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.
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