EMC 105 – Medical/Behavioral & OB/Pediatric Emergencies for the EMT

Competency	After completing this section, the student will:	Hours
Competency	After completing this section, the student will:	Class	D.Lab	P.Lab / O.B.I.
GENERAL PHARMACOLOGY		2	1	0
X3-1.1*	Identify which medications will be carried on the unit.
X3-1.2	State the medications carried on the unit by the generic name
X3-1.3	Identify the medications with which the EMT-B may assist the patient with administering.
X3-1.4	State the medications the EMT-B can assist the patient with by the generic name.
X3-1.5	Discuss the forms in which the medications may be found
X3-1.6	Explain the rationale for the administration of medications
X3-1.7	Demonstrate general steps for assisting patient with self administration of medications.
X3-1.8	Read the labels and inspect each type of medication
RESPIRATORY EMERGENCIES		4	1	0
X3-2.1	List the structure and function of the respiratory system
X3-2.2	State the signs and symptoms of a patient with breathing difficulty.
X3-2.3	Describe the emergency medical care of the patient with breathing difficulty
X3-2.4	Recognize the need for medical direction to assist in the emergency medical care of the patient with breathing difficulty
X3-2.5	Describe the emergency medical care of the patient with breathing distress
X3-2.6	Establish the relationship between airway management and the patient with breathing difficulty
X3-2.7	List signs of adequate air exchange.
X3-2.8	State the generic name, medication forms, dose, administration, action, indications and contraindications for the prescribed inhaler.
X3-2.9	Distinguish between the emergency medical care of the infant, child and adult patient with breathing difficulty
X3-2.10	Differentiate between upper airway obstruction and lower airway disease in the infant and child patient.
X3-2.11	Defend EMT-Basic treatment regimens for various respiratory emergencies
X3-2.12	Explain the rationale for administering an inhaler.
X3-2.13	Demonstrate the emergency medical care for breathing difficulty.
X3-2.14	Perform the steps in facilitating the use of an inhaler
CARDIOVASCULAR EMERGENCIES		6	4	0
X3-3.1	Describe the structure and function of the cardiovascular system
X3-3.2	Identify the location of the following structures on a diagram of the normal heart:
	Pericardium
	Myocardium
	Epicardium
	Right and left atria
	Interatrial septum
	Right and left ventricles
	Intraventricular septum
	Superior and inferior vena cava
	Aorta
	Pulmonary vessels
	Coronary arteries
	Tricuspid valve
	Mitral valve
	Aortic valve
	Pulmonic valve
	Papillary muscles
	Chordae tendinae
X3-3.2	Describe the function of each structure listed in objective 1.9.2.
X3-3.3	Describe the size, shape, and location/ orientation (in regard to other body structures) of the heart muscle.
X3-3.4	Describe the emergency medical care of the patient experiencing chest pain/discomfort.
X3-3.5	List the indications for automated external defibrillation (AED).
X3-3.6	List the contraindications for automated external defibrillation
X3-3.7	Define the role of EMT‑B in the emergency cardiac care system
X3-3.8	Explain the impact of age and weight on defibrillation.
X3-3.9	Discuss the position of comfort for patients with various cardiac emergencies.
X3-3.10	Establish the relationship between airway management and the patient with cardiovascular compromise.
X3-3.11	Predict the relationship between the patient experiencing cardiovascular compromise and basic life support
X3-3.12	Discuss the fundamentals of early defibrillation.
X3-3.13	Explain the rationale for early defibrillation.
X3-3.14	Explain that not all chest pain patients result in cardiac arrest and do not need to be attached to an automated external defibrillator.
X3-3.15	Explain the importance of prehospital ACLS intervention if it is available.
X3-3.16	Explain the importance of urgent transport to a facility with Advanced Cardiac Life Support if it is not available in the prehospital setting.
X3-3.17	Discuss the various types of automated external defibrillators.
X3-3.18	Differentiate between the fully automated and the semiautomated defibrillator.
X3-3.19	Discuss the procedures that must be taken into consideration for standard operations of the various types of automated external defibrillators.
X3-3.20	State the reasons for assuring that the patient is pulseless and apneic when using the automated external defibrillator.
X3-3.21	Discuss the circumstances which may result in inappropriate shocks
X3-3.22	Explain the considerations for interruption of CPR, when using the automated external defibrillator.
X3-3.23	Discuss the advantages and disadvantages of automated external defibrillators
X3-3.24	Summarize the speed of operation of automated external defibrillation
X3-3.25	Discuss the use of remote defibrillation through adhesive pads.
X3-3.26	Discuss the special considerations for rhythm monitoring.
X3-3.27	List the steps in the operation of the automated external defibrillator.
X3-3.28	Discuss the standard of care that should be used to provide care to a patient with persistent ventricular fibrillation and no available ACLS
X3-3.29	Discuss the standard of care that should be used to provide care to a patient with recurrent ventricular fibrillation and no available ACLS.
X3-3.30	Differentiate between the single rescuer and multi‑rescuer care with an automated external defibrillator
X3-3.31	Explain the reason for pulses not being checked between shocks with an automated external defibrillator.
X3-3.32	Discuss the importance of coordinating ACLS trained providers with personnel using automated external defibrillators.
X3-3.33	Discuss the importance of post-resuscitation care.
X3-3.34	List the components of post-resuscitation care.
X3-3.35	Explain the importance of frequent practice with the automated external defibrillator.
X3-3.36	Discuss the need to complete the Automated Defibrillator: Operator's Shift Checklist.
X3-3.37	Discuss the role of the American Heart Association (AHA) in the use of automated external defibrillation
X3-3.38	Explain the role medical direction plays in the use of automated external defibrillation.
X3-3.39	State the reasons why a case review should be completed following the use of the automated external defibrillator
X3-3.40	Discuss the components that should be included in a case review.
X3-3.41	Discuss the goal of quality improvement in automated external defibrillation
X3-3.42	Recognize the need for medical direction of protocols to assist in the emergency medical care of the patient with chest pain.
X3-3.43	List the indications for the use of nitroglycerin
X3-3.44	State the contraindications and side effects for the use of nitroglycerin.
X3-3.45	Define the function of all controls on an automated external defibrillator, and describe event documentation and battery defibrillator maintenance.
X3-3.46	Defend the reasons for obtaining initial training in automated external defibrillation and the importance of continuing education.
X3-3.47	Defend the reason for maintenance of automated external defibrillators.
X3-3.48	Explain the rationale for administering nitroglycerin to a patient with chest pain or discomfort.
X3-3.49	Demonstrate the assessment and emergency medical care of a patient experiencing chest pain/discomfort.
X3-3.50	Demonstrate the application and operation of the automated external defibrillator.
X3-3.51	Demonstrate the maintenance of an automated external defibrillator.
X3-3.52	Demonstrate the assessment and documentation of patient response to the automated external defibrillator.
X3-3.53	Demonstrate the skills necessary to complete the Automated Defibrillator: Operator's Shift Checklist.
X3-3.54	Perform the steps in facilitating the use of nitroglycerin for chest pain or discomfort.
X3-3.55	Demonstrate the assessment and documentation of patient response to nitroglycerin.
X3-3.56	Practice completing a prehospital care report for patients with cardiac emergencies
X3-3.57	Describe the pathophysiology of cardiac arrest.
X3-3.58	Demonstrate the post-resuscitative assessment and emergency medical care of the cardiac arrest patient. (CA 6)
X3-3.59	Name the common chief complaints of cardiac patients.
X3-3.60	Describe why the following occur in patients with cardiac problems:
	Chest pain or discomfort
	Shoulder, arm, neck, or jaw pain/ discomfort
	Dyspnea
	Syncope
	Palpitations/ abnormal heart beat
X3-3.61	Describe those questions to be asked during history taking for each of the common cardiac chief complaints.
X3-3.62	Describe the four most pertinent aspects of the past medical history in a patient with a suspected cardiac problem.
X3-3.63	Describe those aspects of the physical examination that should be given special attention in the patient with suspected cardiac problems.
X3-3.64	Describe the significance of the following physical exam findings in a cardiac patient:
	Altered level of consciousness
	Peripheral edema
	Cyanosis
	Poor capillary refill
	Cool, clammy skin
DIABETES/ALTERED MENTAL STATUS		2	0	0
X3-4.1	Identify the patient taking diabetic medications with altered mental status and the implications of a diabetes history.
X3-4.2	State the steps in the emergency medical care of the patient taking diabetic medicine with an altered mental status and a history of diabetes.
X3-4.3	Establish the relationship between airway management and the patient with altered mental status
X3-4.4	State the generic and trade names, medication forms, dose, administration, action, and contraindications for oral glucose
X3-4.5	Evaluate the need for medical direction in the emergency medical care of the diabetic patient.
X3-4.6	Explain the rationale for administering oral glucose
X3-4.7	Demonstrate the steps in the emergency medical care for the patient taking diabetic medicine with an altered mental status and a history of diabetes.
X3-4.8	Demonstrate the steps in the administration of oral glucose
X3-4.9	Demonstrate the assessment and documentation of patient response to oral glucose.
X3-4.10	Demonstrate how to complete a prehospital care report for patients with diabetic emergencies
ALLERGIES		2	0	0
X3-5.1	Recognize the patient experiencing an allergic reaction.
X3-5.2	Describe the emergency medical care of the patient with an allergic reaction.
X3-5.3	Establish the relationship between the patient with an allergic reaction and airway management.
X3-5.4	Describe the mechanisms of allergic response and the implications for airway management.
X3-5.5	State the generic and trade names, medication forms, dose, administration, action, and contraindications for the epinephrine auto-injector.
X3-5.6	Evaluate the need for medical direction in the emergency medical care of the patient with an allergic reaction
X3-5.7	Differentiate between the general category of those patients having an allergic reaction and those patients having an allergic reaction and requiring immediate medical care, including immediate use of epinephrine auto-injector.
X3-5.8	Explain the rationale for administering epinephrine using an auto-injector
X3-5.9	Demonstrate the emergency medical care of the patient experiencing an allergic reaction.
X3-5.10	Demonstrate the use of epinephrine auto-injector.
X3-5.11	Demonstrate the assessment and documentation of patient response to an epinephrine injection.
X3-5.12	Demonstrate proper disposal of equipment.
X3-5.13	Demonstrate completing a prehospital care report for patients with allergic emergencies
POISONING/OVERDOSE		2	0	0
X3-6.1	List various ways that poisons enter the body
X3-6.2	List signs/symptoms associated with poisoning.
X3-6.3	Discuss the emergency medical care for the patient with possible overdose.
X3-6.4	Describe the steps in the emergency medical care for the patient with suspected poisoning
X3-6.5	Establish the relationship between the patient suffering from poisoning or overdose and airway management.
X3-6.6	State the generic and trade names, indications, contraindications, medication form, dose, administration, actions, side effects and re-assessment strategies for activated charcoal.
X3-6.7	Recognize the need for medical direction in caring for the patient with poisoning or overdose.
X3-6.8	Explain the rationale for administering activated charcoal.
X3-6.9	Explain the rationale for contacting medical direction early in the prehospital management of the poisoning or overdose patient.
X3-6.10	Demonstrate the steps in the emergency medical care for the patient with possible overdose.
X3-6.11	Demonstrate the steps in the emergency medical care for the patient with suspected poisoning
X3-6.12	Perform the necessary steps required to provide a patient with activated charcoal.
X3-6.13	Demonstrate the assessment and documentation of patient response
X3-6.14	Demonstrate proper disposal of administration of activated charcoal equipment.
X3-6.15	Demonstrate completing a prehospital care report for patients with a poisoning/overdose emergency
ENVIRONMENTAL EMERGENCIES		1	0	0
X3-7.1	Describe the various ways that the body loses heat.
X3.7.2	List the signs and symptoms of exposure to cold.
X3.7.3	Explain the steps in providing emergency medical care to a patient exposed to cold.
X3-7.4	List the signs and symptoms of exposure to heat.
X3-7.5	Explain the steps in providing emergency care to a patient exposed to heat
X3-7.6	Recognize the signs and symptoms of water-related emergencies
X3-7.7	Describe the complications of near drowning.
X3-7.8	Discuss the emergency medical care of bites and stings
X3-7.9	Demonstrate the assessment and emergency medical care of a patient with exposure to cold.
X3-7.10	Demonstrate the assessment and emergency medical care of a patient with exposure to heat
X3-7.11	Demonstrate the assessment and emergency medical care of a near drowning patient
X3-7.12	Demonstrate completing a prehospital care report for patients with environmental emergencies.
X3-7.13	Demonstrate the emergency medical care of bites and stings. (OP 29)
BEHAVIORAL EMERGENCIES		1	0	0
X3-8.1	Define behavioral emergencies
X3-8.2	Discuss the general factors that may cause an alteration in a patient's behavior
X3-8.3	State the various reasons for psychological crises
X3-8.4	Discuss the characteristics of an individual's behavior which suggests that the patient is at risk for suicide
X3-8.5	Discuss special medical/legal considerations for managing behavioral emergencies
X3-8.6	Discuss the special considerations for assessing a patient with behavioral problems.
X3-8.7	Discuss the general principles of an individual's behavior which suggests that he is at risk for violence
X3-8.8	Discuss methods to calm behavioral emergency patients.
X3-8.9	Explain the rationale for learning how to modify your behavior toward the patient with a behavioral emergency
X3-8.10	Demonstrate the assessment and emergency medical care of the patient experiencing a behavioral emergency
X3-8.11	Demonstrate various techniques to safely restrain a patient with a behavioral problem
OBSTETRICS/GYNECOLOGY		2	0	0
X3-9.1	Describe how to assess an obstetrical patient.
X3-9.2	Identify the following structures: Uterus, vagina, fetus, placenta, umbilical cord, amniotic sac, and perineum.
X3-9.3	Identify and explain the use of the contents of an obstetrics kit.
X3-9.4	Identify pre-delivery emergencies.
X3-9.5	State indications of an imminent delivery.
X3-9.6	Differentiate the emergency medical care provided to a patient with predelivery emergencies from a normal delivery.(C-3)
X3-9.7	State the steps in the pre-delivery preparation of the mother.
X3-9.8	Establish the relationship between body substance isolation and childbirth.
X3-9.9	State the steps to assist in the delivery
X3-9.10	Describe care of the baby as the head appears.
X3-9.11	Describe how and when to cut the umbilical cord.
X3-9.12	Discuss the steps in the delivery of the placenta.
X3-9.13	List the steps in the emergency medical care of the mother post-delivery.
X3-9.14	Summarize neonatal resuscitation procedures.
X3-9.15	Describe the procedures for the following abnormal deliveries: Breech birth, prolapsed cord, limb presentation.
X3-9.16	Differentiate the special considerations for multiple births.
X3-9.17	Describe special considerations of meconium.
X3-9.18	Describe special considerations of a premature baby.
X3-9.19	Discuss the emergency medical care of a patient with a gynecological emergency
X3-9.20	Explain the rationale for understanding the implications of treating two patients (mother and baby).
PRACTICAL SKILLS LAB: OBSTETRICS/GYNECOLOGY		0	4	0
X3-10.1	Demonstrate the steps to assist in the normal cephalic delivery.
X3-10.2	Demonstrate necessary care procedures of the fetus as the head appears.
X3-10.3	Demonstrate infant neonatal procedures
X3-10.4	Demonstrate post delivery care of infant.
X3-10.5	Demonstrate how and when to cut the umbilical cord.
X3-10.6	Attend to the steps in the delivery of the placenta.
X3-10.7	Demonstrate the post-delivery care of the mother.
X3-10.8	Demonstrate the procedures for the following abnormal deliveries: vaginal bleeding, breech birth, prolapsed cord, limb presentation
X3-10.9	Demonstrate the steps in the emergency medical care of the mother with excessive bleeding.
X3-10.10	Demonstrate completing a prehospital care report for patients with obstetrical/gynecological emergencies.
INFANTS AND CHILDREN

Competency Areas	Hours
General Pharmacology	Class	3
Respiratory Emergencies	D. Lab	1
Cardiovascular Emergencies	P. Lab/O.B.I.	0
Diabetes/Altered Mental Status	Credit	4
Allergies
Poisoning/Overdose
Environmental Emergencies
Behavioral Emergencies
Obstetrics/Gynecology
Practical Skills Lab: Obstetrics/Gynecology
Infants and Children
Infants and Children Practical Skills Lab
Patients with Special Needs
Review and Practical Skills Lab

Prerequisite:	EMC 103
Corequisite: