EMT Curriculum

4.06.B.1

Situation: 28-year-old, dispatches as Shortness of Breath

Anaphylaxis I

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Hives

Patients: 1 Mechanism/Nature: NOI – Shortness of breath Resources: ALS

Itching

Primary Assessment:

General Impression: Patient tripoding in chair Mental Status: Alert Airway: Patent Breathing: 22 per minute Circulation:

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

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

Hives, itching

Chest :

Hives, itching Breath sounds wheezy

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 112

114

108

Pelvis:

Unremarkable

BP:

102/70

98/68

96/60

Extremities:

Unremarkable

Resp:

22

22

22

SPO2: 95

94

95

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’m short of breath once in a while

I can’t breathe…. itchy

P: Q: R:

N/A N/A N/A 9/10

A:

Peanuts

M:

Albuterol, EPI-PEN

P: L: E:

Asthma

S: T:

Egg Rolls, 20 minutes ago

About 15 minutes

Watching TV

OTHER: