EMT Lesson Plans

Skill Station: Lifting and Moving CPR

Objectives: Demonstrate how to reposition an unconscious adult for airway management. (pp 417–418, Skill Drill 11-1) Demonstrate how to check for a pulse at the carotid artery in an unresponsive patient. (p 417) Demonstrate how to perform external chest compressions in an adult (pp 419–420, Skill Drill 11-2) Demonstrate how to perform a head tilt–chin lift maneuver on an adult patient. (pp 419–421) Demonstrate how to perform one-rescuer adult CPR. (pp 424–426, Skill Drill 11-3)

Demonstrate how to perform rescue breathing on an adult(pp 432–433) Demonstrate how to perform two-rescuer adult. (pp 424–428, Skill Drill 11-4) Demonstrate how to use AEDs and perform CPR. (pp 551–553, Skill Drill 14-2) Demonstrate how to operate a suction unit. (p 344) Demonstrate how to suction a patient’s airway. (pp 344–345, Skill Drill 9-6) Demonstrate the body mechanics and principles required for safe reaching and pulling, including the safe reaching technique used for performing log rolls. (pp 1296-1299) Use a flexible stretcher to move a patient (pp 1296-1299) Instructions: This is not a scenario station – it’s a skills lab. Students should take turns rotating through all the jobs of an EMS-level resuscitation Precautions: DO NOT LECTURE – force your students to repeatedly drill the skill until it becomes second nature. The goal is to create muscle- memory, so repeat the drill multiple times.

Situation: You are called to a local home for a collapsed adult

Set-up: The team should have a team leader, a compressor, a ventilator, one person using the AED and two persons setting up equipment such oxygen and adjuncts and the Reeves. A EMT-level full body manikin will be the patient.

Instructions: Have students do several rounds of this scenario until they have rotated through all jobs

Precautions: DO NOT LECTURE – force your students to repeatedly drill the skill until it becomes second nature. The goal is to create muscle-memory, so repeat the drill multiple times.

Basic Operation:

The team will:

- Complete a scene size-up - Complete an Primary assessment - Insert and adjunct and ventilate - Begin Manual CPR - Attach and use an AED

- After 2 or so cycles of CPR, load the patient onto the Reeves and move the patient out the door and perhaps down some steps. Interruptions should be no greater than 20 seconds to move the patient. While that is not a firm rule, it provides reasonable guidance for providers. - Place the patient on a stretcher and have them do CPR on the cot - Suction the patient who vomits - Switch to intubated CPR when the ALS team arrives