EMT Lesson Plans

6.14 Trauma Skills II Station: Environmental 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 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 care for a burn. (pp 834–836, Skill Drill 24-3) Demonstrate the emergency medical care of a patient with a chemical, electrical, thermal, inhalation, or radiation burn. (pp 825–831, 834–836)

Setup:

You will need your cohort bag. A burn sheet and a ring cutter will also be necessary.

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. 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 quickly provide supplemental oxygen?

- Did they understand the significance of the wheezing and singed hair (inhalation injury – this patient may close up from swelling soon – ALS may intubate him prophylactically)

- Did they shield him from infection (burn sheet)?

- Did they cut around the clothing?

- Did they consider ring removal for the left hand?