Standard

 

 R State Standard         £ Institutionally Developed          College: n/a

 

EMS 1105 – Airway Management for the EMT

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 2. In addition to the NSC-B 1994 standards, this course also includes the NSC EMT-Intermediate 1985 Standard, Section 7. The 2002 Supplemental Airway Modules for the NSC-B 1994 curriculum will also be used. Topics include: Airway, Advanced Airway and Basic/Advanced Airway Management.

 

Competency Areas

Hours

Airway

Class

1

Airway Management and Ventilation

D. Lab

2

Airway - Evaluation

P. Lab/O.B.I.

0

 

Credit

2

 

Prerequisite:

Program admission

Corequisite:

n/a

 

Course Guide

 

Competency

After completing this section, the student will be able to:

Hours

Class

D.Lab

P.Lab/

O.B.I.

Airway 2-1

4

4

0

Basic:2-1.1

Name and label the major structures of the respiratory system on a diagram. (C-1)

 

 

 

Basic:2-1.2

List the signs of adequate breathing. (C-1)

 

 

 

Basic:2-1.3

List the signs of inadequate breathing. (C-1)

 

 

 

Basic:2-1.4

Describe the steps in performing the head-tilt chin-lift. (C-1)

 

 

 

Basic:2-1.5

Relate mechanism of injury to opening the airway. (C-3)

 

 

 

Basic:2-1.6

Describe the steps in performing the jaw thrust, while maintaining C-Spine protection. (C-1)

 

 

 

Basic:2-1.7

State the importance of having a suction unit ready for immediate use when providing emergency care. (C-1)

 

 

 

Basic:2-1.8

Describe the techniques of suctioning. (C-1)

 

 

 

Basic:2-1.9

Describe how to artificially ventilate a patient with a pocket mask. (C-1)

 

 

 

Basic:2-1.10

Describe the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask while using the jaw thrust. (C-1)

 

 

 

Basic:2-1.11

List the parts of a bag-valve-mask system. (C-1)

 

 

 

Basic:2-1.12

Describe the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask for one and two rescuers. (C-1)

 

 

 

Basic:2-1.13

Describe the signs of adequate artificial ventilation using the bag-valve-mask. (C-1)

 

 

 

Basic:2-1.14

Describe the signs of inadequate artificial ventilation using the bag-valve-mask. (C-1)

 

 

 

Basic:2-1.15

Describe the steps in artificially ventilating a patient with a flow restricted, oxygen-powered ventilation device. (C-1)

 

 

 

Basic:2-1.16

List the steps in performing the actions taken when providing mouth-to-mouth and mouth-to-stoma artificial ventilation. (C-1)

 

 

 

Basic:2-1.17

Describe how to measure and insert an oropharyngeal (oral) airway. (C-1)

 

 

 

Basic:2-1.18

Describe how to measure and insert a nasopharyngeal (nasal) airway. (C-1)

 

 

 

Basic:2-1.19

Define the components of an oxygen delivery system. (C-1)

 

 

 

Basic:2-1.20

Identify a nonrebreather face mask and state the oxygen flow requirements needed for its use. (C-1)

 

 

 

Basic:2-1.21

Describe the indications for using a nasal cannula versus a nonrebreather face mask. (C-1)

 

 

 

Basic:2-1.22

Identify a nasal cannula and state the flow requirements needed for its use. (C-1)

 

 

 

Basic:2-1.23

Explain the rationale for basic life support artificial ventilation and airway protective skills taking priority over most other basic life support skills. (A-3)

 

 

 

Basic:2-1.24

Explain the rationale for providing adequate oxygenation through high inspired oxygen concentrations to patients who, in the past, may have received low concentrations. (A-3)

 

 

 

Basic:2-1.25

Demonstrate the steps in performing the head-tilt chin-lift. (P-1, 2)

 

 

 

Basic:2-1.26

Demonstrate the steps in performing the jaw thrust. (P-1, 2)

 

 

 

Basic:2-1.27

Demonstrate the techniques of suctioning. (P-1, 2)

 

 

 

Basic:2-1.28

Demonstrate the steps in providing mouth-to-mouth artificial ventilation with body substance isolation (barrier shields). (P-1, 2)

 

 

 

Basic:2-1.29

Demonstrate how to use a pocket mask to artificially ventilate a patient. (P-1, 2)

 

 

 

Basic:2-1.30

Demonstrate the assembly of a bag-valve-mask unit. (P-1, 2)

 

 

 

Basic:2-1.31

Demonstrate the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask for one and two rescuers. (P-1, 2)

 

 

 

Basic:2-1.32

Demonstrate the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask while using the jaw thrust. (P-1,2)

 

 

 

Basic:2-1.33

Demonstrate artificial ventilation of a patient with a flow restricted, oxygen powered ventilation device. (P-1, 2)

 

 

 

Basic:2-1.34

Demonstrate how to artificially ventilate a patient with a stoma. (P-1, 2)

 

 

 

Basic:2-1.35

Demonstrate how to insert an oropharyngeal (oral) airway. (P-1, 2)

 

 

 

Basic:2-1.36

Demonstrate how to insert a nasopharyngeal (nasal) airway. (P-1, 2)

 

 

 

Basic:2-1.37

Demonstrate the correct operation of oxygen tanks and regulators. (P-1, 2)

 

 

 

Basic:2-1.38

Demonstrate the use of a nonrebreather face mask and state the oxygen flow requirements needed for its use. (P-1, 2)

 

 

 

Basic:2-1.39

Demonstrate the use of a nasal cannula and state the flow requirements needed for its use. (P-1, 2)

 

 

 

Basic:2-1.40

Demonstrate how to artificially ventilate the infant and child patient. (P-1, 2)

 

 

 

Basic:2-1.41

Demonstrate oxygen administration for the infant and child patient. (P-1, 2)

 

 

 

Basic:2-1.42

2-1-TCSG-1

Demonstrate ventilation with an endotracheal tube, or other advanced airway. (TCSG specific)

 

 

 

Airway Management and Ventilation I-7

4

8

0

Intermediate:7.1

List factors which cause decreased oxygen concentrations in the blood. [1.76]

 

 

 

Intermediate:7.2

List the factors which increase and decrease carbon dioxide production in the body. [1.75, 1.76, 1.77]

 

 

 

Intermediate:7.3

Describe the measurement of oxygen in the blood. [1.7.3]

 

 

 

Intermediate:7.4

Describe the measurement of carbon dioxide in the blood. [1.7.4]

 

 

 

Intermediate:7.5

Identify types of suction catheters, including hard or rigid catheters and soft catheters. [1.7.12]

 

 

 

Intermediate:7.6

Explain the purpose for suctioning the upper airway. [1.7.9]

 

 

 

Intermediate:7.7

Identify types of suction equipment. [1.7.10, 1.7.11]

 

 

 

Intermediate:7.8

Describe the indications for suctioning the upper airway. [1.7.9]

 

 

 

Intermediate:7.9

Identify special considerations of suctioning the upper airway. [1.7.13]

 

 

 

Intermediate:7.10

Describe the indications, contraindications, advantages, disadvantages, complications, equipment, and technique for using the following airway devices: [1.7.14, 1.7.15, 1.7.16, 1.7.17], dual lumen airway, laryngeal mask airways

 

 

 

Intermediate:7.11

Explain the primary objective of airway maintenance. [GA specific]

 

 

 

Intermediate:7.12

Identify the commonly neglected prehospital skills related to airway. [GA specific]

 

 

 

Intermediate:7.13

Define normal tidal volumes for the adult. [GA specific]

 

 

 

Intermediate:7.14

List the concentration of gases which comprise atmospheric air. [GA specific]

 

 

 

Intermediate:7.15

Define normal respiratory rates for adult, child, and infant. [GA specific]

 

 

 

Intermediate:7.16

Define and differentiate between hypoxia and hypoxemia. [GA specific]

 

 

 

Intermediate:7.17

Describe the modified forms of respiration. [GA specific]

 

 

 

Intermediate:7.18

Define gag reflex. [GA specific]

 

 

 

Intermediate:7.19

List the factors which affect respiratory rate and depth. [1.6.24, 1.6.15]

 

 

 

Intermediate:7.20

Describe the voluntary and involuntary regulation of respiration. [1.6.13]

 

 

 

Intermediate:7.21

Describe causes of upper airway obstruction. [1.6.15]

 

 

 

Intermediate:7.22

Describe the use, advantages, and disadvantages of an oxygen humidifier. [1.6.14]

 

 

 

Intermediate:7.23

Describe the indications, contraindications, advantages, disadvantages, complications, equipment, and technique for using a dual lumen airway. [1.6.32, 1.7.14, 1.7.15, 1.7.16, 1.7.17]

 

 

 

Intermediate:7.24

Explain the relationship between pulmonary circulation and respiration. [1.6.21, 1.6.22]

 

 

 

Intermediate:7.25

Define the following terms: [GA specific], CPAP, BiPAP

 

 

 

Intermediate:7.26

List several conditions where CPAP and/or BiPAP would be considered. [GA specific]

 

 

 

Intermediate:7.27

Describe the indications and contraindications for the following: [GA specific], CPAP, BiPAP

 

 

 

Intermediate:7.28

Describe the positive and negative effects of CPAP and BiPAP on the body. [GA specific]

 

 

 

Intermediate:7.29

Describe monitoring the patient on CPAP and BiPAP. [GA specific]

 

 

 

Intermediate:7.30

Describe the procedure for applying a device capable of providing CPAP and/or BiPAP. [GA specific]

 

 

 

Intermediate:7.31

Describe the necessary elements needed for documenting the patient assessment and administration of CPAP or BiPAP. [GA specific]

 

 

 

Intermediate:7.32

Define mechanical ventilation. [GA specific]

 

 

 

Intermediate:7.33

List several conditions in which mechanical ventilators may be used on patients in their residences. [GA specific]

 

 

 

Intermediate:7.34

Define ventilator dependent. [GA specific]

 

 

 

Intermediate:7.35

Define the following ventilator-related terms: [GA specific], Volume Cycled Ventilator, Pressure Cycled Ventilator, Pressure Support Ventilation, Positive End Expiratory Pressure, Peak Inspiratory Pressure, Peak Airway Pressure Alarm

 

 

 

Intermediate:7.36

Identify components of a home ventilator. [GA specific]

 

 

 

Intermediate:7.37

Describe common causes of home ventilator alarms. [GA specific]

 

 

 

Intermediate:7.38

Discuss what actions should be taken if a home ventilator malfunctions. [GA specific]

 

 

 

Intermediate:7.39

Describe the necessary elements for documenting the monitoring and care provided to a home ventilator patient. [GA specific]

 

 

 

Intermediate:7.40

Recognize and respond to the feelings that patients requiring CPAP or BiPAP may experience. [GA specific]

 

 

 

Intermediate:7.41

Explain the rationale for close monitoring of patients transported on home ventilators. [GA specific]

 

 

 

Intermediate:7.42

Perform body substance isolation (BSI) procedures during basic airway management, advanced airway management, and ventilation. [GA specific]

 

 

 

Intermediate:7.43

Perform pulse oximetry. [GA specific]

 

 

 

Intermediate:7.44

Demonstrate proper insertion of the following airway devices: [S1.6.65, S1.7.23, S1.7.24, S1.7.25, S1.7.26, S1.7.27 and GA specific], dual lumen airway, laryngeal mask airway

 

 

 

Intermediate:7.45

Demonstrate the proper application of a device capable of providing CPAP and/or BiPAP. [GA specific]

 

 

 

Intermediate:7.46

Demonstrate the correct assessment, reassessment, and documentation for a patient receiving CPAP and BiPAP. [GA specific]

 

 

 

Intermediate:7.47

Label the components of a home ventilator. [GA specific]

 

 

 

Intermediate:7.48

Demonstrate the correct assessment, reassessment, and documentation for a patient being transported on a home ventilator. [GA specific]

 

 

 

Airway – Evaluation 2-2

2

8

0

Basic:2-2.1

Demonstrate the cognitive objectives of Lesson 2-1: Airway.

 

 

 

Basic:2-2.2

Demonstrate the affective objectives of Lesson 2-1: Airway.

 

 

 

Basic:2-2.3

Demonstrate the psychomotor objectives of Lesson 2-1: Airway.

 

 

 

 

Suggested Resources

 

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   Duncan, G.J., & Brooks-Gunn, J. (Eds.). (1997). Consequences of growing up poor. New York: Russell Sage Foundation.

 

 

 

 

 

 

 

 

 

Date Posted/Updated: 11/18/08