EMT Curriculum

3.11.A.2

Situation: 57-year-old, dispatched as Chest Pains

Stable Medical II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Pain

Patients: 1 Mechanism/Nature: NOI – chest pains Resources: ALS

Primary Assessment:

General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 16 per minute, unlabored Circulation:

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

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

No JVD

Chest :

No change with palpation Breath sounds clear

Vitals: 1

2

3

Pulse: 88

92

86

Abdomen:

Unremarkable

BP:

152/78

146/70

150/80

Pelvis:

Unremarkable

Resp:

16

16

16

Extremities:

No edema

SPO2: 98

98

98

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I haven’t had this in 2 years – feels the same

My chest hurts

P: Q: R:

None

A:

None

Squeezing, tightness

M:

Plavix, Aspirin

Left arm

P: L: E:

Heart attack 2 years ago ham sandwich 1 hour ago Sitting here on my computer

S: T:

7/ 10

1 hour

OTHER: