EMT Lesson Plans

3.12

Situa on: 57-year-old, dispatched as Chest Pains

Stable Medical II

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Pai n

Pa ents: 1 Mechanism/Nature: NOI – chest pains Resources: ALS

Primary Assessment: General Impression: Person si ng in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 16 per minute, unlabored Circula on:

Rapid pulse at wrist, warm/dry, no severe bleeding

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

No JVD

Chest :

No change with palpa on Breath sounds clear

Vitals: 1

2

3

Pulse: 88

92

86

Abdomen:

Unremarkable

BP:

152/78

146/70

150/80

Pelvis:

Unremarkable

Resp:

16

16

16

Extremi es: No edema Posterior :

SPO2: 98

98

98

Unremarkable

OPQRST: O:

SAMPLE: S:

I haven’t had this in 2 years – feels the same

My chest hurts

P: Q: R: S: T:

None

A: M:

None

Squeezing, ghtness

Plavix, Aspirin

Le arm

P: L: E:

Heart a ack 2 years ago ham sandwich 1 hour ago Si ng here on my computer

7/ 10 1 hour

OTHER: