EMT Lesson Plans

5.07 Scenario Lab: Resuscitation and Shock Station: Infant Cardiac Arrest Instructor Guidance

Objectives: Demonstrate how to reposition an unconscious infant for airway management. (pp 417–418, Skill Drill 11-1)

Demonstrate how to check for a pulse at the brachial artery in an unresponsive patient. (p 417)

Demonstrate how to perform external chest compressions in an infant. (pp 419–420, Skill Drill 11-2)

Demonstrate how to perform a head tilt–chin lift maneuver on an infant patient. (pp 419–421)

Demonstrate how to perform one-rescuer infant CPR. (pp 424–426, Skill Drill 11-3)

Demonstrate how to perform rescue breathing on an infant. (pp 432–433)

Demonstrate how to perform two-rescuer infant CPR. (pp 424–428, Skill Drill 11-4)

Demonstrate how to use AEDs and perform CPR. (pp 551–553, Skill Drill 14-2)

Setup: You will need your cohort bag. You will also need an AED with peds pads. Make sure you have an infant BVM as that is typically not in a cohort bag. An infant manikin will be the patient. Deployment: DO NOT LECTURE – your students should be working hands-on within 5 minutes of arriving Deploy your students in one team – an infant manikin will be the patient, the students rescuers with one team leader. You can make one student be a frantic parent if you like. 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 begin CPR?

- Did they spend time on trying to determine if the infant was viable? What signs would make the infant not viable?

- Realistically how viable is this patient? (not very)

- What is the EMT’s standard of care in this case? (standard CPR work-up)

- Will ALS be a big game-changer here? (probably not since it’s unknown downtime)

- How can the EMT’s handle the parents? (reassuring them everything that can be done is being done, but without giving false hope)

- Make sure they know co-bedding with an infant is a real risk