EMT Curriculum

3.11.D.2

Situation: 5-year-old, dispatches as drowning

Unconscious Breathing II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI - drowning Resources: ALS

Primary Assessment:

General Impression: Person on ground supine by pool Mental Status: Unresponsive Airway: Water in the airway - gurgling Breathing: 4 breaths per minute, shallow Circulation:

palpable pulse in wrist, very cold wet and pale, no bleeding

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable, cold to touch

Neck:

Unremarkable, cold to touch

Chest :

Unremarkable, cold to touch Breath sounds crackles

Vitals: 1

2

3

Pulse: 72

74

70

Abdomen:

Unremarkable, cold to touch

BP:

108/70

106/62

102/72

Pelvis:

Unremarkable, cold to touch

Resp:

4

4

0

Extremities:

Unremarkable, cold to touch

SPO2: 84

74

62

Posterior :

Unremarkable, cold to touch

OPQRST: O:

SAMPLE: (bystander) S:

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

He passed out and drowned I think

P: Q: R:

A:

Not available Not available Not available Not available

M:

P: L: E:

S: T:

15 minutes

Older kids were horsing around holding each other under water and he never came up

OTHER: