EMT Lesson Plans

5.07 Scenario Lab: Resuscitation and Shock Station: Pediatric Drowning Instructor Guidance

Objectives: Demonstrate how to reposition an unconscious adult for airway management. (pp 417–418, Skill Drill 11-1) Demonstrate how to perform external chest compressions in a child. (pp 419–420, Skill Drill 11-2) Demonstrate how to perform a head tilt–chin lift maneuver on a child patient. (pp 419–421) Demonstrate how to perform rescue breathing on a child. (pp 434–435) Demonstrate how to perform two-rescuer child CPR. (pp 424–428, Skill Drill 11-4) Demonstrate how to check for a pulse at the carotid artery in an unresponsive patient. (p 417) Demonstrate how to remove a foreign body airway obstruction in an unconscious child. (pp 441–443, Skill Drill 11- 1) Setup: You will need your cohort bag and a pediatric manikin. You will need pediatric BVM and airway adjuncts. You will also need a transport device such as a Reeves 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. 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 parents?

- Did they apply quickly bag the patient?

- Did they spend time on trying to determine if it was an allergic reaction? If so, how did they rule it out? - Did the patient arrest? If so, do they know why? Explain to them what would have happened if they bagged the patient promptly. Make sure they understand they could have prevented the arrest. - Did they apply the AED (its’ OK if they did but only when the patient was pulseless). Why didn’t it shock (it’s not VF/VT)? - Enrichment – have them utilize the ATV for long-term management of this patient’s breathing if it is available.

.