Call type: Dispatched to the local baseball fields for a male complaining of shortness of breath . A screaming infant can cause any responder to pause, and even scarier are those infants not making a sound. Time and weather ... PA.3 Demonstrate techniques for assessing the airway PA.4 Demonstrate techniques for assessing if a patient is breathing What caused this patient to have an airway obstruction? EMT Scenario: M003 DISPATCH . available when it comes to improving your knowledge and skills sets. Copyright © 2021 People in their homes are not going to present on a waist-level surface. Look for a box or option labeled “Home Page (Internet Explorer, Firefox, Safari)” or “On Startup (Chrome)”. You even think about the one time you used your meconium aspirator to clear the excessive pulmonary edema secretions from your prior CHF patient’s airway. 4 Awesome Scenarios for Your EMS Class By Nora Vanni. Mr. Say has been involved in developing product for healthcare providers for over 35 years. It has become the most comprehensive and trusted online destination for prehospital and emergency medical services. Lexipol. With a range of techniques and tools for upper airway suction in the prehospital environment, it’s important to assess the patient and choose the right approach. Trying to avoid a significant bodily fluid exposure in your ambulance, you frantically reach for the emesis bags hanging conveniently right behind you. He’s also been involved as an EMS educator, consultant, item writer, clinical preceptor, board member, reference product developer, firefighter and HazMat technician throughout his career. How about a reaction of some sort? And none are more critical than airway management. This will be your first of three graded scenarios. Place manikins in small rooms, on floors, or in beds or chairs so that students get a taste of what they are going to be facing in the field. Trauma. As an EMT, you must be prepared to handle any emergency situation, from the mundane to the freak accident. Use proven airway devices in small group sessions.Practice decision-making and airway techniques in simulations. [5/13/13] 21 Chapman St — unknown [4/22/13] 720 Mass Ave — MVA [4/8/13] 322 Stowecroft — unknown medical [4/1/13] Wellington Park — AMS [3/25/13] Minuteman Bikeway — assault [3/18/13] 1100 Massachusetts Ave — welfare check [3/4/13] 359 Mystic St — hip pain How about a simple hand-pump suction device? EMT-Basic Respiratory Scenarios 1:1 Dispatched to private residence for 52-year-old female with respiratory distress General Impression Female sitting on couch in tripod position in obvious respiratory distress Mental Status AVPU: alert and oriented x 3 Airway Open Breathing Rapid, shallow Lung sounds: diminished with wheezes and rhonchi bilaterally Retractions and use of accessory … Scenario:EMS is dispatched to a 2-car MVC with head on collision. Didactic … Open the tools menu in your browser. You think about intubation and the challenge that you had with your last secretion-filled airway, and how imperative suctioning was to clear the way for advanced airway placement. Repositioning him to a high-Fowler’s position has helped, but it has not solved the new airway problem that you’re facing, which is how to prevent aspiration and obstruction on your altered, but not unconscious, patient. and that the data you submit is exempt from Do Not Sell My Personal Information requests. You find your non-helmeted patient prone on the pavement with blood noted around him. You respond to a patient experiencing an excited delirium event and arrive to find him agitated, hallucinating, ranting and hyperthermic. the National Emergency Medical Services for Children (EMSC) Data Analysis Resource Center (NEDARC) 2017-18 EMS Performance Measure Assessment. EMT Test Prep; AEMT Test Prep ... Insert a properly measured OPA to secure the airway. The challenge here is how do we move and position this patient, given that we have to manage his airway as he spits up blood, and we can't lay him flat. 3 . So, gravity seems to be your best option for the time being. C-collar and long board. They are based on the Alaska Skill Sheets and the 1994 Revision of the United States Department of Transportation EMT-Basic curriculum. breathing. Assuming that he has an intact gag reflex, inserting any sort of tube into his mouth will not result in a positive reaction. EMT Airway Management: Three Scenarios to Train and Prepare For, in continuing EMS education, there are still plenty of resources and. Enjoy.-SSCOR Team. View our Terms of Service Patients come in all shapes and sizes, and none can be more challenging than the smallest of victims. Bureau of EMS, Trauma and Preparedness Division of EMS and Trauma P.O. The … You recall where your flexible suction catheters are located for each of your endotracheal tubes and supraglottic airway devices, as well as the location of your hard suction catheters. interacts with each other and researches product purchases As we all know, there’s a reason for the order: Airway- Breathing – Circulation. Luckily, this call didn’t require any of these interventions, but you sure feel more prepared for it now because of your prior experiences and equipment familiarization. These types of calls come in with such frequency, that training for them can seem redundant and unnecessary. ... the Kansas Pediatric Scenario Guidebook was developed. You can’t predict what the next call will be, so you had better be ready for anything your community throws at you. A screaming infant can cause any responder to pause, and even scarier are those infants not making a sound. You arrive to find a 44-year-old woman lying on the floor. Although some have acknowledged the limitations in continuing EMS education, there are still plenty of resources and guidelines available when it comes to improving your knowledge and skills sets. It will be worth 20 points total and a passing score is 15-20 points. Each one of these case scenarios presents its own lessons to be learned. Knowing where your equipment is located, as well as where its backup is located, is a key element to deploying suctioning techniques in a rapid fashion. She was beyond the point of airway management via CPAP, so an advanced airway was the next progressive step. Use this strategy when applying capnography to measure the efficacy of oxygen therapy, especially when troubleshooting, Consider your options and plan ahead so that you’re prepared when you need to transport a child. But what about those rarer calls? A few pumps on this device may be all that you need to rapidly clear your patient’s airway from blood or other secretions. to know more about Bound Tree Medical? But even your smallest patients can be approached with confidence and courage if you have the proper training and have practiced your skills. And when it comes to managing the geriatric airway, there are a few important issues to keep in mind: Lack of teeth or loose dentures can make bagging a challenge, so pay attention to your seal. He's been involved in EMS and emergency services since 2002, and has worked as an EMT, paramedic and critical care paramedic in a variety of urban, suburban, rural and hospital settings. Video created by University of Colorado System for the course "Prepare for the EMT Certification Test". : make sure you have a range of sizes for your airway adjuncts and review the techniques for proper sizing. Foreign Body Airway Obstruction Scenario: You are called to a local grill for a woman who is possibly choking. The study reproduced challenging airway intubation scenarios such as tongue swelling and neck immobilization—situations paramedics encounter frequently. The EMT test is heavily focused on fundamentals and operations. Case Development Initial Information The scene is safe. The head-on collision involving the unrestrained driver; the suicidal shotgun blast to the mouth; or the victim of battery who has taken a fist to the face, each of these scenarios have the potential for airway obstruction in the form of blood, tissue, and teeth, all of which can impede airway management. Airway assessment is another one of those most basic emergency skills that is crucial in the EMT’s repertoire. Get a general impression of the child by visually assessing the quality of his respirations, his skin color, and his appearance. Share your thoughts. Copyright © 2021 with precision when working within the tight confines of the juvenile’s mouth or nose. I believe that scenarios are one of the best ways for EMTs and Paramedics to get their heads in the game and think deeply about potential problems they might face in the field before the tones go off and the pressure comes on. Additionally, the EMT should consider requesting an ALS unit, as this patient will require more invasive airway support, such as endotracheal intubation. No matter the patient, no matter the airway, proper training and preparation can make any emergency manageable. This may be called “Tools” or use an icon like the cog. All prior scenarios will be listed here in running chronological order. Bystanders are attempting to remove the object. Request information from Bound Tree Medical. You hang up your call and briskly sit the patient upright. Call type: Dispatched to 1313 Mockingbird Lane for diabetic problems Time and weather: 0630 cool and sunny . All rights reserved. The EMT must remember the ABC’s. As you maintain spinal motion restriction and roll your patient to a supine position, audible gurgling sounds are present due to blood in his upper airway. Copyright © 2021 EMS1. Complete obstruction from this point is often sudden and lethal. EMT Scenario: M002. That EOA might not work if the mouth is a pulpy mess. They’re the basis of emergency patient care. Pad the child's shoulders to align the airway. As an emergency responder, you know what a vital role training plays in job preparedness. and suppliers. Attempting to turn your patient back onto his side (recovery position), you contemplate your airway suction options. It is also important to remember and understand the basic concepts when it comes to managing the airway. April 3, 2014. EMS report: 10 -year-old riding on ATV was thrown off at about 30mph when the driver hit a log in tall grass, crying, complaining of pain to the R forearm and R hip area and nausea. finds relevant news, identifies important training information, • Airway Scenario (Basic and Advanced) • Trauma Skills • Trauma Scenarios • Patient Assessment Scenarios - Special Considerations (Pediatric) ... EMS Practitioner of the Year and winner of the Timothy H. “Coop” Cooper Memorial Championship Cup will be announced. : effective suctioning can not only remove blood, but can clear the airway of traumatic debris. Enter “https://www.ems1.com/” and click OK. The key to a successful EMS airway is to remember one’s training while be- ing flexible and able to improvise. Since the definition of shock (hypoperfusion) is inadequate tissue perfusion and this patient's problem is secondary to a respiratory problem, he is in respiratory shock. Multiple casualty incident. Scenario 2 . That’s where training and preparation come in. : before you treat the patient, protect yourself! As you transport your semi-responsive (to a loud verbal stimulus) suspected alcohol intoxication patient to the emergency department, he shifts out of his comfortable lateral position and into a supine position on your cot. You’re dispatched to a motorcycle accident involving one patient that was ejected off of a motorcycle after colliding into the back of another car. : those same dental prosthetics can interfere with oral suctioning, so stay alert and use the same care and caution you exercise with pediatric patients. And even those standard calls demand good technique and a thorough understanding of pathophysiology. Want Here are a few tips for managing the pediatric airway: As the population ages and folks live longer, more of your patients will fall under the guidelines of geriatrics. Stridor in adults should scare you and initiate a call for help. BP 100/p, HR 120, deformity and laceration to R mid forearm noted – bandaged and splinted. Do Not Sell My Personal Information, If you need further help setting your homepage, check your browser’s Help menu, Consulting, Management and Legal Services, Individual Access - Free COVID-19 Courses. The head-on collision involving the unrestrained driver; the suicidal shotgun blast to the mouth; or the victim of battery who has taken a fist to the face, each of these scenarios have the potential for airway obstruction in the form of blood, tissue, and teeth, all of which can impede airway management. Scenario-based education is a great learning tool for EMS people. Luckily, you’re able to avoid a significant mess both on your floor and cot, but also on yourself as well. So let’s take a look at three airway scenarios in which you will benefit from a bit of extra training and preparation. As of 8/28/19, there are 28,804 EMS providers, 819 life support agencies, and 3,847 life support vehicles that are licensed by the State of Michigan. PEDIATRIC PATIENT SCENARIOS . Campus Police are on scene. These include: elevated ICP, pulmonary edema, cardiogenic shock, status asthmaticus foreign body in the airway, direct airway trauma, multiple trauma with shock, and many more. Some are as simple as patient positioning, while others require more active and invasive suctioning procedures. Your experience from your initial training, combined with your own field experience and the shared experience of some of your mentors, has increased your confidence in airway management in the field. These tools are a compact, disposable and inexpensive option that can be stored in a number of locations throughout your cache of equipment. You may be able to MacGyver things all you want, but there’s typically no substitute for the right tools and knowledge in your arsenal. Learn the full range of airway management techniques: including use of video laryngoscopes & other advanced imaging devices, extraglottic devices, drug-assisted intubation and cricothyrotomy. EMT Adventure looks and plays like a video game – you just need a little EMS knowledge to succeed. : remember when suctioning a small child or infant that the use of full suction can be detrimental to their small orifices. By submitting your information, you agree to be contacted by the selected vendor(s) No matter what the call entails, you had better be ready to make critical decisions concerning patient care. EMS1 is revolutionizing the way in which the EMS community As you reflect on the events of this call, you think about your process for oral suctioning. While most of the saliva can be wiped away from the outside of his mouth, you notice excessive amounts of saliva still inside his mouth. Gurgling … one of the sounds an EMS provider may hear upon approaching their patient that immediately sets them into a mode of airway management. Takes, or verbalizes, body substance isolation. Select the option or tab named “Internet Options (Internet Explorer)”, “Options (Firefox)”, “Preferences (Safari)” or “Settings (Chrome)”. : most elderly patients have had some form of dental work in the past, so keep alert for dentures, bridges, and loose teeth when placing an airway adjunct. Being prepared for airway compromise, especially for instances where suctioning is needed, is a crucial part of both BLS and ALS airway management. For more information about the MI EMS System, please click on the tabs below. Intoxication? We'll share information on current industry news, tips, as well as the latest and greatest in SSCOR products.Our hope is that this blog is not only informative but a collaborative and open forum for you to share your thoughts on developing opportunities and challenges within your profession.Subscribe. In a multiple casualty incident (MCI), you are only one link in a chain of … are rarer than adults, and can be intimidating to treat, especially for rescuers who don’t spend time among children. It contains terms, quiz questions, and scenario-based exam questions designed to keep your mind focused on… PRACTICE MAKES PERFECT. The EMT exam will cover all portions of the curriculum, including: EMS Operations, Cardiology, Trauma, Medical, Obstetrics, Pediatrics and Airway and Breathing. And even those standard calls demand good technique and a thorough understanding of pathophysiology. After administering an appropriate dose of ketamine via the intramuscular route to your patient, you secure him to your cot and begin transport to the hospital with an additional rider for physical support. Having the right tools for the job plays a key part in this. Box 30207 Lansing, MI 48909-0207 (517)335-8150 phone Scope of Practice EMT 05/2020 Scope of Practice Document EMT Airway skills Airway • Nasopharyngeal • Oropharyngeal • Supraglottic Bag-valve-mask CPAP X Oxygen Therapy • Humidified • • Nasal cannula Heart disease is a leading killer in the U.S. – are your cardiac care skills up to the task? While completing your phone report to the receiving hospital, you hear the patient begin to retch … and then you notice him vomit. The posted speed limit is marked at 40 MPH. You note the location of your wall-mounted suction device, as well as your portable unit. Here are a few tips for managing the pediatric airway: : don’t shy away from managing the pediatric airway. Have a reliable. : if you must assist ventilations, make sure you maintain a tight seal. You’re dispatched to a motorcycle accident involving one patient that was ejected off of a … Sam D. Say is owner and CEO of SSCOR, Inc., a medical device manufacturer specializing in emergency battery operated portable suction devices for the hospital and pre-hospital settings. Earn extra points for better equipment on your ambulance, compete with other players, and watch your score rise and fall with your patient’s condition. Without a patent airway, a patient can die within minutes. Scenario Location: Out-of-Hospital Scenario Topic: Respiratory Arrest Scenario Rating: 2 Lead-in: You are a paramedic responding to a shortness of breath call for an obese 32-year-old man with a severe asthma attack. Pediatric patients are rarer than adults, and can be intimidating to treat, especially for rescuers who don’t spend time among children. DISPATCH . This resource will walk your ... • Assess and secure airway • Recognition and treatment for unresponsive state No matter what the call entails, you had better be ready to make critical decisions concerning patient care. Some calls are standard: the unresponsive patient, the elderly person having chest pain, or the child who fell off his bike, breaking his arm. Images and content of this blog are © 2017 SSCOR, Inc. All rights reserved. EMS providers can’t get an accurate picture of care if scenarios don’t go beyond simple, commonly performed airway skills. EMS personnel may be providing airway management on the bathroom floor, on a crowded sidewalk with multiple onlookers, in a wrecked vehicle, or in the back of the ambulance. Images and content of this blog are © 2017. The airway is usually compromised by 50% in patients with acute resting stridor. Practice your airway skills (even the simple skill of bagging), so that when the time comes, you can treat the patient with confidence. Intubation is an extremely difficult skill, but the opportunities for EMS … Tim Nowak, AAS, BS, NRP, CCEMT-P, SEMSO, is the founder and CEO of Emergency Medical Solutions, LLC, an independent EMS training and consulting company that he developed in 2010. Blood obstructing the airway can have a lot of obvious negative effects, including clotting, promoting emesis if swallowed and by simply occluding air flow due to accumulation in the oropharynx. Gloves, goggles, and masks come in handy when dealing with bloody trauma victims. Wiping away his first round of emesis, the patient proceeds into round two and continues to vomit for what feels like eternity. EMT Basic Scenario –Respiratory Emergencies - 1. After all, performing suctioning without the right tools is like immobilizing an injury without a splint. And none are more critical than airway management. and Privacy Policy. Dispatch: You are called to a dorm room at the local college for a 19-year-old female having difficulty. Here are a few must-haves when it comes to treating these patients: Patients come in all shapes and sizes, and none can be more challenging than the smallest of victims. Prearrival Questions 1. : placement of an adjunct can be challenging in the presence of facial trauma. Elderly patient fell. Spouse is unable to lift the patient back into bed, and assistance is needed. These scenarios were developed for use in EMT-I training programs in Alaska. So stay up on the latest literature, practice your skills, and run through scenarios so that when the time comes, you’re ready to respond! Prior to attempting to reposition your patient into a lateral position, he begins to gag. Trauma. Luckily, repositioning him allows you to clear his airway to make it patent. If the dentures are secure, leave them in place to improve mask fit. The EMT must know about equipment and techniques for maintaining a patient’s airway. The ones you may encounter only once a year, or once in a lifetime? Consider a nasopharyngeal option or do your best until an advanced airway can be placed by a paramedic. SCENE SIZE-UP ... PA.3 Demonstrate techniques for assessing the airway PA.4 Demonstrate techniques for assessing if a patient is breathing But even your smallest patients can be approached with confidence and courage if you have the proper training and have practiced your skills. Trauma comes in many forms, all of which can impact the airway. Do Not Sell My Personal Information. All rights reserved. Work with expert faculty who know the unique challenges facing EMS providers. All rights reserved. Whether you're in a Hospital or EMS setting, this is the place for you. The scenarios may be used with other curricula with little or no modification. His passions include contributing to the management of the patient airway and providing solutions that save lives in difficult conditions. You arrive on scene and find the patient Face the most challenging patient scenarios in a no-risk environment. The one scenario where difficulty is relatively easily predicted is an upper airway obstruction. Airway Management | EMT Guide This study guide will help EMT students and providers to prepare for both their individual course and final EMT certification exams. Within a few minutes of beginning your transport, your patient remains dissociated and begins to show signs of hypersalivation. You’re dispatched to a motorcycle accident involving one patient that was ejected off of a … Lexipol. Was it trauma? It’s not likely that you brought your battery-operated suction device with you to assess your patient, so what other options do you have available in your trauma or primary response bag to handle suctioning blood in the patient’s airway?