Skills Training SessionSeptember 2, 2014

Agenda

• Run Report STS– Shift Review (Fresno St. tailgate)– Grade the homework– Have you do one practice– Go over proper documentation– Write another run report at the end– Get out early wooo!!!

Practice Scenario #1:You are working at a campus tailgate when you are called to McCarthy quad. A 26 year old female is sitting in a chair in the shade clutching her face and crying. You introduce yourself and the woman, Rachel Williams, explains that a friend threw a beer at her and it hit her in the left eye. You begin your inspection of the c/c and notice that her eyes, though PERRL, are not looking in the same direction. You notice some bruising around her left orbital bones. She is allergic to Z-Packs, has eaten a hot dog in the last hour and did not drink EtOH. Has a history of smoking cigarettes. You provide necessary treatment and make a transport decision. Keep in mind that this is an eye injury. Vitals: BP 128/88, HR 92, Resp 16, Skin normal, Lungs normal, LOA A&Ox4.

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?

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!

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

Field Run Report Cheat SheetS: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:

Practice Scenario #2:

• 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.

Practice Scenario #2:• 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

Thank you!