EMT Lesson Plans

6.14

Situation: 18-year-old – stabbed in a gang fight

Penetrating Object

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

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

Primary Assessment: General Impression: Young man sitting on ground Mental Status: Alert Airway: Patent Breathing: 18 per minute, labored Circulation:

Large knife – imbedded 6 inches

Pulse rapid rate, pale/sweaty skin, no major bleeding

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:

Large knife imbedded In middle lower quadrants with light bleeding.

Rigid, tender

Pelvis:

Some blood coming from Urinary meatus

Pelvis:

Unremarkable

Extremities: Unremarkable Posterior : Unremarkable

Extremities: Some defensive scuffs Posterior : Unremarkable

Vitals: 1

2

3

OPQRST: O:

SAMPLE: S:

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

My belly hurts!

Pulse: 98

104

112

P: Q: R: S: T:

A: M:

None None None

BP:

118/72

104/80

96/88

P: L: E:

Resp:

18

24

32, shallow

Pizza 3 hours ago

Big fight outside the club and

SPO2: 97

94 92 lethargic unresponsive

some guy stabbed me and ran

OTHER: