EMT Lesson Plans

3.14 Pa ent Assessment Scenario Lab II Sta on: Conscious Unstable I Instructor Guidance Objec ves:

Demonstrate how to use the AVPU scale to test for pa ent responsiveness. (p 262) Demonstrate how to evaluate a pa ent’s orienta on and document his or her status correctly. (pp 262–264) 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) 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) Demonstrate how to assess a radial pulse in a responsive pa ent and an unresponsive pa ent. (pp 270–272) Demonstrate how to obtain a pulse rate in a pa ent. (pp 270–272) Demonstrate how to assess capillary re ll in an adult or child older than 6 years. (pp 273–274) Demonstrate how to perform a rapid scan of a pa ent. (pp 275–277, Skill Drill 8-1) Demonstrate the use of a pulse oximetry device to evaluate the e ec veness of oxygena on in the pa ent. (pp 289– 290) Demonstrate the use of electronic devices to assist in determining the pa ent’s blood pressure in the eld. (pp 290– 291) Demonstrate how to perform a full-body scan. (pp 291–295, Skill Drill 8-2) Demonstrate how to measure blood pressure by ausculta on. (pp 296–300, Skill Drill 8-3) Demonstrate how to measure blood pressure by palpa on. (p 300) Setup: You will need your cohort bag. 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 hold his right upper chest 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 provide oxygen? - Did they do a head-to-toe exam? - Did they nd the JVD? - Did they nd the absent breath sounds on the right? - See if they know what is going on (Tension Pneumothorax) but keep in mind they have not had the trauma lecture yet. - Did they bag him at the third reassessment when his breathing becomes 30 and shallow? .