2019 EMT Refresher Instructor Manual

Kyphosis

Situation: 84-year-old – lying on his side at home

B.1.B

Scene Size-up: Safety:

Blown left pupil

Safe

BSI:

Gloves

Kyphosis

Patients: 1 Mechanism/Nature: NOI Resources: ALS

Primary Assessment: General Impression: Elderly person collapsed on floor Mental Status: Responsive to pain Airway: Airway is patent Breathing: Apneic Circulation:

Rapid pulse at wrist, pale and dry, no bleeding

Desired Response: Primary, vitals, focused secondary exam.

Full Body Scan: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Unremarkable

Extremities:

Unremarkable

Posterior :

Noteworthy spinal kyphosis on back

SAMPLE (by family) S: He collapsed A: None M:

Vitals: 1

2

OPQRST: O:

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

Pulse: 88

90

P: Q: R:

Cozar, Lopressor, Plavix, aspirin Hypertension, MI - 7 years ago

BP:

192/90

188/70

P: L: E:

Meatloaf 2 hours ago

Resp:

0

0

S: T:

He was walking from the kitchen when he

SPO2: 88

86

passed out.

(increase spo2 if bagged)

OTHER: Once they figure out how to manage the airway with kyphosis, lead them through a discussion on how to backboard this patient if they had to. If a real backboard is available use that.