EMT Curriculum

4.06.A.1

Situation: 28-year-old, dispatches as Abdominal Pain

Abdominal Pain I

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – Abdominal Pain Resources: ALS

Tender

Primary Assessment:

General Impression: Patient is in chair in some discomfort Mental Status: Alert Airway: Patent Breathing: 14 per minute 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 Tender – right upper quadrant

Vitals: 1

2

3

Abdomen:

Pulse: 70

72

74

BP:

118/72

114/74

112/80

Pelvis:

Unremarkable

Resp:

14

14

14

Extremities:

Unremarkable

SPO2: 96

97

96

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve never had this before Nothing changes the pain

Pain in my belly, GI distress with chalky stool

P: Q: R:

A:

None None None

N/A N/A 9/10

M:

P: L: E:

S: T:

Pulled Pork, 1 hour ago

Just under an hour

Started feeling sick after I ate

OTHER: