EMT Curriculum

3.12.B.2

Situation: 32-year-old, dispatched as allergic reaction

Anaphylaxis II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – Difficulty Breathing Resources: ALS

Primary Assessment:

Swollen hand

General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 12 per minute, unlabored Circulation:

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

Desired Response: Primary then secondary

Physical Exam:

Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 78

76

78

Pelvis:

Unremarkable

BP:

98/60

102/70

104/68

Extremities: and has hives.

hand is grossly swollen

Resp:

12

12

12

SPO2: 96

97

96

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve never had this bad a reaction

My hand is really red and swollen

P: Q: R:

Nothing changes it

A:

Latex None None

N/A N/A

M:

P: L: E:

S: T:

it’s 10/10 itchy!!!! 30 minutes ago

Chinese food – 2 hours ago

Put on some gloves to die my hair

OTHER: