EMT Curriculum

4.06.E.1

Situation: 82-year-old, complaint of nausea/vomiting

GI Bleed I

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – nausea/vomiting Resources: ALS

Primary Assessment:

General Impression: Patient is sitting in chair – looks ill Mental Status: Alert Airway: Patent Breathing: 16 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

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 82

84

84

Pelvis:

Unremarkable

BP:

142/78

144/74

148/80

Extremities:

Unremarkable

Resp:

16

16

16

SPO2: 97

97

97

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

I’ve never had this before It does not get worse/better It feels like nausea – nothing else

My stomach has been bothering me, I’ve been Vomiting up coffee grounds

P: Q: R:

A:

None

N/A 8/10

M:

Coumadin

S: T:

P: L: E:

Atrial Fibrillation, mini-stroke 3 years ago

A little over a day

Tea and crackers last night

Been resting but I’m just getting worse

OTHER: