Standard

Posted: 05/16/07

R State Standard

¨Institutionally Developed

College: n/a

 

EMC 116 - Hazardous Materials, Vehicle Extrication Process, Patient Assessment/ Initial Management

Course Description

This course covers the U.S. Department of Transportation 1985 Emergency Medical Technician - Intermediate Curriculum. Topics include: hazardous material awareness level I (GEMA), patient handling (FTO), vehicle extrication lab (FTO) and general patient assessment and initial management.

 

Competency Areas

Hours

Hazardous Material Awareness Level I (GEMA) 

Class

3

Patient Handling (FTO)

D. Lab

0

Vehicle Extrication Lab   (FTO)

P. Lab/O.B.I.

0

General Patient Assessment and Initial Management

Credit

3

 

Prerequisite:

EMC 113

Corequisite:

     

 

Course Guide

 

Competency

After completing this section, the student will:

Hours

Class

D.Lab

P.Lab/

O.B.I.

 

HAZARDOUS MATERIAL AWARENESS LEVEL I (GEMA) 

6

2

0

X7-1.1*

Define the different types of hazardous substances and identify the risks associated with each in an incident

 

 

 

X7-1.2

Given simulated incident, identify the potential outcomes

 

 

 

X7-1.3

Given the data available during an incident response, identify hazardous substances present

 

 

 

X7-1.4

Define the role of the first responder awareness individual in an employing agency’s emergency response plan including site security and control and the U.S. D. O.T. Emergency Response Guidebook

 

 

 

X7-1.5

Given a simulated incident, determine the need for additional resources and make appropriate notifications to the communications center.

 

 

 

X7-1.6

Given the data available during an incident response, demonstrate recognition of the presence of hazardous substances

 

 

 

 

PATIENT HANDLING (FTO)

0

4

0

X7-2.1

Given a scenario, and working as a team, demonstrate the rapid trauma assessment that should be used to assess a patient based on mechanism of injury.

 

 

 

X7-2.2

Given a scenario, and working as a team, demonstrate the patient assessment skills that should be used to assist a patient who is responsive with no known history.

 

 

 

X7-2.3

Given a scenario, and working as a team, demonstrate the patient assessment skills that should be used to assist a patient who is unresponsive or has an altered metal status.

 

 

 

X7-2.4

Given a scenario and working with a team of partners, The student shall demonstrate the ability to prepare a patient for transfer to any of the following appropriate devices, properly position the patient on the device, move the device to the stretcher for

 

 

 

 

Wheeled ambulance stretcher

 

 

 

 

KEB/ Short spinal immobilization device

 

 

 

 

Long spine board

 

 

 

 

Basket stretcher

 

 

 

 

VEHICLE EXTRICATION LAB   (FTO)

0

4

0

X7-3.1

Describe the purpose of extrication

 

 

 

X7-3.2

Identify what equipment for personal safety is required for the EMT-Basic/EMT-Intermediate

 

 

 

X7-3.3

Define the fundamental components of extrication

 

 

 

X7-3.4

State the steps that should be taken to protect the patient during an extrication procedure

 

 

 

X7-3.5

Demonstrate the safety procedures during an extrication operation.

 

 

 

X7-3.6

Demonstrate the various tools and techniques used to accomplish an extrication operation.

 

 

 

 

GENERAL PATIENT ASSESSMENT AND INITIAL MANAGEMENT

24

0

0

X7-4.1

Discuss the importance of body substance isolation (BSI).

 

 

 

X7-4.2

Describe the steps the EMT-Basic/Intermediate should take

 

 

 

 

 for personal protection from airborne and bloodborne pathogens.

 

 

 

X7-4.3

List the personal protective equipment necessary for each of

 

 

 

 

the following situations:

 

 

 

 

- Hazardous materials

 

 

 

 

- Rescue operations

 

 

 

 

- Violent scenes

 

 

 

 

- Crime scenes

 

 

 

 

- Exposure to bloodborne pathogens

 

 

 

 

- Exposure to airborne pathogens

 

 

 

X7-4.4

Describe orthostatic vital signs and evaluate their usefulness

 

 

 

 

 in assessing a patient in shock.

 

 

 

X7-4.5

Describe the anatomy and function of the following major body

 

 

 

 

systems:

 

 

 

 

Respiratory

 

 

 

 

circulatory

 

 

 

 

musculoskeletal

 

 

 

 

nervous

 

 

 

 

endocrine

 

 

 

X7-4.6

Apply the techniques of physical examination to the

 

 

 

 

medical patient.

 

 

 

X7-4.7

Apply the techniques of a physical examination to the

 

 

 

 

 trauma patient.

 

 

 

X7-4.8

Discuss the reason for performing a focused history

 

 

 

 

and physical exam

 

 

 

X7-4.9

Describe when and why a detailed physical examination

 

 

 

 

is necessary.

 

 

 

X7-4.10

Describe the normal and abnormal assessment findings of the

 

 

 

 

head (including the scalp, skull, face, and skin).

 

 

 

X7-4.11

Describe the examination of the head

 

 

 

 

(including the scalp, skull, face, and skin).

 

 

 

X7-4.12

Describe the examination of the neck and cervical spine.

 

 

 

X7-4.13

Differentiate normal and abnormal assessment findings of the

 

 

 

 

neck and cervical spine.

 

 

 

X7-4.14

Describe the inspection, palpation, percussion, and auscultation

 

 

 

 

of the chest.

 

 

 

X7-4.15

Describe the examination of the thorax and ventilation.

 

 

 

X7-4.16

Describe the examination of the anterior and posterior chest.

 

 

 

X7-4.17

Differentiate normal and abnormal assessment findings of

 

 

 

 

the chest examination.

 

 

 

X7-4.18

Describe the examination of the abdomen.

 

 

 

X7-4.19

Differentiate normal and abnormal assessment findings

 

 

 

 

of the abdomen.

 

 

 

X7-4.20

Describe the examination of the female external genitalia.

 

 

 

X7-4.21

Differentiate normal and abnormal assessment findings

 

 

 

 

of the female external genitalia.

 

 

 

X7-4.22

Describe the examination of the male genitalia.

 

 

 

X7-4.23

Differentiate normal and abnormal findings of the male genitalia.

 

 

 

X7-4.24

Describe the examination of the extremities.

 

 

 

X7-4.25

Differentiate normal and abnormal findings of the extremities.

 

 

 

X7-4.26

Describe the examination of the peripheral vascular system.

 

 

 

X7-4.27

Differentiate normal and abnormal findings of

 

 

 

 

the peripheral vascular system.

 

 

 

X7-4.28

Describe the examination of the nervous system.

 

 

 

X7-4.29

Differentiate normal and abnormal findings of the nervous system.

 

 

 

X7-4.30

Identify the general principles regarding the importance of EMS

 

 

 

 

documentation and ways in which documents are used.

 

 

 

X7-4.31

Develop, execute, and evaluate a treatment plan based on the

 

 

 

 

field impression for the hemorrhage or shock patient.

 

 

 

X7-4.32

Define the term “cardiac arrest.”

 

 

 

X7-4.33

Describe the purpose, equipment needed, techniques utilized,

 

 

 

 

complications, and general principles for obtaining a blood sample.

 

 

 

X7-4.34

Discuss the pathophysiology of injury to the lung, including:

 

 

 

 

a. Simple pneumothorax

 

 

 

 

b. Open pneumothorax

 

 

 

 

c. Tension pneumothorax

 

 

 

X7-4.35

Discuss the management of lung injuries.

 

 

 

X7-4.36

Discuss the pathophysiology of diaphragmatic injuries.

 

 

 

X7-4.37

Discuss the management of diaphragmatic injuries.

 

 

 

X7-4.38

Discuss the epidemiology and pathophysiology of specific chest

 

 

 

 

wall injuries, including a  Flail segment.

 

 

 

X7-4.39

Discuss the management of chest wall injuries.

 

 

 

X7-4.40

State methods of emergency medical care of external bleeding.

 

 

 

DIDACTIC REVIEW AND PRACTICAL SKILLS LAB

2

2

0

 

Demonstrate competency of module components

 

 

 

FINAL EXAM for Medical Emergencies for the EMT-Intermediate

1

3

0

 

Written Examination

 

 

 

 

Practical Examination

 

 

 

TOTAL HOURS

33

15

0

 

 

 

 

 

 

            *Denotes National Standard Curriculum Objective Reference Numbers


 

Suggested Resources

Textbooks

 

BLS for Healthcare Providers (70-2046)

AHA approved vendor

Intermediate: Emergency Care and Transportation of the Sick and Injured
American Academy of Orthopaedic Surgeons (AAOS), Rhonda Beck
ISBN: 0763722448 / Jones & Bartlett

Intermediate: Emergency Care and Transportation of the Sick and Injured Student Workbook
American Academy of Orthopaedic Surgeons (AAOS)
ISBN: 0763726699 / Jones & Bartlett

Intermediate Emergency Care, 2/E
Bryan E. Bledsoe
Robert S. Porter
Richard A. Cherry, SUNY Upstate Medical University, Syracuse
© 1998 / 0-8359-5160-X / Prentice Hall

Intermediate Emergency Care Workbook, 2/E
Robert S. Porter
© 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

 

 

Emergency Care w/CD-ROM (Cloth Version), 10/e
Limmer / O'Keefe / Grant / Murray / Bergeron / Dickinson
ISBN: 0131142313 | Prentice Hall

 

Prehospital Emergency Care, 7/e
Mistovich / Hafen / Karren
ISBN: 0130492884 | Prentice Hall

 

Intermediate Emergency Care: Principles and Practice, 1/e
Bledsoe / Porter / Cherry
ISBN: 0131136070 | Prentice Hall

 

PHTLS Basic and Advanced Prehospital Trauma Life Support Revised Reprint, 5th Edition
by National Association of Emergency Medical Technicians

ISBN: 032302744X

 

DOT-ERG 2004

This book is now available online in a .PDF format

http://hazmat.dot.gov/pubs/erg/erg2004.pdf

 

 

Other

 

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)

 

     

 

CourseSG.081105.Dot