EMT Curriculum

3.11.D.2 Patient Assessment Lab II Station: Unconscious Breathing II 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) 10. Demonstrate how to assess capillary refill in an infant or child younger than 6 years; explain variations that would be required when assessing a newborn. (pp 272–274)

Setup:

Cohort bag

• • • • •

Suction

Ambulance Cot

ET3 (or pulse oximeter)

pediatric manikin

Deployment:

DO NOT LECTURE – your students should be working hands-on within 5 minutes of arriving

Deploy your students in one team – the manikin should be the patient, the students rescuers walking in with their equipment. The manikin should be on it’s 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 suction right away?

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Did they insert an airway?

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Did they perform rescue breathing?

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- Did they treat hypothermia by drying him, covering him with a blanket, and perhaps using some hot packs?