2019 EMT Refresher Instructor Manual

Infant Arrest

Situation: 8 months old – slumped in high chair

A.4.C

Scene Size-up: Safety:

Safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: Bystanders say he looked anxious then he collapsed Resources: ALS

Primary Assessment: General Impression: Patient lying quietly in high chair Mental Status: Unresponsive Airway: Patent Breathing: Not breathing Circulation:

slow pulse of 38 per minute, cyanotic, 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

Looked agitated then went unconscious

Pulse: 38

118

P: Q: R:

A:

None None

M:

BP:

0

82/48

P: L: E:

None prior to this

Resp:

0

0

S: T:

Cheerios 30 minutes ago

Sitting in his chair

SPO2: 0

88

OTHER: AED will be non-shockable ; patient will recover after one shock and get his pulse back