EMT Lesson Plans

6.14

Situation: 60-year-old, alert in driver’s seat

DOUBLE- Interior II

Scene Size-up: Safety:

Safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: MOI – serious MVA Resources:

Pain to neck

ALS is OK, this patient will be BLS

Primary Assessment: General Impression: Woman sitting in car, restrained. Airbag deployed. Mental Status: Alert Airway: Patent Breathing: 18 , visible chest rises Circulation: Pulse palpable at wrist, Warm, dry skin, no bleeding

Desired Response:

Primary then Rapid scan. Vitals. Extrication. Full Body Scan and vitals enroute

Rapid Scan: Head:

Full Body Scan: Head:

Unremarkable

Unremarkable

Neck:

Neck:

Serious neck pain on Palpation/movement

Serious neck pain on Palpation/movement

Chest :

Unremarkable

Chest :

Unremarkable

Abdomen:

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Unremarkable

Pelvis:

Unremarkable

Extremities: Unremarkable Posterior : Unremarkable

Extremities: Unremarkable Posterior : Unremarkable

Vitals: 1

2

3

OPQRST: O:

SAMPLE: S:

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

My neck really hurts

Pulse: 84

86

86

P: Q: R: S: T:

A: M:

None

BP:

142/76

148/80

138/72

Pepcid, aspirin 81mg

P: L: E:

GERD

Resp:

18

20

18

Cereal 2 hours ago

had a car crash – no LOC.

SPO2: 99

99

98

Restrained.

OTHER: 2’ intrusion in front of car. No window spidering. Patient was restrained, airbag deployed.