2019 EMT Refresher Instructor Manual

A.4.C Resuscitation Infant Scenario Child Arrest Instructor Guidance

A.4.B Resuscitation Infant Scenario

Takes or verbalizes appropriate BSI Determines the scene/situation is safe Attempts to question bystanders about arrest events Checks patient responsiveness NOTE: The examiner must now inform the candidate: “The patient is unresponsive Assesses pt for signs of breathing, determines absence of abnormal breathing (gasping or agonal); Checks carotid pulse (no more than 10 seconds) Utilize length-based resuscitation tape to determine appropriate specifics for this age The examiner must now inform the candidate: “The patient is apneic and pulseless” Rescuer 1: Immediately begins chest compressions (adequate depth and rate, allows the chest to recoil completely) Rescuer 2: Immediately begins applying AED electrodes and analyzes NOTE: The examiner must set AED to “Shockable” Rescuer 2: Clears the patient and presses “Shock” button; resumes compressions Pit Crew CPR After 1 minute of CPR, examiner states “the patient hand appears to be moving slightly” Assesses patient’s pulse and breathing Examiner states” Patient has a pulse but is not breathing” Resumes rescue breathing at 12-20 breaths per minute Performs post-resuscitation care such as BP and pulse oxymetry INSTRUCTOR: DEBRIEFS STUDENTS

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

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Suction

Infant 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 quickly unblock the airway?

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- Did they quickly begin CPR? This pediatric patient is bradycardic (<60) and symptomatic (unconscious, cyanotic) he should get CPR.

Did they try to shock the patient?

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Did they use pediatric AED pads?

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