EMT Lesson Plans

6.09 Trauma Skills I Station: MISC Dressing / Immobilization Station Instructor Guidance Objectives:

1. Demonstrate proper emergency medical care of a patient who has experienced a blunt abdominal injury. (p 979) 2. Demonstrate proper emergency medical care of a patient who has a penetrating abdominal injury with an impaled object. (pp 979–980) 3. Demonstrate how to apply a dressing to an abdominal evisceration wound. (pp 980–981) 4. Demonstrate the care of musculoskeletal injuries. (p 1018–1020, Skill Drill 29-2) 5. Demonstrate how to apply a rigid splint. (p 1021–1022, Skill Drill 29-3) 6. Demonstrate the emergency medical care of closed soft-tissue injuries. (p 817) 7. Demonstrate the emergency medical care of a patient with an open chest wound. (pp 817–819) 8. Demonstrate how to control bleeding from an open soft-tissue injury. (pp 817–819, Skill Drill 24-1) 9. Demonstrate the emergency medical care of a patient with an open abdominal wound. (p 819) 10. Demonstrate how to stabilize an impaled object. (pp 820–821, Skill Drill 24-2) 11. Demonstrate the stabilization of a foreign object that has been impaled in a patient’s eye. (pp 862–864, Skill Drill 25-2) 12. Demonstrate the care of a patient who has a penetrating eye injury. (pp 863–864) 13. Demonstrate how to control bleeding from a neck injury. (pp 874–875, Skill Drill 25-3) Setup: You will need your cohort bag. You will also need special dressings: - Occlusive Dressing - 4x4 Gauze - Roller Gauze - Multi-Trauma Dressings - Burn Sheet - Blanket (space or regular blanket) - Board Splints or SAM splints - Cravats - Roller Gauze - Allow the students after the 2 nd small splint to use available materials to improvise a splint Deployment: DO NOT LECTURE – your students should be working hands-on within 5 minutes of arriving Deploy your students in teams of 2 students. One will be the patient, the other the rescuer. Have them treat the following isolated injuries (they do not need to do patient assessment): - Penetrating injury to the chest from gunshot (seals with 3-sided occlusive dressing) - Evisceration of bowel from stab wound (dressed with moistened multi-trauma dressing) - Small burn 2”x2” to forearm from stovetop (pain is relieved with commercial WATERGEL dressing) - Large full and partial thickness burns to torso and arms (covered with burn sheet) - Impaled knife to belly from a fight (Immobilized with gauze. Should stand up by itself when immobilized) - Eye penetration from a fight (requires bandaging and covering of uninjured eye) - Open neck injury (occlusive dressing) - You can make up additional injuries if you exhaust the above, but keep students working until the end of the allotted time. Deploy your students in teams of 2 students. One will be the patient, the other the rescuer. Have them treat the following isolated injuries (they do not need to do patient assessment): - Wrist fracture from falling forward and bracing hands on ground - Badly twisted ankle with swelling and poor perfusion - Forearm fracture with good neurovascular status from falling off bicycle - Open fracture of the tib/fib with bleeding from getting hit by the forks of a forklift - Open fracture of the radius/ulna (requires board for forearm, plus sling/swath) - You can make up additional injuries if you exhaust the above, but keep students working until the end of the allotted time.