EMT Lesson Plans

4.18 Medical Lab I Station: Behavioral / Toxicology Instructor Guidance

Objectives:

Demonstrate how to use the AVPU scale to test for patient responsiveness. (p 262) Demonstrate how to evaluate a patient’s orientation and document his or her status correctly. (pp 262–264) Demonstrate how to test pupil reaction in response to light in a patient and how to document his or her status correctly. (pp 264–265) 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) Demonstrate how to assess a radial pulse in a responsive patient (pp 270–272) Demonstrate how to obtain a pulse rate in a patient. (pp 270–272) Demonstrate how to assess capillary refill in an adult or child younger than 6 years. (pp 273–274) Demonstrate how to perform a rapid scan of a patient. (pp 275–277, Skill Drill 8-1) Demonstrate the use of a pulse oximetry device to evaluate the effectiveness of oxygenation in the patient. (pp 289– 290) Demonstrate the use of electronic devices to assist in determining the patient’s blood pressure in the field. (pp 290– 291) Demonstrate how to perform a full-body scan. (pp 291–295, Skill Drill 8-2) Demonstrate how to measure blood pressure by auscultation. (pp 296–300, Skill Drill 8-3) Demonstrate how to measure blood pressure by palpation. (p 300) 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. Alternatively a pediatric manikin can be used. 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? It’s probably not necessary and will freak the kid out. - Did they do a secondary exam including: o Breath sounds o Airway examination for caustic injury o Abdominal palpation - EMTs should call Poison Control and try to get advice on what to do. They will advise to rinse mouth out with water and transport. Monitor for nausea and vomiting.