2019 EMT Refresher Instructor Manual

VF Arrest

Situation: 68 years old – lying on floor at home, getting bystander CPR from family

A.3.B

Scene Size-up: Safety:

Safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI Resources: ALS

Implanted Defibrillator

Primary Assessment: General Impression: Adult getting CPR from son Mental Status: Unresponsive Airway: Patent Breathing: Not breathing Circulation:

pulseless, warm/dry, no bleeding

Desired Response: Primary then resuscitation

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Unremarkable

Extremities:

Unremarkable 5 seconds

Posterior :

Unremarkable

Vitals: 1

2

OPQRST: O:

SAMPLE: S:

N/A N/A N/A N/A N/A N/A

Unresponsive

Pulse: 0

0

P: Q: R:

A:

None

M:

Aspirin, Plavix

BP:

0

0

P: L: E:

Bypass, pacemaker/defibrillator

Resp:

0

0

S: T:

Meatloaf 4 hours ago

Sleeping in bed with parents and was found unresponsive

SPO2: 0

0

OTHER: AED will be shockable