EMT Curriculum

4.12.C.1 Medical Lab I Station: Chest Pains Instructor Guidance

Objectives:

1. Demonstrate how to use the AVPU scale to test for patient responsiveness. (p 262) 2. Demonstrate how to evaluate a patient’s orientation and document his or her status correctly. (pp 262–264) 3. 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) 4. Demonstrate how to assess a radial pulse in a responsive patient and an unresponsive patient. (pp 270–272) 5. Demonstrate history-taking using the SAMPLE mnemonic and OPQRST mnemonic 6. Demonstrate how to measure blood pressure by auscultation. (pp 296–300, Skill Drill 8-3) 7. Demonstrate how to measure blood pressure by palpation. (p 300) 8. Demonstrate taking a heart rate on a patient 9. Demonstrate taking a breathing rate on a patient 10. Demonstrate how to obtain a pulse rate in a patient. (pp 270–272) 11. Demonstrate how to assess capillary refill in an adult or child older than 6 years. (pp 273–274) 12. Demonstrate how to perform a focused assessment of a patient 13. Demonstrate how to assess and provide emergency medical care for a patient with chest pain or discomfort. (pp 538– 543) 14. Demonstrate the administration of aspirin to a patient with chest pain. (pp 232–234, Skill Drill 7-1)

Equipment: -

Cohort Bag Stairchair

-

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 in a chair and look uncomfortable

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 do a full assessment including ABC’s?

Did they administer oxygen?

-

Did they administer aspirin? (it is indicated)

-

Did they do a secondary exam including:

-

Breath sounds

o

Examine feet for swelling

o

Check neck veins

o

Palpate chest for change in pain

o