EMT Lesson Plans

Situation: 33-year-old lying outside after being removed from a house fire

6.14

Trauma w/ Burns

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: MOI – explosion Resources: ALS

Burnt clothing that sticks to patient

Primary Assessment:

General Impression: Man on ground writhing in pain Mental Status: Alert and panicked Airway: Patent Breathing: 22 per minute, labored Circulation:

Swollen – 2 rings on finger

Thready radial, pale sweaty skin, no bleeding

Desired Response:

Primary then Rapid scan, transport, vitals / full body scan enroute

Rapid Scan:

Full Body Scan:

Head:

Singed facial hair, red burnt skin

Head:

Burns, singed hairs

Neck:

Unremarkable

Neck:

Unremarkable

Chest :

Burnt clothes

Chest :

Wheezing, Burnt Clothes that stick to body

Abdomen:

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Unremarkable

Pelvis:

Unremarkable

Extremities:

Burnt clothing

Extremities:

Burnt clothing; Swollen left hand has 2 rings on it

Posterior :

Unremarkable

Posterior :

Unremarkable

Vitals: 1

2

3

OPQRST:

SAMPLE:

Pulse: 118

122

124

O: P: Q: R:

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

S: A:

It hurts/burns!!!

None Coreg

BP:

104/78

94/64

92/58

M:

Resp:

22

22

24

P: L: E:

High Blood Pressure

S: T:

bagel 7am

SPO2: 92

91 93 (improve SPO2 if patient gets hi-flow O2)

Working on boiler

when it exploded

OTHER: