2019 EMT Refresher Instructor Manual

Traumatic Arrest

Situation: 39 years old – lying on ground outside building

A.3.C

Scene Size-up: Safety:

Safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: Bystanders state he fell out of a 3 rd floor window Resources: ALS

Left sided crepitus Absent breath sounds Diminished chest rise

Primary Assessment: General Impression: Patient crumpled on ground Mental Status: Unresponsive Airway: Patent Breathing:

Not breathing (patient will be hard to ventilate)

Circulation:

pulseless, pale/sweaty, no bleeding

Desired Response: Primary then resuscitation

Physical Exam: Head:

Unremarkable

Neck:

JVD, tracheal deviation

Chest : Crepitus to left chest, asymmetric chest rise that is diminished on left, absent breath sounds on left.

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 Unresponsive Unresponsive Unresponsive Unresponsive` Unresponsive

Pulse: 0

0

P: Q: R:

A:

M:

BP:

0

0

P: L: E:

Resp:

0

0

S: T:

SPO2: 0

0

OTHER: AED will be non shockable