1. Anatomical Terms Teaching Time: 15 minutes
Teaching Tips: Set a standard for precision. In your class, students must use directional and positional terms when giving descriptions. Demand precision in every description. Visual learning is helpful in this section. Use a model to demonstrate directional and positional terms. Have students stand and demonstrate anatomical position.

2. Anatomical Position
Facing forward, hands at sides, palms facing forward
Points to Emphasize: Directional terms allow for precision of description. Anatomical position is the universal reference for directional terminology.
Talking Points: All descriptions of the body use anatomical position as their starting point. When describing locations on the body, use anatomical position as a reference even if the patient is not in this position. For example, the patient’s face is referred to as anterior (at the front) because the face is anterior in anatomical position, even if the patient is lying face down. The importance of always using this standardized position is that all health care providers will use the same anatomical starting point and will understand each other’s references.
Discussion Topic: Discuss how a possessing a knowledge of external anatomy might assist you in locating internal structures.

3. Anatomical Planes
Talking Points: For directional and spatial relationships, the body is divided into planes. A plane is a flat surface that would be formed if you sliced straight through an imaginary human body. Cutting from top to bottom, you could slice the body into right and left halves (sagittal or median planes) or into front and back halves (frontal or coronal planes). Slicing the body into top and bottom halves creates transverse or horizontal planes.
Discussion Topic: Discuss how using directional terms makes your descriptions more precise.
Knowledge Application: Have students work in small groups. Ask each group to provide directions for a simple task, using only anatomical directional terms. For example, one group might provide directions on how to walk to the bathroom; another might explain how to drink water from a cup.

4. Abdominal Quadrants Horizontal and vertical lines through navel
Right upper quadrant (RUQ)
Left upper quadrant (LUQ)
Right lower quadrant (RLQ)
Left lower quadrant (LLQ)
Talking Points: It is important for the EMT to learn what organs are located in each quadrant to help in the assessment and treatment of the patient.
Discussion Topic: Discuss how possessing a knowledge of external anatomy might assist you in locating internal structures.
Class Activity: Have students, working with tape and a marker, use anatomical terms to label the student sitting next to them. (Do not allow this exercise to get out of hand or become inappropriate.)
Critical Thinking: How might using medical directional terms be confusing to your patient?
Knowledge Application: Use a skeleton or other anatomical model to demonstrate how external anatomy helps to identify internal structures.

5. Positional Terms—Supine
Head and Neck not elevated
Used for procedures (AED, CPR, Airway)
Suspected Spinal Injuries
Point to Emphasize: Positional terms allow for precise and universal description of the patient’s position.

6. Positional Terms—Prone
Head turned and Hips unflexed
Helps with drainage from mouth/nose
Bleeding or facial trauma
Can not have a spinal injury
May cause difficulties in managing airway

7. Positional Terms— Recovery Position
Used with unconscious but breathing patients
Prevents complications from vomiting
Late stages of pregnancy to increase blood return
Talking Points: This is the preferred position for the unconscious non-trauma patient, as it allows vomitus and secretions to drain from the mouth and reduces the risk of aspiration. It is also referred to as either left or right lateral recumbent, depending on which side the patient is on. This position is also used for the transport of women in late stages of pregnancy.

8. Positional Terms— Fowler/Semi-Fowler Position
Patient with difficulty breathing
Cardiac or Respiratory problems
Patients comfort
Watch for patient sliding
Must use safety straps
Talking Points: This is usually accomplished by raising the head end of the stretcher so the body is at a 45°–60° angle. The patient may be sitting straight up or leaning slightly back. If leaning back in a semi-sitting position, this is sometimes called semi-Fowler. In a Fowler position, the legs may be straight out or bent.
Discussion Topic: Explain the following positional terms: supine, prone, semi-Fowler, lateral recumbent.

9. Positional Terms—Trendelenburg Position
Used to increase venous blood return
Use for Hypotension
Watch for sliding
Must use safety straps
Talking Points: In the Trendelenburg position, the patient is lying with the head slightly lower than the feet. This may be accomplished by having the patient lie flat and elevating the legs a few inches. This position is now seldom used. It was once used for patients with suspected shock without suspected spine injury, but is no longer recommended for shock.
Knowledge Application: Have a model assume various positions. Ask students to label those positions, using positional terms.

10. Activity
We will now be practicing how to place an unconscious patient in each of the Medical Positions that we discussed. Once we have practiced the positions, I will give you a patient scenario, and you will have to demonstrate the correct patient positioning -Supine -Prone -Recovery -Fowler/Semi- fowlers -Trendelenburg ***Have we achieved all our Objectives?**** Individually review the EMS Medical Terminology sheet on the class website and define the following common terms. This will be your exit ticket. Read the EMS positioning article of the class website and summarize the article.