EMT Curriculum

3.12.C.2

Situation: 24-year-old, dispatches as behavioral emergency

Misc Medical II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – psych Resources: BLS

Cutting scars

Primary Assessment:

General Impression: Person in chair looking sad Mental Status: Alert Airway: Patent Breathing: 12 per minute, unlabored Circulation:

Palpable pulse at wrist, warm-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:

Unremarkable

Pulse: 72

72

74

Pelvis:

Unremarkable

BP:

116/70

112/78

118/80

Extremities:

Signs of cutting on arms

Resp:

12

12

12

SPO2: 98

98

98

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’m often depressed

I’m really depressed

P: Q: R:

N/A N/A N/A

A:

None Zoloft

M:

P: L: E:

Chronic depression

S: T:

it’s 10/10

Haven’t eaten in a couple of days Was in bed, staring at the ceiling and I

a few days ago

decided I don’t want to do this anymore

OTHER: This patient admits he has contemplated suicide and has a plan formulated