EMT Lesson Plans

3.13

Situa on: 32-year-old, dispatched as allergic reac on

Anaphylaxis 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: 12 per minute, unlabored Circula on:

Swollen hand

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

Desired Response:

Primary then secondary

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 78

76

78

Pelvis:

Unremarkable

BP:

98/60

102/70

104/68

Extremi es: hand is grossly swollen and has hives.

Resp:

12

12

12

SPO2: 96

97

96

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve never had this bad a reac on

My hand is really red and swollen

P: Q: R: S: T:

Nothing changes it

A: M:

Latex None None

N/A N/A

P: L: E:

it’s 10/10 itchy!!!! 30 minutes ago

Chinese food – 2 hours ago Put on some gloves to die my hair

OTHER: