EMT Lesson Plans

3.12 Pa ent Assessment Lab II Sta on: Unconscious Arrest II 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, ET3 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. *** This pa ent will begin moving slightly and have a pulse a er the 2 nd shock during the CPR period. Debrie ng: Give students feedback on the applica on of the device a er it is complete. Some points to discuss: - Did they con rm the arrest before they began CPR (bystander assessments should be double-checked before EMTs begin procedures) - Did they insert an airway right away? - Did they do 2 rescuer CPR? - Did they use an AED right away? - Did they recognize Return Of Spontaneous Circula on? - Did they con nue bagging a er pulse returned? This pa ent is in Respiratory Arrest.

NOTE: These students have not had EMT-level instruc on on resuscita on yet. They are working o whatever they remember from CPR class. Have realis c expecta ons of their CPR skills and don’t turn the sta on into extensive resuscita on training. Correct blatant errors but try to focus on assessment.