EMT Lesson Plans

6.14

Situation: 26-year-old lying outside after falling from 2 nd floor balcony

Fall with hip fracture

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: MOI – significant fall Resources: ALS

Primary Assessment:

Lower back pain

General Impression: Young man on ground in pain Mental Status: Alert and combative Airway: Patent Breathing: 18 per minute Circulation:

Unstable /crepitus

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:

Unremarkable

Head:

Small abrasion to back of head

Neck:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable

Chest :

Unremarkable Breath sounds clear

Abdomen:

Unremarkable

Pelvis:

Crepitus with ++ pain

Abdomen:

Unremarkable

Extremities:

Unremarkable

Pelvis:

Grossly unstable

Posterior :

Unremarkable

Extremities:

Some scuffs

Posterior :

Lower back pain Vitals: 1

2

3

OPQRST: O:

SAMPLE: S:

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

Pain to lower back/pelvis

Pulse: 120

122

124

P: Q: R:

BP:

118/76

104/78

102/70

A:

Penicillin

M:

None None

Resp:

18

18

18

S: T:

10/10

P: L: E:

N/A

8-10 beers

SPO2: 96

95

96

At a party, fell off balcony

OTHER: