EMT Lesson Plans

3.13

Situa on: 78 year old, dispatched as Shortness of Breath

Shortness of Breath II

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: NOI – Di culty Breathing Resources: ALS

Primary Assessment: General Impression: Person si ng in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 20 per minute - labored Circula on:

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

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds wheezy

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 96

92

94

Pelvis:

Unremarkable

BP:

122/70

124/78

128/78

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

20

20

22

SPO2: 86

84 86 ** This SPO2 will not go up with oxygen **

OPQRST: O:

SAMPLE: S:

I have this once in a while

Can’t catch my breath

P: Q: R: S: T:

Nothing changes it

A: M:

None

N/A N/A 6/10

Albuterol inhaler, Spiriva

P: L: E:

Emphysema

Soup 90 minutes ago Wai ng day me TV

2 hours

OTHER: