Scenario 1: You Are the Emergency Medical Responder

1
Scenario 1 You Are the Emergency Medical
Responder
Lesson 41 Putting It All Together

• You are called to a local office building because
  a pregnant woman is thought to be in labor. The
  woman is 33 years old and is pregnant with her
  second child. When you arrive, the woman is
  sitting in a chair in the employee lounge with a
  co-worker nearby. She states that she has been
  having contractions off and on for the past 30
  minutes.

2
Scenario 2 You Are the Emergency Medical
Responder

• The mother of a 5-year-old girl calls 9-1-1
  because her daughter has been vomiting and having
  diarrhea for the past 24 hours. When you arrive
  on the scene, the mother states, She hasnt been
  able to keep anything down, including sips of
  water or juice, and now Im having trouble
  getting her to stay awake to try and drink.

3
Scenario 3 You Are the Emergency Medical
Responder

• You and a partner arrive at the home of a family
  who has called 9-1-1 because the elderly uncle
  has passed out while sitting at the dinner
  table. The niece states that he was eating dinner
  and then all of a sudden his head dropped down.
  We called to him but he wouldnt answer. I think
  he stopped breathing, but when we lifted his chin
  up he started to breathe but just barely The
  patient is a 92-year-old gentleman with severe
  arthritis of his neck, back and upper
  extremities. He wears a hearing aid in his right
  ear.

4
Putting It All Together

• Pregnancy three trimesters gt labor gt birth
• Newborn care
• Umbilical cord
• APGAR score
• Clearing of mouth and nasal passages
• Resuscitation if indicated
• Care of mother
• Delivery of placenta
• Continued physical and emotional support

5
Putting It All Together (contd)

• Pediatric patients
• Pediatric Assessment Triangle (appearance,
  breathing, skin circulation)
• Head-to-toe physical exam
• Geriatric patients
• Normal, age-related changes in physical and
  mental functioning
• Special needs patients
• Mental illness, intellectual disabilities or
  chronic illness