EMT Lesson Plans

8.10 EMS Operations Station: Nerve Agent Antidote Kit

Debrief: Review the SLUDGEM acronym for nerve agent signs and symptoms: S – salivation (drooling) L – Lacrimination (tearing) U - Urination D - Defecation E – Emesis (vomiting) M – Miosis (pinpoint pupils)

Discuss with Students at the end: Patient One: Primary Assessment

Physical Exam

Vitals

Desired Treat

Mental Status: Alert Airway: Patent Breathing: Labored @ 22 Circulation: Warm, dry, no bleeding

A few scrapes and scratches Breath Sounds Wheezy Soot around nose and mouth

HR:108 RR: 22 BP: 122/74 SPO2: 92

NRB Oxygen

THIS PATIENT PROBABLY BREATHED IN SMOKE AND IS WHEEZY FROM IT

Patient Two: Primary Assessment

Physical Exam

Vitals

Desired Treat

Mental Status: Pain Stim Only Airway: Secretions Breathing: Labored @ 38 Circulation: Pale, Dry, no bleeding

Pinpoint pupils, drooling, tearing HR:132 RR: 38

Suction OPA/NPA BVM NAAK

BP: 96/70 SPO2: 93

THIS PATIENT HAS MIOSIS, LACRIMINATION, AND SALIVATION

Patient Three: Primary Assessment

Physical Exam Seizing Pinpoint pupils

Vitals

Desired Treat

Mental Status: unresponsive seizing Airway: Patent Breathing: Labored @ 14 Circulation: Pale, dry, no bleeding

HR:112 RR: 14 BP: 122/74 SPO2: 88

Nasal Airway NRB Oxygen NAAK

THIS PATIENT HAS MIOSIS AND SERIOUS NEUROLOGICAL SIGNS (SEIZING)

Patient Four: Primary Assessment

Physical Exam

Vitals HR:136 RR: 42

Desired Treat

Mental Status: Unresponsive Airway: Patent Breathing: Shallow at 42 Circulation: Pale sweaty, weak radial pulse, bleeding severely from R arm THIS PATIENT IS SIMPLY INJURED Patient Five: Primary Assessment Mental Status: Eyes open but not responding Airway: Patent Breathing: 16, good chest rise Circulation: Pale, dry, no bleeding

Right Arm blown off at elbow Various scrapes and lacerations

OPA/NPA BVM Torniquette Shock management

BP: 94/70 SPO2: 90

Physical Exam

Vitals HR:104 RR: 18

Desired Treat

Pinpoint pupils Incontinent of urine Incontinent of feces Vomits during assessment

Suction Nasal Airway NRB Oxygen NAAK

BP: 98/70 SPO2: 94

THIS PATIENT HAS MIOSIS, URINATION, DEFECATION, and EMESIS

Patient Six: Primary Assessment

Physical Exam

Vitals

Desired Treat Bleeding control

Mental Status: Alert Airway: Patent Breathing: 16, good chest rise Circulation: Pale, dry, no bleeding

Laceration to forehead Complains of severe headache

HR:88 RR: 14 BP: 110/70 SPO2: 96

THIS PATIENT HAS AN INJURY AND A HEADACHE