EMT Lesson Plans

6.14

Situation: 48-year-old – hurt when car lost control and smashed through front of coffee shop

Penetrating Object

Scene Size-up: Safety:

Lots of glass but scene is safe Gloves, maybe some rescue gear

Large piece of glass

BSI:

Patients: 1 Mechanism/Nature: MOI – glass laceration Resources:

Various minor lacerations

ALS is OK, but this patient will be BLS

Primary Assessment: General Impression: Woman sitting on ground holding face Mental Status: Alert but anxious Airway: Patent Breathing: 18 per minute, labored Circulation:

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

Desired Response: Primary then Rapid scan. This patient is stable but very anxious

Rapid Scan: Head:

Full Body Scan: Head:

Large piece of glass imbedded in right eye Various minor lacs

Various minor lacs

Neck:

Neck:

Various minor lacs

Chest :

Chest :

Various minor lacs

Various minor lacs

Abdomen:

Abdomen:

Unremarkable

Unremarkable

Pelvis:

Pelvis:

Unremarkable

Unremarkable

Extremities: Various minor lacs to arms, legs unremarkable

Extremities: Various minor lacs to arms, legs unremarkable

Posterior :

Posterior :

Unremarkable

Unremarkable

Vitals: 1

2

3

OPQRST: O:

SAMPLE: S:

N/A N/A N/A N/A N/A N/A

My eye!!!!

Pulse: 102

104

102

P: Q: R: S: T:

A: M:

None

BP:

118/72

122/78

118/72

Glucophage

P: L: E:

Diabetes

Resp:

18

18

18

Coffee and cake just now Car lost control and drove

SPO2: 97

98

97

through window

OTHER: