EMT Curriculum

Equipment:

- Cohort Bag

- EMT-Level Manikin or Quality BLS Manikin - Suction Unit

- Cohort Bag

Setup: Set up the manikin on the floor. Have students walk in and treat the patient after reading them the patient’s age and circumstances. Make sure the students work the manikin with the equipment - do not allow the station to become a talk-through.

Respiratory Arrest 1 Patient is a 82-year old collapsed in kitchen Takes appropriate BSI Gloves Scene Size-Up Determines safety Safe MOI / NOI NOI – unknown Number of patients 1 Requests additional help ALS Stabilization of the spine No Primary Survey/Resuscitation General impression

Respiratory Arrest 2 Patient is a 10-month old collapsed in in bed Takes appropriate BSI Gloves Scene Size-Up Determines safety Safe MOI / NOI NOI – unknown Number of patients 1 Requests additional help ALS Stabilization of the spine No Primary Survey/Resuscitation General impression Baby in bed looks blue Responsiveness/LOC Unresponsive Determines chief complaint Unresponsive Assess airway and breathing Airway open Breathes 6 / minute Assess circulation No bleeding, pulse present at wrist, skin cool cyanotic dry Identifies patient priority High Vitals SAMPLE BP: 88/50 S – Not available Pulse: 78 A – Not available Respirations: 6/min

Respiratory Arrest 3 Patient is a 48-year old collapsed in restaurant Takes appropriate BSI Gloves Scene Size-Up Determines safety Safe MOI / NOI NOI – unknown Number of patients 1 Requests additional help ALS Stabilization of the spine No Primary Survey/Resuscitation General impression Adult collapsed on ground Responsiveness/LOC Unresponsive Determines chief complaint Unresponsive Assess airway and breathing Airway full of vomit Apneic Assess circulation No bleeding, pulse present at wrist, skin cool cyanotic dry Identifies patient priority High Vitals SAMPLE BP: 108/62 S – Not available Pulse: 78 A – Not available Respirations: 0 Critical Criteria Did not take safety or BSI precautions Fails to request ALS Did not fully assess airway Did not fully assess breathing Did not fully assess circulation, including pulse and skin Debriefing Points: Is there a need for oxygen in this patient? (yes – cyanosis) Is there a need to bag this patient? Why? (apneic) What was the most pressing issue in this patient? (Vomit – airway compromise) Is there a need for an airway? (yes – unresponsive) M – Not available P- Not available L – Not available E – Not available

Respiratory Arrest 4 Patient is a 59-year old sitting in an armchair Takes appropriate BSI Gloves Scene Size-Up Determines safety Safe MOI / NOI NOI – unknown Number of patients 1 Requests additional help ALS Stabilization of the spine No Primary Survey/Resuscitation General impression

Elderly person on floor not moving Responds to pain

Adult sitting in a chair awkwardly Unresponsive Unresponsive Snoring Breathing 5 times per minute No bleeding, pulse present at wrist, skin cool cyanotic dry

Responsiveness/LOC Determines chief complaint Assess airway and breathing Assess circulation

Responsiveness/LOC Determines chief complaint Assess airway and breathing

Unresponsive

Snoring Breathes 2 / minute No bleeding, pulse present at wrist, skin warm dry

Assess circulation

Identifies patient priority

High

Identifies patient priority

High

Vitals

SAMPLE

Vitals

SAMPLE

BP: 182/98 Pulse: 62

S – Not available A – Not available M – Not available P- Not available L – Not available E – Not available

BP: 143/80 Pulse: 90

S – Not available A – Not available M – Not available P- Not available L – Not available E – Not available

Respirations: 2/min

M – Not available P- Not available L – Not available E – Not available

Respirations: 5

Critical Criteria Did not take safety or BSI precautions Fails to request ALS 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 Fails to request ALS 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 Fails to request ALS Did not fully assess airway Did not fully assess breathing Did not fully assess circulation, including pulse and skin Debriefing Points: What was the most pressing issue in this patient? (cannot bag effectively when sitting) Is there a need to bag this patient? Why? (5 breaths per minute) Is there a need for an airway? (yes – unresponsive)

Debriefing Points:

Debriefing Points:

Is there a need for oxygen in this patient? Is there a need to bag this patient? Why? (2 breaths/minute) What is the relevance of the snoring? (tongue) How do you fix the snoring? (OPA/NPA)

Is there a need for oxygen in this patient? (yes – cyanosis) Is there a need to bag this patient? Why? (6 breaths/minute) Is there a need for an airway? (yes – unresponsive)