EMT Lesson Plans

3.12 Patient Assessment Lab II Station: Stable Trauma I Instructor Guidance

Objectives:

1. Demonstrate how to use the AVPU scale to test for patient responsiveness. (p 262) 2. Demonstrate how to evaluate a patient’s orientation and document his or her status correctly. (pp 262–264) 3. Demonstrate the techniques for assessing a patient’s airway and correctly obtaining information related to respiratory rate, rhythm, quality/character of breathing, and depth of breathing. (pp 265–269) 4. Demonstrate how to assess a radial pulse in a responsive patient and an unresponsive patient. (pp 270–272) 5. Demonstrate how to obtain a pulse rate in a patient. (pp 270–272) 6. Demonstrate how to perform a focused assessment of a patient. (pp 275–277, Skill Drill 8-1) 7. Demonstrate the use of a pulse oximetry device to evaluate the effectiveness of oxygenation in the patient. (pp 289– 290) 8. Demonstrate the use of electronic devices to assist in determining the patient’s blood pressure in the field. (pp 290– 291) 9. Demonstrate how to perform a full-body scan. (pp 291–295, Skill Drill 8-2) (possibly if they elect to second-guess his hx) 10. Demonstrate how to measure blood pressure by auscultation. (pp 296–300, Skill Drill 8-3) 11. Demonstrate how to measure blood pressure by palpation. (p 300) Setup:

You will need your cohort bag and a REEVES.

Deployment:

DO NOT LECTURE – your students should be working hands-on within 5 minutes of arriving

Deploy your students in one team – one student should be patient, the rest rescuers. The patient should sit and pretend to have lots of pain in the right shin. Have them transition through the scenario on the back of this sheet like any other scenario from a scenario lab day.

Debriefing:

Give students feedback on the case after it is complete. Some points to discuss:

- Did they give this patient oxygen? If so why? He probably does not need it.

- Did they do a focused secondary assessment? This patient should motor and sensory function checked on this extremity.

- The value of a head-to-toe exam. Although this injury is primarily in one area and might be well suited to focused assessment, a head-to-toe exam (full body scan) might be appropriate given the mechanism.

Did they get SAMPLE?

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