EMT Lesson Plans

Situation: 26-year old, dispatched as Shortness of Breath

9.02

FINAL MEDICAL 2

Scene Size-up: Safety:

Scene is safe

Swelling, hives

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – Difficulty Breathing Resources: ALS

Primary Assessment: General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 20 per minute - labored Circulation:

Palpable pulse at wrist, warm and dry, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Swollen, hives

Chest :

Unremarkable Breath sounds wheezy

Abdomen:

Unremarkable

Vitals: 1

2

3

Pulse: 112

116

118

Pelvis:

Unremarkable

BP:

90/70

88/70

88/68

Extremities:

Unremarkable

Resp:

22

22

22

Posterior :

Unremarkable

SPO2: 92

90

89

OPQRST: O:

SAMPLE: S:

I’ve never a serious reaction

Short of breath, light-headed

P: Q: R:

Nothing changes it

A:

Beestings

N/A N/A 9/10

M:

EPI-PEN

P: L: E:

None

S: T:

Salad – 1 hour ago

20 minutes ago

Stung by a bee while playing frisbee