EMT Curriculum

Equipment:

- Cohort Bag - Cohort Bag

Setup: Have a students hit in a chair or lie on floor as appropriate for the scenario. Have students walk in and treat the patient after reading them the patient’s age and circumstances. Make sure the students work the patient with the equipment - do not allow the station to become a talk-through.

Stable Responsive 1 Patient is a 23-year-old who was working in a shipping department of a local company and

Stable Responsive 2 Patient is a 59-year-old in bed with fever

Stable Responsive 3 Patient is 68-years old with abdominal pain Takes appropriate BSI Gloves Scene Size-Up Determines safety Yes MOI / NOI NOI – abd pain Number of patients 1 Requests additional help No Stabilization of the spine No Primary Survey/Resuscitation General impression

Stable Responsive 4 Patient is a 72-year old t home complaining of chest pain Takes appropriate BSI Gloves Scene Size-Up Determines safety Yes MOI / NOI NOI – chest pain Number of patients 1 Requests additional help ALS Stabilization of the spine No Primary Survey/Resuscitation General impression Older man appears in some pain Responsiveness/LOC Alert Determines chief complaint Chest pressure Assess airway and breathing Patent, breathing 12

cut his hand with a razor-knife. Takes appropriate BSI Gloves Scene Size-Up Determines safety Yes MOI / NOI

Takes appropriate BSI Gloves Scene Size-Up Determines safety Yes MOI / NOI

NOI – MISC illness

MOI – cut hand

Number of patients Requests additional help Stabilization of the spine

1

Number of patients Requests additional help Stabilization of the spine

1

No

No

No

No

Primary Survey/Resuscitation General impression

Older man appears in some discomfort

Primary Survey/Resuscitation General impression

Middle aged man – look miserable

Young man appears in some pain

Responsiveness/LOC Determines chief complaint Assess airway and breathing

Alert

Responsiveness/LOC Determines chief complaint Assess airway and breathing

Alert

Abd pain

Responsiveness/LOC Determines chief complaint Assess airway and breathing

Alert

“I don’t feel good”

Bleeding from hand

Patent, breathing 12 per minute with visible chest rise No bleeding, skin warm/dry, pulse 78 at wrist

Patent, breathing 22 per minute with visible chest rise No bleeding, skin hot/dry, pulse rapid at wrist

Patent, breathing 12 per minute with visible chest rise Minor bleeding, skin warm/dry, pulse 82 at wrist

per minute with visible chest rise No bleeding, skin warm/dry, pulse 84 at wrist Low (although complaint is ALS)

Assess circulation

Assess circulation

Assess circulation

Assess circulation

Identifies patient priority

Low

Identifies patient priority

Low

Identifies patient priority

Identifies patient priority

Low

Vitals

SAMPLE

Vitals

SAMPLE

Vitals

SAMPLE

BP: 158/70 Pulse: 78

S – My belly hurts

Vitals

SAMPLE

BP: 143/80 Pulse: 108

S – I’m feel feverish

BP: 134/72

S – My chest hurts a little

A – Shellfish

BP: 112/82 Pulse: 82

S – Cut my hand!

A – None

Respirations: 14

M – None P- None

A – None M – None P- None

Pulse: 84

A – None

Respirations: 22

M – Coreg P- High BP L – Soup 1 hour ago E – Lying in bed

Respirations: 12

Respirations: 12

M – Aspirin, plavix P- Heart attack 2 years ago L – Bacon cheese burger 2 hours ago E – working in garden

L – All you can eat Mexican 2 hrs ago

L – Cereal 2 hrs ago E – Opening boxes

E – At home watching TV

Critical Criteria Did not take safety or BSI precautions Did not fully assess airway Did not fully assess breathing Did not fully assess circulation, including pulse and skin

Critical Criteria Did not take safety or BSI precautions Did not fully assess airway Did not fully assess breathing Did not fully assess circulation, including pulse and skin

Critical Criteria Did not take safety or BSI precautions Did not fully assess airway Did not fully assess breathing Did not fully assess circulation, including pulse and skin Debriefing Points: What appears to be wrong with this patient? (gastritis, misc GI distress) What other possibilities are there? (gall bladder, appendix, other acute abdomen)

Critical Criteria Did not take safety or BSI precautions Requests ALS Did not fully assess airway Did not fully assess breathing Did not provide supplemental O2 Did not fully assess circulation, including pulse and skin Debriefing Points: Is there a need for oxygen in this patient? What could be happening here? (MI) Why is he stable then? (hemodynamics of pulse and breathing are OK)

Debriefing Points:

Debriefing Points:

What appears to be wrong with this patient? Why is he tachycardic? (fever) What BSI precautions should take place? (gloves, good handwashing in case he is contagious)

Is there a need for oxygen in this patient? Where is most of this patient’s problem located?

Emphasize the need to not diagnose as an EMT