EMT Lesson Plans

6.14 Trauma Skills II Station: DOUBLE – Exterior II 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 assist a patient with ventilations using the bag-mask device for one and two rescuers. (p 354) Understand the importance and techniques of suctioning. (pp 343–345) Demonstrate the insertion of an oral airway. (pp 339–340, Skill Drill 9-3) Demonstrate the insertion of a nasal airway. (pp 341–342, Skill Drill 9-5) 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 an unresponsive 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 older than 6 years. (pp 273–274) 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 rapid scan for injury. (pp 291–295, Skill Drill 8-2) Demonstrate how to perform a full body scan for injury. (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 apply a Hare traction splint. (pp 1026–1028, Skill Drill 29–7) Setup: You will need your cohort bag. You will also need a board with accessories and suction. 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. You will need to place objects on the ground to be fingers. 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 application of the device after it is complete. Some points to discuss: - Did they immediately immobilize the patient’s head? - Did they quickly suction and BVM the patient? - Did they spine board the patient? This patient will benefit from the full-body splinting of a board. - Discuss compensated vs. decompensed shock. Ask the students what shock this patient is in. An argument can be made for the first set of vitals being compensated, but the 3 rd set of vitals is clearly decompensated. .