EMT Lesson Plans

3.14 Patient Assessment Scenario Lab II Station: Stable Spine Instructor Guidance Objectives:

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. (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 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 focused exam for injury. (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, a longboard, and a stretcher 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 lie on his back and moan in pain. 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 do a head-to-toe exam? - Did they palpate the C-Spine (important!) - Did they do Pulse/Motor/Sensory in all extremities (important)

- Discuss the need to carefully handle this patient - Discuss unstable vs. seriously injured (not the same)