EMT Lesson Plans

6.14 Trauma Skills II Station: Isolated Injury 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 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 a responsive 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 apply a dressing to an abdominal evisceration wound. (pp 980–981) Setup: You will need your cohort bag. 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 stem the bleeding quickly? This bleeding was light and probably did not need to be prioritized above other actions. - Did they provide oxygen quickly? - Did they use a sterile moistened dressing? Discuss the need to prevent organ drying – especially when long transports are involved. - Discuss the long-term threat of peritonitis in this patient. - Did they lay the patient down and provide a blanket? In this case the patient is probably in compensated hypovolemic shock and would benefit from shock management. Discuss the symptoms of compensated shock (pale sweaty tachycardic but good mental status and BP > 90 systolic) and how if is different than decompensated shock (pale sweaty tachycardic but altered mental status and hypotensive). .