EMT Curriculum

3.11.A.1

Situation: 36-year old, dispatched as Short of Breath

Stable Medical I

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – shortness of breath Resources: ALS

Primary Assessment:

General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 22 per minute, labored Circulation:

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

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds wheezy

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 102

104

102

Pelvis:

Unremarkable

BP:

118/72

122/78

118/72

Extremities:

Unremarkable

Resp:

22

22

22

SPO2: 97

96

96

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I get it once in a while

I’m having trouble breathing

P: Q: R:

N/A N/A N/A

A:

None

M:

Albuterol Inhaler, Discus Inhaler

P: L: E:

Asthma

S: T:

8 / 10

Cereal 2 hours ago

20 minutes

Running home to meet kids from school

OTHER: Patient has taken her inhaler 3 times already without relief.