EMT Lesson Plans

3.14 Patient Assessment Scenario Lab II Station: Unconscious Unstable Instructor Guidance

Objectives:

Demonstrate how to use the AVPU scale to test for patient responsiveness. (p 262) Demonstrate how to evaluate a patient’s orientation and document his or her status correctly. (pp 262–264) Demonstrate how to assist a patient with ventilations using the bag-mask device for one and two rescuers. (p 354) Demonstrate the insertion of an oral airway. (pp 339–340, Skill Drill 9-3) Demonstrate the insertion of a nasal airway. (pp 341–342, Skill Drill 9-5) Demonstrate the techniques for assessing a patient’s airway and correctly obtaining information related to respiratory rate, rhythm, quality/character of breathing, and depth of breathing. (pp 265–269) Demonstrate how to assess a radial pulse in an unresponsive patient. (pp 270–272) Demonstrate how to obtain a pulse rate in a patient. (pp 270–272) Demonstrate how to assess capillary refill in an adult or child older than 6 years. (pp 273–274) Demonstrate the use of a pulse oximetry device to evaluate the effectiveness of oxygenation in the patient. (pp 289– 290) Demonstrate the use of electronic devices to assist in determining the patient’s blood pressure in the field. (pp 290– 291)

Demonstrate how to perform a rapid scan for injury. (pp 291–295, Skill Drill 8-2) Demonstrate how to perform a full body scan for injury. (pp 291–295, Skill Drill 8-2) Demonstrate how to measure blood pressure by auscultation. (pp 296–300, Skill Drill 8-3) Demonstrate how to measure blood pressure by palpation. (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 – a manikin should be patient, the rest rescuers. The patient should lie on his back. 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 suction the patient immediately?

- Did they insert an airway into this patient?

- Did they provide ventilate the patient?

- Did they do a head-to-toe exam?

- What was wrong with this patient (hypovolemic shock from shattered pelvis and internal bleeding)

- Don’t knit-pick the treatment too much as they have not had the trauma lecture.

- Did they trauma strip the patient? They really need to do that!

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