EMT Lesson Plans

4.18 Medical Lab II Station: MISC MED 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 Setup: You will need your cohort bag and a 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 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? - Did they administer oxygen? The patient has low SPO2 and that’s often helpful in Sickle crisis. - Did they do a secondary exam including: o Palpation of the painful area?