EMT Lesson Plans

Pediatric Drowning

Situation: 3 years old – lying in by pool

5.07

Scene Size-up: Safety:

Safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI Resources: ALS

Primary Assessment: General Impression: Child lying by pool, attended by frantic parents Mental Status: Unresponsive Airway: Patent Breathing: Not breathing Circulation: Weak pulse at radial, wet and cold, no bleeding

Desired Response: Primary ,Vitals, focused secondary exam.

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Unremarkable

Extremities:

Cap refill 5 seconds

Posterior :

Unremarkable

Vitals: 1

2

OPQRST: O:

SAMPLE: S:

Pulse: 64

132

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

Unresponsive

BP:

52/34

78/60

P: Q: R:

A:

Bee stings

M:

None

Resp:

0

0

P: L: E:

EPI PEN

S: T:

Eggs 9am

SPO2: 62 95 Second set is if they bag him promptly

Found at bottom of pool

OTHER: He was not stung by a bee. Make the patient go into cardiac arrest if they do not promptly ventilate the patient with 100% oxygen. You can also make the patient vomit if they seem to be doing a good job.