EMT Curriculum

3.11.E.1 Patient Assessment Lab II Station: Unstable Medical Instructor Guidance

Objectives:

Demonstrate how to use the AVPU scale to test for patient responsiveness. (p 262) Demonstrate how to evaluate a patient’s orientation and document his or her status correctly. (pp 262–264) 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) Demonstrate how to assess a radial pulse in a responsive patient and an unresponsive patient. (pp 270–272) Demonstrate how to obtain a pulse rate in a patient. (pp 270–272) Demonstrate how to assess capillary refill in an adult or child older than 6 years. (pp 273–274) Demonstrate how to perform a rapid scan of a patient. (pp 275–277, Skill Drill 8-1) Demonstrate how to perform a focused exam of a patient Demonstrate the use of a pulse oximetry device to evaluate the effectiveness of oxygenation in the patient. (pp 289– 290) Demonstrate the use of electronic devices to assist in determining the patient’s blood pressure in the field. (pp 290– 291) Demonstrate how to measure blood pressure by auscultation. (pp 296–300, Skill Drill 8-3) Demonstrate how to measure blood pressure by palpation. (p 300) Setup: • Cohort Bag • Reeves

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 be confused. 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 provide oxygen? Discuss non-rebreather vs. nasal cannula in the stable patient. - Did they do a focused secondary assessment? This patient should have pupils examined and a quick motor/sensory exam of the extremities - Did they get both SAMPLE and OPQRST? - They have not learned a Cincinnatti stroke scale yet, so don’t hold them accountable for that..