|
Standard |
Posted: 05/14/07
|
R State Standard |
¨ Institutionally
Developed |
College: n/a |
EMC 108 - Trauma Emergencies and WMD Response
Course
Description
The course covers all the components of the National Highway
Safety Transportation Administration, National Standard Curriculum, Emergency
Medical Technician-Basic, 1994 standard, Module 5. Topics Include: bleeding and
shock, soft tissue injuries, musculoskeletal care, injuries to the head/spine
and emergency medical response to WMD .
|
Competency Areas |
Hours |
|
|
Bleeding and
Shock |
Class |
2 |
|
Soft
Tissue Injuries |
D. Lab |
0 |
|
Musculoskeletal Care |
P.
Lab/O.B.I. |
0 |
|
Injuries to the Head and Spine |
Credit |
2 |
|
Practical
Skills Lab: Trauma |
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|
|
Emergency Medical Response to Weapons of Mass
Destruction |
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|
Prerequisite: |
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|
Corequisite: |
EMC 105 |
|
Course Guide |
|
Competency |
After completing this section, the
student will: |
Hours |
|||
|
Class |
D.Lab |
P.Lab/O.B.I. |
|||
|
BLEEDING
AND SHOCK |
3 |
1 |
0 |
||
|
X4-1.1* |
List the
structure and function of the circulatory system |
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x4-1.2 |
Differentiate
between arterial, venous and capillary bleeding. |
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x4-1.3 |
State
methods of emergency medical care of external bleeding. |
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X4-1.4 |
Establish
the relationship between body substance isolation and bleeding. |
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X4-1.5 |
Establish
the relationship between airway management and the trauma patient |
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X4-1.6 |
Establish
the relationship between mechanism of injury and internal bleeding. |
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X4-1.7 |
List the
signs of internal bleeding |
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X4-1.8 |
List the
steps in the emergency medical care of the patient with signs and symptoms of
internal bleeding. |
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X4-1.9 |
List
signs and symptoms of shock (hypoperfusion). |
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X4-1.10 |
State the
steps in the emergency medical care of the patient with signs and symptoms of
shock (hypoperfusion). |
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X4-1.11 |
Explain
the sense of urgency to transport patients that are bleeding and show signs
of shock (hypoperfusion). |
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X4-1.12 |
Discuss
the need for assessing the patient for external bleeding |
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X4-1.13 |
Demonstrate
completing a prehospital care report for patient with bleeding and/or shock
(hypoperfusion) |
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X4-1.14 |
Differentiate
the structural and functional aspects of arterial and venous blood vessels. |
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SOFT
TISSUE INJURIES |
4 |
0 |
0 |
||
|
X4-2.1 |
State the
major functions of the skin |
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X4-2.2 |
List the
layers of the skin. |
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X4-2.3 |
Establish
the relationship between body substance isolation (BSI) and soft tissue
injuries |
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X4-2.4 |
List the
types of closed soft tissue injuries. |
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X4-2.5 |
Describe
the emergency medical care of the patient with a closed soft tissue injury. |
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X4-2.6 |
State the
types of open soft tissue injuries. |
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X4-2.7 |
Describe the
emergency medical care of the patient with an open soft tissue injury. |
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X4-2.8 |
Discuss
the emergency medical care considerations for a patient with a penetrating
chest injury. |
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X4-2.9 |
State the
emergency medical care considerations for a patient with an open wound to the
abdomen. |
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X4-2.10 |
Differentiate
the care of an open wound to the chest from an open wound to the abdomen. |
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X4-2.11 |
List the classifications
of burns. |
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X4-2.12 |
Define
superficial burn. |
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X4-2.13 |
List the
characteristics of a superficial burn. |
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X4-2.14 |
Define
partial thickness burn. |
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X4-2.15 |
List the characteristics
of a partial thickness burn. |
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X4-2.16 |
Define
full thickness burn. |
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X4-2.17 |
List the
characteristics of a full thickness burn. |
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X4-2.18 |
Describe the
emergency medical care of the patient with a superficial burn. |
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X4-2.19 |
Describe
the emergency medical care of the patient with a partial thickness burn. |
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X4-2.20 |
Describe the
emergency medical care of the patient with a full thickness burn. |
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X4-2.21 |
List the
functions of dressing and bandaging. |
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X4-2.22 |
Describe
the purpose of a bandage. |
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X4-2.23 |
Describe the
steps in applying a pressure dressing. |
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X4-2.24 |
Establish
the relationship between airway management and the patient with chest injury,
burns, blunt and penetrating injuries. |
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X4-2.25 |
Describe the
effects of improperly applied dressings, splints and tourniquets. |
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X4-2.26 |
Describe
the emergency medical care of a patient with an impaled object |
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X4-2.27 |
Describe the
emergency medical care of a patient with an amputation. |
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X4-2.28 |
Describe
the emergency care for a chemical burn. |
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X4-2.29 |
Describe
the emergency care for an electrical burn. |
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X4-2.30 |
Demonstrate
the steps in the emergency medical care of closed soft tissue injuries |
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X4-2.31 |
Demonstrate
completing a prehospital care report for patients with soft tissue injuries. |
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MUSCULOSKELETAL
CARE |
4 |
0 |
0 |
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|
X4-3.1 |
Describe
the function of the muscular system. |
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X4-3.2 |
Describe
the function of the skeletal system. |
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X4-3.3 |
List the
major bones or bone groupings of the spinal column; the thorax; the upper extremities;
the lower extremities. |
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X4-3.4 |
Differentiate
between an open and a closed painful, swollen, deformed extremity. |
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X4-3.5 |
State the
reasons for splinting. |
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X4-3.6 |
List the general
rules of splinting. |
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X4-3.7 |
List the
complications of splinting. |
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X4-3.8 |
List the
emergency medical care for a patient with a painful, swollen, deformed
extremity. |
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X4-3.9 |
Explain the
rationale for splinting at the scene versus load and go. |
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X4-3.10 |
Explain
the rationale for immobilization of the painful, swollen, deformed extremity. |
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X4-3.11 |
Demonstrate
completing a prehospital care report for patients with musculoskeletal
injuries. |
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INJURIES
TO THE HEAD AND SPINE |
4 |
0 |
0 |
||
|
X4-4.1 |
State the
components of the nervous system. |
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X4-4.2 |
List the functions
of the central nervous system. |
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X4-4.3 |
Define
the structure of the skeletal system as it relates to the nervous system. |
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X4-4.4 |
Relate
mechanism of injury to potential injuries of the head and spine. |
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X4-4.5 |
Describe
the implications of not properly caring for potential spine injuries. |
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X4-4.6 |
State the
signs and symptoms of a potential spine injury. |
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X4-4.7 |
Describe the
method of determining if a responsive patient may have a spine injury. |
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X4-4.8 |
Relate
the airway emergency medical care techniques to the patient with a suspected
spine injury. |
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X4-4.9 |
Describe how
to stabilize the cervical spine. |
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X4-4.10 |
Discuss
indications for sizing and using a cervical spine immobilization device. |
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X4-4.11 |
Establish
the relationship between airway management and the patient with head and spine
injuries. |
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X4-4.12 |
Describe
a method for sizing a cervical spine immobilization device. |
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X4-4.13 |
Describe
how to log roll a patient with a suspected spine injury. |
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X4-4.14 |
Describe how
to secure a patient to a long spine board. |
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X4-4.15 |
List
instances when a short spine board should be used. |
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X4-4.16 |
Describe
how to immobilize a patient using a short spine board. |
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X4-4.17 |
Describe the
indications for the use of rapid extrication. |
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X4-4.18 |
List
steps in performing rapid extrication. |
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X4-4.19 |
State the
circumstances when a helmet should be left on the patient. |
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X4-4.20 |
Discuss the
circumstances when a helmet should be removed. |
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X4-4.21 |
Identify
different types of helmets. |
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X4-4.22 |
Describe
the unique characteristics of sports helmets. |
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X4-4.23 |
Explain the
preferred methods to remove a helmet. |
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X4-4.24 |
Discuss
alternative methods for removal of a helmet. |
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X4-4.25 |
Describe
how the patient's head is stabilized to remove the helmet. |
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X4-4.26 |
Differentiate
how the head is stabilized with a helmet compared to without a helmet. |
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X4-4.27 |
Explain
the rationale for immobilization of the entire spine when a cervical spine
injury is suspected. |
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X4-4.28 |
Explain the
rationale for utilizing immobilization methods apart from the straps on the
cots. |
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X4-4.29 |
Explain
the rationale for utilizing a short spine immobilization device when moving a
patient from the sitting to the supine position. |
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X4-4.30 |
Explain
the rationale for utilizing rapid extrication approaches only when they
indeed will make the difference between life and death. |
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X4-4.31 |
Defend
the reasons for leaving a helmet in place for transport of a patient. |
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X4-4.32 |
Defend
the reasons for removal of a helmet prior to transport of a patient. |
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X4-4.33 |
Demonstrate
completing a prehospital care report for patients with head and spinal
injuries. |
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X4-4.34 |
Describe the
mechanism of injury, assessment and management of injuries for the head
injury patient |
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X4-4.35 |
Distinguish
between the types of traumatic brain injury based upon an understanding of
pathophysiology and assessment |
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TRAUMA
PRACTICAL SKILL LAB |
0 |
8 |
0 |
||
|
X4-5.1 |
Demonstrate
opening the airway in a patient with suspected spinal cord injury.(P-1,2) |
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X4-5.2 |
Demonstrate
evaluating a responsive patient with a suspected spinal cord injury.(P-1,2) |
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X4-5.3 |
Demonstrate
stabilization of the cervical spine.(P-1,2) |
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X4-5.4 |
Demonstrate
the four person log roll for a patient with a suspected spinal cord injury.
(P-1,2) |
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X4-5.5 |
Demonstrate
how to log roll a patient with a suspected spinal cord injury using two
people.(P-1,2) |
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X4-5.6 |
Describe how
the patient is immobilized on the backboard. |
|
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X4-5.7 |
Demonstrate
securing a patient to a long spine board.(P-1,2) |
|
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X4-5.8 |
Describe
how the patient is immobilized to the stretcher, and to the ambulance. |
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X4-5.9 |
Demonstrate
using the short board immobilization technique.(P‑1,2) |
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X4-5.10 |
Demonstrate
procedure for rapid extrication.(P-1,2) |
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X4-5.11 |
Demonstrate
preferred methods for stabilization of a helmet. (P‑1,2) |
|
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X4-5.12 |
Demonstrate
helmet removal techniques.(P-1,2) |
|
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X4-5.13 |
Demonstrate
alternative methods for stabilization of a helmet.(P-1,2) |
|
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X4-5.14 |
Demonstrate
the emergency medical care of a patient with a painful, swollen, deformed
extremity.(P-1,2) |
|
|
|
|
|
X4-5.15 |
Demonstrate
the steps in the emergency medical care of open soft tissue injuries.(P-1,2) |
|
|
|
|
|
X4-5.16 |
Demonstrate
the steps in the emergency medical care of a patient with an open chest
wound.(P-1,2) |
|
|
|
|
|
X4-5.17 |
Demonstrate
the steps in the emergency medical care of a patient with open abdominal
wounds.(P-1,2) |
|
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X4-5.18 |
Demonstrate
the steps in the emergency medical care of a patient with an impaled
object.(P-1,2) |
|
|
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X4-5.19 |
Demonstrate
the steps in the emergency medical care of a patient with an
amputation.(P-1,2) |
|
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X4-5.20 |
Demonstrate
the steps in the emergency medical care of an amputated part.(P-1,2) |
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X4-5.21 |
Demonstrate
the steps in the emergency medical care of a patient with superficial
burns.(P-1,2) |
|
|
|
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|
X4-5.22 |
Demonstrate
the steps in the emergency medical care of a patient with partial thickness
burns.(P-1,2) |
|
|
|
|
|
X4-5.23 |
Demonstrate
the steps in the emergency medical care of a patient with full thickness
burns.(P-1,2) |
|
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|
|
|
X4-5.24 |
Demonstrate
the steps in the emergency medical care of a patient with a chemical
burn.(P-1,2) |
|
|
|
|
|
X4-5.25 |
Demonstrate
direct pressure as a method of emergency medical care of external bleeding.
(P-1,2) |
|
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X4-5.26 |
Demonstrate
the use of diffuse pressure as a method of emergency medical care of external
bleeding.(P-1,2) |
|
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|
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X4-5.27 |
Demonstrate
the use of pressure points and tourniquets as a method of emergency medical
care of external bleeding.(P-1,2) |
|
|
|
|
|
X4-5.28 |
Demonstrate
the care of the patient exhibiting signs and symptoms of internal
bleeding.(P-1,2) |
|
|
|
|
|
X4-5.29 |
Demonstrate
the care of the patient exhibiting signs and symptoms of shock
(hypoperfusion).(P-1,2) |
|
|
|
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|
Emergency Medical
Response to Weapons of Mass Destruction |
2 |
0 |
0 |
||
|
X4-6-1 |
Recognize the patient experiencing exposure to a
Weapon of |
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|
Mass Destruction, to include chemicals and
radiation |
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X4-6.2 |
Describe the emergency medical care of the
patient. |
|
|
|
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|
|
experiencing exposure to a Weapon of Mass
Destruction |
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|
X4-6.3 |
List signs/symptoms associated with Weapons of
Mass |
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|
|
Destruction. |
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X4-6.4 |
State the medication forms, dose, administration,
action, and |
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|
|
contraindications for the Mark I kit, Potassium
Iodide, |
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|
|
|
and Amyl Nitrite |
|
|
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|
X4-6.5 |
Differentiate between the general category of those
patients |
|
|
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exposed to a Weapon of Mass Destruction and those |
|
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|
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|
|
requiring immediate medical care, including immediate |
|
|
|
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|
|
use of the Mark I kit, Potassium Iodide, and Amyl
Nitrite. |
|
|
|
|
|
X4-6.6 |
Explain the rationale for administering the Mark I
kit, |
|
|
|
|
|
|
Potassium Iodide, and Amyl Nitrite |
|
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|
|
|
X4-6.7 |
Demonstrate the emergency medical care of the
patient |
|
|
|
|
|
|
exposed to
a Weapon of Mass Destruction. |
|
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|
|
|
X4.6-8 |
Demonstrate the use of a Mark I Kit, Potassium
Iodide, |
|
|
|
|
|
|
and Amyl Nitrite. |
|
|
|
|
|
X4-6.9 |
Perform the necessary steps required to provide a
patient |
|
|
|
|
|
|
with a Mark I Kit, Potassium Iodide, and Amyl
Nitrite |
|
|
|
|
|
X4-6.10 |
Demonstrate the assessment and documentation of
patient |
|
|
|
|
|
|
response to a Weapon of Mass Destruction. |
|
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|
|
|
X4-6.11 |
Demonstrate the proper disposal of the Mark I Kit. |
|
|
|
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|
MODULE 5 REVIEW AND PRACTICAL SKILLS LAB |
2 |
2 |
0 |
||
|
|
Demonstrate
competency of module components |
|
|
|
|
|
FINAL
EXAM for Trauma Emergencies for the EMT |
1 |
3 |
0 |
||
|
|
Written
Examination |
|
|
|
|
|
|
Practical
Examination |
|
|
|
|
|
TOTAL
HOURS |
20 |
14 |
0 |
||
*Denotes National Standard Curriculum Objective Reference
Numbers
|
Suggested Resources |
BLS for Healthcare Providers (70-2046)
AHA
approved vendor
Intermediate: Emergency Care and Transportation of the Sick and Injured
ISBN: 0763722448 / Jones & Bartlett
Intermediate: Emergency Care and Transportation of the Sick and Injured
Student Workbook
ISBN: 0763726699 / Jones & Bartlett
Intermediate
Emergency Care, 2/E
© 1998 / 0-8359-5160-X / Prentice
Hall
Intermediate
Emergency Care Workbook, 2/E
© 1998 / 0-8359-5263-0 / Prentice
Hall
Mosby's
EMT-Intermediate Textbook for the 1985 National Standard Curriculum
Shade
ISBN: 0-323-03985-5 / Mosby-Elsevier
DOT-ERG 2004
This book
is now available online in a .PDF format
http://hazmat.dot.gov/pubs/erg/erg2004.pdf
Emergency Care w/CD-ROM (Cloth Version),
10/e
ISBN: 0131142313 | Prentice Hall
Prehospital Emergency Care, 7/e
ISBN: 0130492884 | Prentice Hall
Intermediate Emergency Care: Principles and
Practice, 1/e
ISBN: 0131136070 | Prentice Hall
Weapons of Mass Destruction: Emergency
Care, 1/e
ISBN: 0130139238 | Prentice Hall
Terrorism Emergency Response: A Workbook
for Responders, 1/e
ISBN: 0130993646 | Prentice Hall
Other
Anatomy and Physiology
of Emergency Care, Bledsoe (0-13-042298-3)
·
A&P Presentation Manager Internet Guide (0-13-078068-5)
·
Instructor's Guide (0-13-099513-5)
·
Anatomy and Physiology Acetates (0-89303-048-1)
·
Coordinator and Instructor's Guide (0-13-084582-5)
Emergency Care, 10e, Limmer, et al (Hard
Cover: 0-13-114231-3; Paper Cover: 0-13-114233-X)
·
Instructor's Resource Manual (0-13-114244-5)
·
Instructor's Resource CD (0-13-114235-6)
·
PowerPoint Slides for Instructors (0-13-114239-9)
·
TestGen (0-13-114237-2)
·
Student Workbook (0-13-114246-1)
·
Companion Website (www.prenhall.com/limmer)
·
Companion Website (www.prenhall.com/limmer)
Stress Management for
the Emergency Care Provider, Mikolaj (0-13-009686-5)
·
Instructor's Resource CD (0-13-119841-6)
·
Companion Website
CourseSG.081105.Dot