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EMT Medical Assessment - Asthma Scenario

MEDICAL ASSESSMENT - BLS Care Asthma Scenario 1. Scene Safety/ BSI 2. Determine the nature of the illness 3. Determine the number of patients 4. Request additional resources if needed: ALS, police, fire, and/or utilities 5. What is my general impression? 6. Determine the level of consciousness: AVPU Alert, verbal, pain, unresponsive 7. Airway Open, the patient can open and close their mouth Patent, clear nothing blocking the airway Secure, patient able to maintain airway on own 8. Breathing: rate, rhythm, and quality – Listen to Lung Sounds If under 10 or over 30 strongly consider a BVM If between 10 and 30 use non-re-breather or nasal cannula Testing – Everyone gets high flow oxygen 9. Circulation: Pulse: Rate and Quality – Check a radial pulse Skin: Color, condition, and temperature 10. MAKE TRANSPORT DECISIONS! High priority patient, ALS needed. Transport to the closest appropriate facility – Emergency Department 11. Focused History and Physical Examination: OPQRST Onset: What were you doing when this started? Provokes/Palliates: Does anything make it better or worse? Quality: Can you describe the Chief Complaint? (Pain, Shortness of breath, etc.). Tearing pain, dull pain, ache pain, can’t get air in/out, etc. Radiate: Does the pain go anywhere? Do you have a cough? Do you have any pain or discomfort? Pain moves to another area (radiates to my back) Severity: On a scale of 1 -10, how bad is the chief complaint? 1-10 (pain is a 9 out of 10) Time: How long has this been going on? Has anything like this ever happened before? Every been hospitalized. Every been intubated (needed a breathing tube?) 12. SAMPLE Signs and Symptoms in addition to the OPQRST Allergies: Not asking about allergies is a critical fail Medications: Past medical history Last meal: Events leading to illness: 13. Focused Physical Examination Do a physical exam – listen to lung sounds, check the skin for rashes, look for bee stings, swelling, angioedema, palpate for abdominal pain, etc. 14. Base line vitals Pulse Respiratory rate Lung Sounds Blood Pressure Skin condition Pupils SPo2 Blood Glucose 15. Interventions: (High flow o2 should have been administered during the breathing assessment) Medication administration: Five Rights Right: Patient Right: Medication Right: Dose Right: Route Right: Time State if it is a standing order or you need to contact medical control 16. Administer Medication explaining any side effects 17. Reassess patient every 5 minutes 18. Transport patient to the nearest appropriate facility 19. Transfer care to an equal or higher-level healthcare professional #DieselTherapyAcademy #emseducation #emtstudent #ambulance #ems #paramediclife #nremt #emtschool #emtclass #medicschool #paramedical #nremtprep #emtstudents #medicstudents #futureemt #futureparamedic #emstraining #trauma #meducational #emergencymedicalservices #emslife #emergencymedicine #