EMT Lesson Plans

6.14

Situation: 61 year old – fell from horse

Fall with spinal injury

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Primary Assessment: General Impression: Woman supine on grass Mental Status: Alert Airway: Patent Breathing: Rapid 14 per minute Circulation: 1 Mechanism/Nature: MOI – significant fall Resources: ALS Patients:

STEPOFF

Incontinent of urine and stool

Pulse palpable, normal rate, skin warm/dry, no bleed

Desired Response:

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

Rapid Scan: Head:

Full Body Scan: Head:

Unremarkable

Unremarkable

Neck:

Neck:

Palpable step-off in Neck around C7

Unremarkable

Chest :

Unremarkable

Chest :

Unremarkable

Abdomen:

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Incontinent of urine

Pelvis:

Incontinent of urine

Extremities: No Motor and Sensory function in any extremity Posterior : Incontinent of stool

Extremities: No Motor and Sensory function in any extremity Posterior : Incontinent of stool

Vitals: 1

2

3

OPQRST: O:

SAMPLE: S:

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

Can’t move!

Pulse: 62

64

62

P: Q: R: S: T:

A: M:

None

BP:

88/64

84/60

86/62

Synthroid

P: L: E:

Hypothyroidism

Resp:

18

18

18

sandwich + tea – 2 hours ago Horse got spooked and tossed me

SPO2: 97

97

97

OTHER: She cannot feel anything below the neck. No Motor and Sensory function in any extremity