2019 EMT Refresher Instructor Manual

VP Shunt

Situation: 10-years-old – lying on couch at home

B.1.C

Scene Size-up: Safety:

Safe

BSI:

Gloves

Lump under scalp – feels like a tube running down neck

Patients: 1 Mechanism/Nature: NOI Resources: ALS

Primary Assessment: General Impression: Child in bed Mental Status:

Awake but confused

Airway:

Patent

Breathing: Circulation:

14 per minute

Pulse bounding at wrist, warm/dry, no bleeding

Desired Response: Primary ,Vitals, focused secondary exam.

Full Body Scan: Head:

Feels like there is a tube under his scalp from roughly top of head down into neck. Hot and red.

Neck:

Unremarkable

Chest :

Unremarkable

Abdomen:

Unremarkable

Pelvis:

Unremarkable

Extremities:

Unremarkable

Posterior :

Unremarkable

SAMPLE (by family) S:

Vitals: 1

2

OPQRST: O:

Lethargic, nauseous, vomiting

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

Pulse: 108

112

A:

None

P: Q: R:

M:

Diamox

BP:

143/90

150/82

P: L: E:

Hydrocephalus, Ventro Peritoneal shunt

pop tart 7 hours ago

Resp:

22

22

S: T:

Wasn’t feeling well this AM – got nauseous around lunch time and vomited. Been lethargic now for 2 hours

2 hours

SPO2: 94

95

OTHER: Patient will have a seizure during transport.