2019 EMT Refresher Instructor Manual

A.3.B Resuscitation Scenario 1 Adult VF Cardiac Arrest Instructor Guidance

Objectives: Demonstrate how to reposition an unconscious adult for airway management. (pp 417–418, Skill Drill 11-1) Demonstrate how to check for a pulse at the carotid artery in an unresponsive patient. (p 417) Demonstrate how to perform external chest compressions in an adult. (pp 419–420, Skill Drill 11-2) Demonstrate how to perform a head tilt–chin lift maneuver on an adult. patient. (pp 419–421) Demonstrate how to perform one-rescuer adult CPR. (pp 424–426, Skill Drill 11-3) Demonstrate how to perform rescue breathing on an adult.. (pp 432–433)

Demonstrate how to perform two-rescuer adult CPR. (pp 424–428, Skill Drill 11-4) Demonstrate how to use AEDs and perform CPR. (pp 551–553, Skill Drill 14-2)

Setup: •

Cohort Bag AED Trainer

• • •

Suction

EMT Level 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 or the instructor should be patient, the rest rescuers. You can make one student be the son doing CPR if you like. 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 scenario at the end. Some points to discuss:

- Did they quickly solicit a history from the family?

Did they apply quickly begin CPR?

-

Did they quickly try to shock the patient?

-

- Were they weary to not put the AED pads on the device?

- What had to fail for this guy to be in arrest (internal defibrillator)?

- Make sure they understand the joules delivered by an internal defibrillator are so few that it represents no hazard to rescuers doing CPR. It is also unlikely to fire at this point.