EMT Lesson Plans

Situation: 7 years old – lying in bed – dispatched as sick

5.07

Hypovolemic Shock II

Scene Size-up: Safety:

Safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI Resources: ALS

Primary Assessment: General Impression: Child in bed not moving Mental Status: Lethargic, semi-conscious Airway:

Patent but depressed (will reject an oral airway)

Breathing: Circulation:

24 per minute

Rapid pulse at wrist, pale and sweaty, no bleeding

Desired Response: Primary ,Vitals, focused secondary exam.

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Unremarkable

Extremities:

Patient skin is tenting a little when pinched, cap refill 4 seconds

Posterior :

Unremarkable

Vitals: 1

2

OPQRST: O:

SAMPLE: S:

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

She very weak

Pulse: 138

132

P: Q: R:

A:

None None

M:

BP:

78/52

78/60

P: L: E:

Diarrhea / vomiting for 2 days

Resp:

26

24

S: T:

Nothing today

Has been like this ever since we came back

SPO2: 94

93

from Mexico

OTHER: