EMT Lesson Plans

6.15 Instructor Guidance – Evaluating the Trauma Scenario

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 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) Setup: - Backboard kit with accessories (blocks, 2 tape rolls, 3 straps, collar) - Cohort Bag - Ideally a manikin with clothing that can be easily removed (stripper pants and vest). Otherwise a student is OK. Instructions to be read to students: “Your patient is a 34-year-old who has been ejected from a car. Please begin your Trauma Assessment.” Precautions: Do not lead the student or correct performance. This is a testing station and no feedback should be offered. Proofing Points: This patient should get in order: - A primary assessment, including an airway adjunct (OPA/NPA) and BVM Ventilation - A rapid scan, followed by immediate collar and transport From this point on, this need not be in order:

- A full body scan enroute, including trauma stripping - Shock care including a blanket and positioning - Vital Signs