadin, Coreg

P: L: E:

Atrial Fibrillation, hypertension Last night – steak and potatos

S: T:

Last seen well 8 hours ago

We came to wake him for breakfast and he wouldn’t wake up

OTHER: