EMT Curriculum

3.11.F.2

Situation: 32-year old dispatched as arm injury

Unstable Trauma II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: MOI – Chainsaw injury Resources: ALS

Primary Assessment:

General Impression: Man lying on ground holding arm in puddle of blood Mental Status: Alert but confused Airway: Patent Breathing: 24 per minute Circulation: Rapid thread pulse, pale/sweaty, severe L arm bleed

Severe Bleed

Laceration

Desired Response:

Primary then focused secondary – consider full body scan in truck

Rapid Scan:

Full Body Scan:

Head:

Unremarkable

Head:

Unremarkable

Neck:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable

Chest :

Unremarkable Breath sounds clear

Abdomen:

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Unremarkable

Pelvis:

Unremarkable

Extremities:

Large laceration to left arm with bleeding

Extremities:

Large laceration to left arm with bleeding

Posterior :

Unremarkable

Posterior :

Unremarkable

SAMPLE: S:

Vitals: 1

2

3

Arm is killing me - nauseous

A:

None None None

Pulse: 118

120

120

M:

BP:

84/60

80/60

78/58

P: L: E:

Chicken 1 hour ago

Resp:

24

24

24

Cutting up log in backyard and chainsaw got away from me

SPO2: 93

93

94

OTHER: