VIEWS: 7 PAGES: 3 CATEGORY: Medicine POSTED ON: 6/13/2010
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Virtual Training Director By Greg Friese, MS, NREMT-P Ventricular Tachycardia Sponsored by Assessing a patient with v-tach with pulses The Virtual Training Director is a new bimonthly column for a. Altered mental status training ofﬁcers that will utilize the content of feature articles in EMS b. Loss of consciousness Magazine to help facilitate training sessions. We know many of you c. Shock are volunteers or combine your training obligations with other duties. d. Hypotension It is our goal to ease the process of training design and delivery by e. Pulmonary edema supplying a lesson plan you can adapt to the unique circumstances f. Worsening chest pain of your organization, its personnel and its local protocols. g. Respiratory distress We want your input. Visit EMSUnited.com, register as a member 4. Apply patient assessment concepts to determining patient if you are not already, and join the Virtual Training Director group. stability. Share your experiences, ﬁnd additional resources and ask the a. Chief complaint group questions. b. History of present illness c. SAMPLE Essential Information d. Associated signs and pertinent negatives Since v-tach with a pulse can suddenly become pulseless v-tach, TEACHING TIP: Ask members to provide associated signs and pertinent all EMS providers need to be able to look at the patient—not the negatives that would support conclusion of stable or unstable. cardiac monitor—to determine if the patient is stable or unstable. 5. Use a provider or manikin to demonstrate the locations on the Use this lesson plan to facilitate a classroom training session body pertinent to physical exam ﬁndings (JVD, diaphoresis, for your service about the v-tach with pulses article (Stable or hypoxemia, peripheral cyanosis, rales) associated with Unstable) that starts on page 42. Before your classroom training v-tach with a pulse. and practice session, ask members to read the article and come to the classroom with questions. (Remember, you can make and 6. ALS provider rhythm analysis—discuss relative criteria for distribute copies of the article for education purposes.) v-tach. TEACHING TIP: Discuss and review v-tach rhythm strips. Also review Time Needed: 1 to 2 hours rhythms that may be confused with v-tach. Classroom Training Objectives 7. Discuss assessment techniques for: ➤ Discuss causes of ventricular tachycardia with pulses. a. Difﬁcult to palpate radial pulse ➤ Explain differences between stable and unstable ventricular b. Difﬁcult to auscultate blood pressure tachycardia with pulses. c. Physical exam of medical patients ➤ Explain important ventricular tachycardia with pulses
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