EMT Curriculum

3.12.D.2 @

Situation: 82 year old, dispatched as Chest Pains

Chest Pains II

Scene Size-up:

Safety:

Scene is safe

Chest Pain

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – chest pains Resources: ALS

JVD

Primary Assessment:

General Impression: Person sitting in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 22 per minute, labored Circulation:

Palpable pulse at wrist, pale, sweaty, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam:

Edema

Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 88

86

92

Pelvis:

Unremarkable

BP:

104/70

102/78

110/72

Extremities:

Unremarkable

Resp:

22

22

22

SPO2: 93

93

94

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve had this before Nothing changes it Crushing, Squeezing

My chest hurts

P: Q: R:

A:

None

M:

Lasix, Potassium, Coreg CHF, hypertension Toast 2 hours ago Listening to the radio

Left Shoulder and left jaw

P: L: E:

S: T:

9/10

25 minutes

OTHER: