1. Skills Training Session January 20, 2015

2. Agenda My contact info – emscfto@gmail.com emscfto@gmail.com – (561)306-7247 Probationary Semester Schedule How we run things Run report format Practice run report #1 Practice run report #2

4. Run Reports Neatness, clarity, completeness – The run report is NOT your first draft Take notes on separate piece of paper during call Transport decision Describing treatment Legal document Questions?

6. Get PT’s ID USC student  USC card Miscellaneous person  driver’s license/passport If person does not have ID: – ask for their info – If PT is altered, ask their friend – If PT is altered and no one is there to provide identification  DPS Get as much info as possible!

7. Key things to include in run reports Did PT hit head? Does PT have head/neck/back pain? – This goes in EVERY narrative you will write for EMSC Any important PT/witness statements - info about falls -Any movement of PT by you/PT/someone else -refusal of treatment

8. Field Run Report Cheat Sheet S: A: M: P: L: E: Transport Decision*: Treatment: Misc: Exact supplies used**: *if applies **For EMSC use only AVPU (circle one) Position found ______ Conscious/breathing +/- ID? A&Ox___ Head/Neck/Back Pain +/- C/C: O*: P: Q: R: S: T:

9. Practice Scenario #1: Scenario: You are dispatched to the university baseball field for an injured player. Upon arrival you are escorted to the dugout, where a player is sitting up, complaining of chest pain and shortness of breath. He was in the batter’s box when he was struck in the left side of the chest with a 90-mile-an-hour fastball.

10. Practice Scenario #1: General impression Young man sitting in the dugout in moderate to severe respiratory distress Level of consciousness Responsive and answers questions appropriately Chief complaint/life threat Left-side chest pain and shortness of breath Airway and breathing Open and patent Oxygen therapy 15 L/min via nonrebreathing mask Adequate ventilation Patient is breathing at a rate of 24 breaths/min; shallow Treatment Maintain airway Circulation No major bleeding seen Pulse Radial pulse rapid, strong, and equal Skin Warm, pink, and diaphoretic Baseline vital signs Blood pressure—95/60 mm Hg Pulse—122 beats/min Respirations—24 breaths/min; shallow SaO2—95% on room air PEARRL SAMPLE history S—Acute onset of left-sided chest pain and shortness of breath A—Penicillin M—None P—No pertinent previous medical history (PMH) L—Dinner 2 hours ago E—Struck in the left chest with baseball Head assessment No injuries noted Neck assessment No JVD or tracheal shift; no obvious injury Focused or rapid assessment Rapid assessment reveals possible rib fractures on the left side, with diminished lung sounds on the left Chest assessment Bruising and tenderness over the left ribs; breath sounds are diminished on the left side Abdomen and pelvis assessment No injuries noted Extremities assessment PMS present in all four extremities Posterior assessment No injuries noted Secondary wounds No injuries noted

11. Thank you!