EMT Curriculum

3.11.B.2 Patient Assessment Lab II Station: Stable Trauma II Instructor Guidance

Objectives:

1. Demonstrate how to use the AVPU scale to test for patient responsiveness. (p 262) 2. Demonstrate how to evaluate a patient’s orientation and document his or her status correctly. (pp 262–264) 3. 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) 4. Demonstrate how to assess a radial pulse in a responsive patient and an unresponsive patient. (pp 270–272) 5. Demonstrate how to obtain a pulse rate in a patient. (pp 270–272) 6. Demonstrate how to perform a focused assessment of a patient. (pp 275–277, Skill Drill 8-1) 7. Demonstrate the use of a pulse oximetry device to evaluate the effectiveness of oxygenation in the patient. (pp 289– 290) 8. Demonstrate the use of electronic devices to assist in determining the patient’s blood pressure in the field. (pp 290– 291) 9. Demonstrate how to measure blood pressure by auscultation. (pp 296–300, Skill Drill 8-3) 10. Demonstrate how to measure blood pressure by palpation. (p 300)

Equipment:

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. The patient should sit and pretend to have bleeding of the left hand. 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 use oxygen on this patient? If so why? He probably does not need it.

- Did they do a focused secondary assessment? Should have motor and sensory function checked on that extremity

Did they get SAMPLE?

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