EMT Lesson Plans

6.15 Instructor Guidance – Evaluating the Long Bone / Joint Immobilization Station

Objectives: 1. Demonstrate the care of musculoskeletal injuries. (p 1018–1020, Skill Drill 29-2) 2. Demonstrate the assessment of neurovascular status. (pp 1015–1017, Skill Drill 29-1) Setup: - 4 cravats - 2 splints (2 leg-size and 2 arm-size – can be boards or SAM-type splints) - One student should serve as patient, another as assistant. Only the third student performing the procedure should be evaluated. JOINT: Instructions to be read to students: “Your patient is an 18 year old who fell while skateboarding. He has no spinal injury and is stable. Please treat isolated deformity to the elbow” LONGBONE: Instructions to be read to students: “Your patient is an 18 year old who was piled on during a football game. He has no spinal injury and is stable. Please treat isolated deformity to the lower leg.” Precautions: Do not lead the student or correct performance. This is a testing station and no feedback should be offered.

Proofing Points:

Joint Above restrained Retained above the knee Restrained below the knee

Upper arm immobilized by swathe Lower arm immobilized by sling

Long Bone Immobilization

Joint Immobilization

Joint Below Restrained Ankle restrained

Please note the following: - Device should be reasonably tight after application - Blue dot above is injury site. - PMS checks before and after application are required - Padded knots and ice packs are nice but not required for testing Hand in position of function