EMT Lesson Plans

4.15 Medical Lab I Station: Non-Traumatic Ortho / ENT Instructor Guidance

Objectives: 1. Demonstrate how to use the AVPU scale to test for pa ent responsiveness. (p 262)

2. Demonstrate how to evaluate a pa ent’s orienta on and document his or her status correctly. (pp 262–264) 3. Demonstrate the techniques for assessing a pa ent’s airway and correctly obtaining informa on 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 pa ent and an unresponsive pa ent. (pp 270–272) 5. Demonstrate how to obtain a pulse rate in a pa ent. (pp 270–272) 6. Demonstrate how to perform a focused assessment of a pa ent. (pp 275–277, Skill Drill 8-1) 7. Demonstrate the use of a pulse oximetry device to evaluate the e ec veness of oxygena on in the pa ent. (pp 289– 290) 8. Demonstrate the use of electronic devices to assist in determining the pa ent’s blood pressure in the eld. (pp 290– 291) 9. Demonstrate how to perform a full-body scan. (pp 291–295, Skill Drill 8-2) (possibly if they elect to second-guess his hx) 10. Demonstrate how to measure blood pressure by ausculta on. (pp 296–300, Skill Drill 8-3) 11. Demonstrate how to measure blood pressure by palpa on. (p 300) Setup: You will need your cohort bag and a stairchair or stretcher 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 distressed. 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? - What do they think is the problem? (Local infection) - Why is this not sepsis (no real SIRS criteria)

- What is the significance of the instructions to not put legs together and to not bend more than 90 degrees? (it’s standard prevention to keep from accidentally dislocating hip post-surgical period) - Did they do a secondary exam including examining the wound (means removing the dressings)