EMT Lesson Plans

Chapter 8: Patient Assessment

National EMS Education Standard Competencies

Assessment

Applies scene information and patient assessment findings (scene size-up, primary and secondary assessment, patient history, and

reassessment) to guide emergency management.

Secondary Assessment

 Performing a rapid full-body scan (pp 291 – 296)  Focused assessment of pain (pp 291, 296 – 304)  Assessment of vital signs (pp 289 – 291)  Techniques of physical examination:  Respiratory system (p 296)  Presence of breath sounds (p 266)  Cardiovascular system (pp 296 – 301)  Neurologic system (p 301)  Musculoskeletal system (pp 301 – 302)  All anatomic regions (pp 302 – 304)

Objectives:

1. Describes the process and indications for performing a full-body scan

2. Describes how to auscultate breath sounds on a patient 3. DesĐriďes how to edžaŵiŶe a patieŶt’s pupils, aŶd to perform a Cincinnati Stroke Scale

4. Describes how to assess a patient for reproduceable chest pain, JVD, and pedal edema

5. Describes how to assess pain on a self-reported 0-10 scale

6. Describe history-taking using the SAMPLE mneumonic

7. Describe history-taking using the OPQRST mneumonic

8. Describe the value of and common locations for medic alert jewelry

9. Describe how to palpate the abdomen and what organs might be affected in each area of examined

10. Describe the process and indication for local (focused) examinations of patients

11. List the steps the EMT should follow during the rapid scan of a trauma patient, including examples of abnormal signs and

appropriate related actions. (pp 275 – 277)

12. Explain the process for determining the priority of patient care and transport at an emergency scene, and give examples of

conditions that necessitate immediate transport. (pp 275, 277 – 278) 13. DisĐuss the iŵportaŶĐe of proteĐtiŶg a trauŵa patieŶt’s spiŶe aŶd ideŶtifLJiŶg fraĐtured edžtreŵities duriŶg patieŶt paĐkagiŶg for transport. (pp 277 – 278) 14. Describe the purpose of a full-body scan, and list the steps used during this process. (pp 291 – 295)