EMT Lesson Plans

3.12 Pa ent Assessment Lab II Sta on: Unconscious Arrest I Instructor Guidance Objec ves:

1. Demonstrate how to use the AVPU scale to test for pa ent responsiveness. (p 262) 2. Demonstrate how to test pupil reac on in response to light in a pa ent and how to document his or her status correctly. (pp 264–265) 3. Demonstrate how to assist a pa ent with ven la ons using the bag-mask device for one and two rescuers. (p 354)

4. Demonstrate the inser on of a nasal airway. (pp 341–342, Skill Drill 9-5) or 5. Demonstrate the inser on of an oral airway. (pp 339–340, Skill Drill 9-3)

6. Demonstrate the techniques for assessing a pa ent’s airway and correctly obtaining informa on related to respiratory rate, rhythm, quality/character of breathing, and depth of breathing. (pp 265–269) 7. Demonstrate how to assess a radial pulse in a responsive pa ent and an unresponsive pa ent. (pp 270–272)

8. Demonstrate how to assess a caro d pulse in an unresponsive pa ent. (pp 270–272) 9. Demonstrate how to perform a rapid scan of a pa ent. (pp 275–277, Skill Drill 8-1)

Setup: You will need your cohort bag, suc on, 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 pa ent, the rest rescuers. The pa ent should lie on his back. Have them transi on through the scenario on the back of this sheet like any other scenario from a scenario lab day. Debrie ng: Give students feedback on the applica on of the device a er it is complete. Some points to discuss: - Did they insert an airway right away? - Did they ven late this pa ent? - Did they do a head-to-to secondary assessment? It might be wise to do so since there is limited informa on. The pupils might not be found unless they do that. If they suspect stroke, it would be acceptable to do a focused neuro exam with pupils and pulse/motor/sensory. This is an interes ng scenario because students might have a good ra onale for pursuing either a medical exam or a trauma exam. - Since dispatch of “fall” is not a diagnosis, encourage the students to treat pa ents as medical unless they have some evidence of injury as the cause of the problem.