EMT Lesson Plans

4.06 Medical Lab I Station: GI Bleed Instructor Guidance

Objectives: 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 (pp 270–272) 5. Demonstrate history-taking using the SAMPLE mnemonic and the OPQRST mnemonic 6. Demonstrate how to measure blood pressure by ausculta on. (pp 296–300, Skill Drill 8-3) 7. Demonstrate how to measure blood pressure by palpa on. (p 300) 8. Demonstrate taking a heart rate on a pa ent 9. Demonstrate taking a breathing rate on a pa ent 10. Demonstrate how to obtain a pulse rate in a pa ent. (pp 270–272) 11. Demonstrate how to assess capillary re ll in an adult or child older than 6 years. (pp 273–274) 12. Demonstrate how to perform a focused assessment of a pa ent 13. Demonstrate the use of a pulse oximetry device to evaluate the e ec veness of oxygena on in the pa ent. (pp 289– 290) 14. Demonstrate the use of electronic devices to assist in determining the pa ent’s blood pressure in the eld. (pp 290– 291) 15. Demonstrate how to measure blood pressure by ausculta on. (pp 296–300, Skill Drill 8-3) 16. Demonstrate how to measure blood pressure by palpa on. (p 300) 17. Demonstrate how to solicit a medical history from a pa ent (pp 278) Setup: You will need your cohort bag and a stairchair 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 sit in a chair and look weak and lethargic. 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 full assessment including ABC’s? - Did they administer oxygen? - Did they focus in on the complaint by palpating the abdomen? - Ask them if it the bleed is from the surface of the GI tract or deep inside (Surface, because it is bright red)