EMT Curriculum

3.12.A.1

Situation: 82-year-old, dispatched as Abd Pain

Abdominal Pain I

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – abdominal pain Resources: ALS

Abd Pain

Primary Assessment:

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

Palpable pulse at wrist, warm and dry, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Soft, tender, flat

Pulse: 90

88

86

Pelvis:

Unremarkable

BP:

112/72

108/78

110/82

Extremities:

Unremarkable

Resp:

16

16

16

SPO2: 96

96

97

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve had this before Nothing changes it Twisting / Squeezing

My belly hurts

P: Q: R:

A:

None

M:

Atrial Fibrillation

Left Shoulder and left jaw

P: L: E:

Coumadin

S: T:

9/10

Bagel 1 hour ago Reading a book

25 minutes

OTHER: