EMT Lesson Plans

6.14

Situation: 33 years old, hand injury from using a table saw

Specific - Amputation

Scene Size-up: Safety:

Safe (workshop)

BSI:

Gloves

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

Primary Assessment: General Impression: man holding right hand – fair amount of blood Mental Status: Alert but anxious Airway: Patent Breathing: 22 per minute, unlabored Circulation:

Missing 3 fingers, severe bleeding of shredded palm

Rapid pulse at wrist, pale/sweaty, severe bleeding from Hand controllable with pressure (no torniquette)

Desired Response:

Primary then Rapid scan. Transport. Vitals, full body scan enroute.

Rapid Scan: Head:

Full Body Scan: Head:

Unremarkable

Unremarkable

Neck:

Neck:

Unremarkable

Unremarkable

Chest :

Chest :

Unremarkable

Unremarkable

Abdomen:

Abdomen:

Unremarkable

Unremarkable

Pelvis:

Pelvis:

Unremarkable

Unremarkable

Extremities: Right hand shredded and missing three fingers

Extremities: Right hand shredded and missing three fingers

Posterior :

Posterior :

Unremarkable

Unremarkable

Vitals: 1

2

3

OPQRST: O:

SAMPLE: S:

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

I think I really screwed up my hand

Pulse: 112

118

116

P: Q: R: S: T:

BP:

108/78

106/72

106/76

A: M:

Latex None None

Resp:

22

24

22

P: L: E:

cereal 2 hours ago working with table saw

SPO2: 95

96

95

OTHER: The patient will not depreciate if the bleeding is controlled.