EMT Lesson Plans

4.18

Situation: 76 years old, dispatched as difficulty urinating

ABD GI GYN I

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – urinary trouble Resources: BLS

Primary Assessment:

General Impression: Patient sitting in chair Mental Status: Alert Airway: Patent Breathing: 22 Circulation:

Palpable pulse at wrist, hot/dry, 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

116

114

Pelvis:

Some pain to lower abdomen

BP:

96/62

94/74

98/62

Resp:

22

22

22

Extremities:

Unremarkable

SPO2: 92

92

93

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve never had this It does not change

Hurts when I pee. Feeling weak.

P: Q: R:

A:

None

Burning

M:

Aricept, synthroid

N/A 3/10

P: L: E:

Dementia, Hypothyroidism

S: T:

Soup, 3 hours ago

4 hours ago

Watching TV

OTHER: