EMT Lesson Plans

6.14 Trauma Skills II Station: DOUBLE – Interior 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 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 the proper use of a Vest Extrication Device. 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) Setup: You will need your cohort bag. You will also need a vest extrication device, board and accessory set and ideally a stretcher or substitute for a stretcher 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 do a rapid extrication? In the classic EMT program with no SMR, this would be a KED patient. - Did they do a full body scan in the vehicle? If there is no need for rapid removal, a full body scan could be done in the car to find all injuries. - Discuss the possible value of vest extrication. Don’t oversell it as it is not evidence-based. .