EMT Lesson Plans

6.14

Situation: 29 years old, abdominal injury from chainsaw

Specific- Evisceration

Scene Size-up: Safety:

Safe (workshop)

BSI:

Gloves

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

Intestine protruding from major abdominal injury – light bleeding

Primary Assessment: General Impression: Man holding belly – fair amount of blood Mental Status: Alert but anxious Airway: Patent Breathing: 20 per minute, slightly labored Circulation:

Rapid pulse at wrist, pale/sweaty, light bleeding from abdomen

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:

Intestine protruding

Intestine protruding

Pelvis:

Pelvis:

Unremarkable

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 belly is bleeding!

Pulse: 122

124

118

P: Q: R: S: T:

A: M:

None None None

BP:

98/70

96/76

100/78

P: L: E:

Resp:

22

20

22

sandwich 2 hours ago

Cut a branch with chainsaw and

SPO2: 96

96

96

the saw came down on my belly

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