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 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 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 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 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 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 burns) - 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. - Why is the SPO2 so high (CO poisoning is common in house fires)