EMT Lesson Plans

9.02

Situation: 75-year old, dispatched as Chest Pains

Final Medical 1

Scene Size-up: Safety:

Scene is safe

Chest Pain

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – chest pains Resources: ALS

JVD

Primary Assessment: General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 22 per minute, labored Circulation:

Palpable pulse at wrist, pale, sweaty, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam: Head:

Edema

Unremarkable

Neck:

Unremarkable

Chest : Unremarkable Breath sounds crackles at bases Abdomen: Unremarkable

Vitals: 1 Pulse: 78

2

3

80

78

Pelvis:

Unremarkable

BP:

148/96

118/88

98/72

Extremities:

Unremarkable

Resp:

22

22

22

Posterior :

Unremarkable

SPO2: 93

93

93

Pain:

7

5

3

OPQRST: O:

SAMPLE: S:

I’ve had this before sometimes

My chest hurts quite a bit

P: Q: R:

It’s the same

A:

None

Crushing, Squeezing

M:

Lasix, Potassium, nitro

Left Shoulder and left jaw

P: L: E:

CHF, angina

S: T:

7/10

Sandwich 2 hours ago

25 minutes

Reading a book

OTHER: Vitals 2 is after the 1 st nitro, vitals 3 is after the 2 nd nitro OTHER: This patient left his EPI-PEN at home by accident