EMT Curriculum

3.11.D.1 Patient Assessment Lab II Station: Unconscious Breathing I Instructor Guidance

Objectives:

1. Demonstrate how to use the AVPU scale to test for patient responsiveness. (p 262) 2. Demonstrate how to test pupil reaction in response to light in a patient and how to document his or her status correctly. (pp 264–265) 3. Demonstrate how to assist a patient with ventilations using the bag-mask device for one and two rescuers. (p 354) 4. Demonstrate the insertion of a nasal airway. (pp 341–342, Skill Drill 9-5) or 5. Demonstrate the insertion of an oral airway. (pp 339–340, Skill Drill 9-3) 6. 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) 7. Demonstrate how to assess a radial pulse in a responsive patient and an unresponsive patient. (pp 270–272) 8. Demonstrate how to assess a carotid pulse in an unresponsive patient. (pp 270–272) 9. Demonstrate how to perform a rapid scan of a patient. (pp 275–277, Skill Drill 8-1)

Setup:

Cohort Bag Suction Unit

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ET3

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Ambulance Cot

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EMT Full Body Manikin

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 lie on his back. 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 application of the device after it is complete. Some points to discuss:

- Did they insert an airway right away?

- Did they perform rescue breathing?

- Did they have an idea what the patient’s problem is (opiate overdose)

- Students that will not know what they are looking at might choose to perform head-to-toe trauma assessment since they might suspect injury. Discuss this in debriefing.