EMT Curriculum

Equipment: - Cohort Bag - EMT-Level Manikin or Quality BLS Manikin

- Suction Unit

- Cohort Bag - AED Trainer

Setup: Set up the manikin on the floor. Have students walk in and treat the patient after reading them the patient’s age and circumstances. Make sure the students work the manikin with the equipment - do not allow the station to become a talk-through.

Does not provide a NRB mask P- I don’t know L– I don’t know E – He was rounding third base and he stopped and dropped 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 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) 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 Assess circulation No bleeding, pulseless, skin pale and dry Identifies patient priority High SAMPLE(bystander) Vitals BP: 0 S – Unconscious A – I don’t know M – I don’t know Pulse: 0 Respirations: 0

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 SAMPLE Vitals S – Unknown BP: 0 A – Unknown Pulse: 0 M – Unknown Respirations: 0 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 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) Fails to begin CPR/AED Fails to suction patient Debriefing Points:

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

Man unconscious in bed

Responsiveness/LOC Determines chief complaint Assess airway and breathing Assess circulation

Unresponsive Unresponsive

Patent Apneic

No bleeding, pulseless, skin pale and dry

Assess circulation

No bleeding, pulseless, skin pale and dry

Identifies patient priority

High

Identifies patient priority

High

SAMPLE(bystander) Vitals S – He just passed out BP: 0 A – I’m not sure Pulse: 0 M – I’m not sure

SAMPLE(bystander) Vitals S – He grabbed his chest and hit the floor BP: 0 A – shellfish Pulse: 0 M – EPI PEN

Respirations: 0

P- I don’t know L– I don’t know E – We did some cocaine and he just collapsed 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)

Respirations: 0

P- None L– pizza 2 hrs ago E – We were cleaning and he just collapsed 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 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)