EMT Lesson Plans

3.12

Situa on: 32-year old dispatched as arm injury

Unstable Trauma II

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: MOI – Chainsaw injury Resources: ALS

Primary Assessment: General Impression: Man lying on ground holding arm in puddle of blood Mental Status: Alert but confused Airway: Patent Breathing: 24 per minute Circula on: Rapid thread pulse, pale/sweaty, severe L arm bleed

Severe Bleed Lacera on

Desired Response:

Primary then focused secondary – consider full body scan in truck

Rapid Scan: Head:

Full Body Scan: Head:

Unremarkable

Unremarkable

Neck:

Neck:

Unremarkable

Unremarkable

Chest :

Chest :

Unremarkable

Unremarkable Breath sounds clear

Abdomen:

Abdomen:

Unremarkable

Unremarkable

Pelvis:

Pelvis:

Unremarkable

Unremarkable

Extremi es: Large lacera on to le arm with bleeding Posterior : Unremarkable

Extremi es: Large lacera on to le arm with bleeding Posterior : Unremarkable

SAMPLE: S:

Vitals: 1

2

3

Arm is killing me - nauseous

A: M:

None None None

Pulse: 118

120

120

BP:

84/60

80/60

78/58

P: L: E:

Chicken 1 hour ago

Resp:

24

24

24

Cu ng up log in backyard and chainsaw got away from me

SPO2: 93

93

94

OTHER: