EMT Lesson Plans

Cardiac Arrest 1 Patient is a 48-year old collapsed at ball game Takes appropriate BSI Gloves Scene Size-Up Determines safety Safe MOI / NOI NOI – collapse Number of patients 1 Requests additional help ALS Stabilization of the spine No Primary Survey/Resuscitation General impression Man supine in ball field Responsiveness/LOC Unresponsive Determines chief complaint Unresponsive Assess airway and breathing Patent Apneic

Cardiac Arrest 2 Patient is a 18-year old collapsed on street after shooting Takes appropriate BSI Gloves Scene Size-Up Determines safety Safe MOI / NOI MOI – shot Number of patients 1 Requests additional help ALS Stabilization of the spine No Primary Survey/Resuscitation General impression Man collapsed on ground Responsiveness/LOC Unresponsive Determines chief complaint Unresponsive Assess airway and breathing Vomit in airway Apneic Assess circulation Severe bleeding to 2 holes in chst, pulseless, skin pale and sweaty Identifies patient priority High Vitals SAMPLE BP: 0 S – Unknown Pulse: 0 A – Unknown Respirations: 0 M – Unknown

Cardiac Arrest 3 Patient is a 64-year old collapsed at home Takes appropriate BSI Gloves Scene Size-Up Determines safety Safe MOI / NOI NOI – collapse Number of patients 1 Requests additional help ALS Stabilization of the spine No Primary Survey/Resuscitation General impression Man collapsed prone in living room Responsiveness/LOC Unresponsive Determines chief complaint Unresponsive Assess airway and breathing Patent Apneic

Cardiac Arrest 4 Patient is a 42-year old collapsed in bed Takes appropriate BSI Gloves Scene Size-Up Determines safety Safe MOI / NOI NOI – collapse Number of patients 1 Requests additional help ALS Stabilization of the spine No Primary Survey/Resuscitation General impression Responsiveness/LOC Unresponsive Determines chief complaint Unresponsive Assess airway and breathing Patent Apneic

Man unconscious in bed

Assess circulation

No bleeding, pulseless, skin pale and dry

Assess circulation

No bleeding, pulseless, skin pale and dry

Assess circulation

No bleeding, pulseless, skin pale and dry

Identifies patient priority

High

Identifies patient priority

High

Identifies patient priority

High

Vitals BP: 0

SAMPLE(bystander)

Vitals BP: 0

SAMPLE(bystander) S – He grabbed his chest and hit the floor M – EPI PEN P- None L– pizza 2 hrs ago E – We were cleaning and he just collapsed A – shellfish

Vitals BP: 0

SAMPLE(bystander) S – He just passed out

S – Unconscious A – I don’t know

Pulse: 0

Pulse: 0

Pulse: 0

A – I’m not sure

Respirations: 0

M – I don’t know P- I don’t know L– I don’t know E – He was rounding third base and he stopped and dropped

Respirations: 0

Respirations: 0

M – I’m not sure P- I don’t know L– I don’t know E – We did some cocaine and he just collapsed

P- Unknown L– Unknown E – Unknown

Critical Criteria Did not take safety or BSI precautions Fails to request ALS Did not fully assess airway Did not fully assess breathing Did not fully assess circulation, including pulse and skin

Does not provide a NRB mask Debriefing Points: Critical Criteria Did not take safety or BSI precautions Fails to request ALS Did not fully assess airway Did not fully assess breathing Did not fully assess circulation, including pulse and skin Fails to begin CPR/AED Is there a need for oxygen in this patient? Is there a need for an airway in this patient? (yes – unresponsive) Is there a need for CPR? (yes – pulseless) Is there a need for AED? (yes – pulseless)

Critical Criteria Did not take safety or BSI precautions Fails to request ALS Did not fully assess airway Did not fully assess breathing Did not fully assess circulation, including pulse and skin Fails to begin CPR/AED Is there a need for oxygen in this patient? Is there a need for an airway in this patient? (yes – unresponsive) Is there a need for CPR? (yes – pulseless) Is there a need for AED? (yes – pulseless) Debriefing Points:

Critical Criteria Did not take safety or BSI precautions Fails to request ALS Did not fully assess airway Did not fully assess breathing Did not fully assess circulation, including pulse and skin Fails to begin CPR/AED Fails to remove patient from bed Debriefing Points: Is there a need for oxygen in this patient? Is there a need for an airway in this patient? (yes – unresponsive) Is there a need for CPR? (yes – pulseless) Is there a need for AED? (yes – pulseless) Why must patient be removed from bed? (CPR not effective)

Fails to begin CPR/AED Fails to suction patient

Debriefing Points:

Is there a need for oxygen in this patient? Is there a need for an airway in this patient? (yes – unresponsive) Is there a need for CPR? (yes – pulseless) Is there a need for AED? (yes – pulseless; although value is dubious)