EMT Lesson Plans

3.12 Pa ent Assessment Lab II Sta on: Stable Trauma 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 evaluate a pa ent’s orienta on and document his or her status correctly. (pp 262–264) 3. 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) 4. Demonstrate how to assess a radial pulse in a responsive pa ent and an unresponsive pa ent. (pp 270–272) 5. Demonstrate how to obtain a pulse rate in a pa ent. (pp 270–272) 6. Demonstrate how to perform a focused assessment of a pa ent. (pp 275–277, Skill Drill 8-1) 7. Demonstrate the use of a pulse oximetry device to evaluate the e ec veness of oxygena on in the pa ent. (pp 289– 290) 8. Demonstrate the use of electronic devices to assist in determining the pa ent’s blood pressure in the eld. (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 ausculta on. (pp 296–300, Skill Drill 8-3) 11. Demonstrate how to measure blood pressure by palpa on. (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 pa ent, the rest rescuers. The pa ent should sit and pretend to have lots of pain in the right shin. 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 case a er it is complete. Some points to discuss: - Did they give this pa ent oxygen? If so why? He probably does not need it. - Did they do a focused secondary assessment? This pa ent should motor and sensory func on checked on this extremity. - Did they get SAMPLE?