EMT Lesson Plans

6.14 Trauma Skills II Station: Penetrating Injury II 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 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 a responsive 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 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 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 the stabilization of a foreign object that has been impaled in a patient’s eye. (pp 862–864, Skill Drill 25- 2) Setup: You will need your cohort bag. 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. You will need to give the patient an object to hold in front of his/her eye. 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 provide oxygen? Discuss non-rebreather vs. nasal cannula in the stable patient. - Did they do a head-to-toe exam of the patient? Discuss the need to examine the whole body. - Did they bandage the object in place? Once done bandaging the object should be held in place without the patient holding it. - Did they cover the second eye? Discuss the risks in this case of sympathetic movement of the injured eye. .