EMT Curriculum

4.06.A.2

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

Abd Pain II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

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

Primary Assessment:

General Impression: Patient is lying on right side with thighs drawn up to chest Mental Status: Alert Airway: Patent Breathing: 20 per minute, unlabored Circulation: Palpable pulse at wrist, hot/dry, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear Tender – right lower quadrant

Vitals: 1

2

3

Abdomen:

Pulse: 70

72

74

BP:

128/72

124/74

122/80

Pelvis:

Unremarkable

Resp:

20

20

20

Extremities:

Unremarkable

SPO2: 99

99

99

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve never had this before Nothing changes the pain

Pain in my lower belly, I feel feverish

P: Q: R:

A:

None None None

Piercing, tenderness It’s just in one spot

M:

P: L: E:

S: T:

10/10

I haven’t been able to eat in 24 hours This just came on in the last day – it’s extra bad now

Around 24 hours, but its much worse now

OTHER: