EMT Lesson Plans

Septic Shock

Situation: 84 years old in nursing home – called for altered mental status

5.07

Scene Size-up: Safety:

Safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI Resources: ALS

Primary Assessment: General Impression: Elderly person in bed Mental Status: Confused, cannot speak Airway: Patent Breathing: 22 per minute Circulation:

Rapid pulse at wrist, hot and dry, no bleeding

Desired Response: Primary,Vitals, focused exam.

Physical Exam: Head:

Skin is hot to touch

Neck:

Unremarkable

Chest :

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Unremarkable

Extremities:

Right arm and leg weak

Posterior :

Unremarkable

Vitals: 1

2

OPQRST: O:

SAMPLE: S:

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

She is confused and hot to touch

Pulse: 112

118

P: Q: R:

A:

None

M:

Aricept, coumadin, bactrim

BP:

82/62

78/60

P:

Alzheimers, Stroke with R sided weakness, Urinary Tract Infection

Resp:

22

24

S: T:

L: E:

Pancakes 3 hours ago

SPO2: 95

96

Playing bingo

OTHER: