EMT Lesson Plans

4.15

Situa on: 68-year-old, dispatched as confusion/disorienta on

AMS I

Scene Size-up: Safety:

Scene is safe

Facial Droop

BSI:

Gloves

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

Weakness

Primary Assessment: General Impression: Pa ent is si ng in chair looking confused Mental Status: Alert Airway: Patent Breathing: 14 per minute, unlabored Circula on:

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

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Unremarkable Pupil blown on le Unremarkable Unremarkable Breath sounds clear

Neck:

Chest :

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 62

64

64

Pelvis:

Unremarkable

BP:

188/100

184/106

180/98

Extremi es: Unremarkable

Resp:

14

14

14

Weak on right side

SPO2: 94

94

94

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: (SPEECH IS SLURRED) S: I feel weak and dizzy A: None M: Coreg P: Hypertension L: Chicken soup 1 hour ago E:

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

P: Q: R: S: T:

N/A N/A N/A

30 minutes per bystander

I was si ng here reading the paper

OTHER: Cincinnatti Stroke Scale : SPEECH + . ARM DRIFT + / SMILE + - 3/3 affected areas