EMT Lesson Plans

4.06

Situa on: 68-year-old, dispatched as weakness

GI Bleed II

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: NOI – weakness Resources: ALS

Primary Assessment: General Impression: Pa ent is slumped in chair Mental Status: Alert, but lethargic Airway: Patent Breathing: 22 per minute Circula on:

Palpable pulse at wrist, pale sweaty, no severe bleeding

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 112

118

120

Pelvis:

Unremarkable

BP:

90/70

82/64

78/60

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

22

22

22

SPO2: 95

94

93

OPQRST: O:

SAMPLE: S:

I’ve never had this before It does not get worse/be er

I’ve been passing blood in my stool for a

P: Q: R: S: T:

couple of days. I feel very weak right now. A: None M: Aspirin, Plavix P: Heart bypass 2 years ago L: Tuna Sandwich, 1 hour ago E: Was si ng on couch

I just feel weak

N/A 9/10

A li le over 2 days

OTHER: If they ask, blood is bright red.