First Responder EMS Curriculum for Training Centers in Eurasia

Sample Case Scenario – Illness and InjuryThe following example demonstrates how to create a case scenario that can be used to teachstudents the practical skills required in this lab. It can also be used to evaluate the student onthese skills. The instructor is encouraged to create more scenarios to illustrate these teachingpoints, and to design them in a way that is most applicable to the target audience of students.Your First Responder Instructor seems like a nice guy. You actually like him. But severalstudents who sit in the back row do not like him. The test he gave was too hard, so theystab him 17 times in the chest, abdomen, arms, and legs and throw him out the secondstory window into the snow outside. How do you care for the patient with signs andsymptoms of internal bleeding?• Demonstrate the care of the patient exhibiting signs and symptoms of internal bleeding.How about an open chest wound?• Demonstrate the steps in the emergency medical care of a patient with an open chestwound.Open abdominal wounds?• Demonstrate the steps in the emergency medical care of a patient with open abdominalwounds.Open soft tissue injuries?• Demonstrate the steps in the emergency medical care of open soft tissue injuries.The patient is bleeding profusely from a laceration on his leg. How do you care for thepatient with signs of external hemorrhage and what are the different methods ofemergency medical care for external bleeding?• Demonstrate direct pressure as a method of emergency medical care for externalbleeding.• Demonstrate the use of diffuse pressure as a method of emergency medical care forexternal bleeding.• Demonstrate the use of pressure points as a method of emergency medical care forexternal bleeding.If the knife used in the assault were left impaled in the patient, how would you care forhim?• Demonstrate the steps in the emergency medical care of a patient with an impaled object.What if they cut off his finger?• Demonstrate the steps in the emergency medical care of a patient with an amputation.The patient’s left arm is swollen and deformed. How do you care for this?• Demonstrate the emergency medical care of a patient with a painful, swollen, deformedextremity.You notice he is not moving his lower extremities and also complains of severe neck andback pain. How do you evaluate him and stabilize his cervical spine?• Demonstrate how to evaluate a responsive patient with a suspected spinal cord injury.First Responder EMS Curriculum/AIHA, July 2002 321