Standard

 

 R State Standard         £ Institutionally Developed          College: n/a

 

EMS 1109 – Assessment and Management Across the Lifespan for the EMT

Course Description

The course covers Lesson 9, and parts of Lessons 10 and 11 of Module 4 of the National Highway Safety Transportation Administration, National Standard Curriculum, Emergency Medical Technician-Basic, 1994 standard. All of Module 6 of the NSC-B 1994 curriculum is also included. The Georgia Office of EMS specific module for Geriatrics as well as the TCSG specific module for Special Needs Patients is included. Topics include obstetrical/gynecological emergencies, infants & children, geriatrics and patients with special needs.

 

Competency Areas

Hours

Obstetrics/Gynecology

Class

1

Medical - Practical Evaluation (just OB/GYN)

D. Lab

2

Medical - Evaluation (just OB/GYN)

P. Lab/O.B.I.

0

Infants and Children

Credit

2

Infants and Children - Practical Skills Lab

 

 

Infants and Children – Evaluation

 

 

Geriatrics

 

 

Special Needs Patients (TCSG specific)

 

 

Georgia Specific - Evaluation (just Geriatrics)

 

 

 

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.

Obstetrics/Gynecology 4-9

3

5

0

Basic:4-9.1

Identify the following structures: Uterus, vagina, fetus, placenta, umbilical cord, amniotic sac, and perineum. (C-1)

 

 

 

Basic:4-9.2

Identify and explain the use of the contents of an obstetrics kit. (C-1)

 

 

 

Basic:4-9.3

Identify predelivery emergencies. (C-1)

 

 

 

Basic:4-9.3.5

4-9-TCSG-1

Describe how to assess an obstetrical patient. (NREMT task analysis)

 

 

 

Basic:4-9.4

State indications of an imminent delivery. (C-1)

 

 

 

Basic:4-9.5

Differentiate the emergency medical care provided to a patient with predelivery emergencies from a normal delivery. (C-3)

 

 

 

Basic:4-9.6

State the steps in the predelivery preparation of the mother. (C-1)

 

 

 

Basic:4-9.7

Establish the relationship between body substance isolation and childbirth. (C-3)

 

 

 

Basic:4-9.8

State the steps to assist in the delivery. (C-1)

 

 

 

Basic:4-9.9

Describe care of the baby as the head appears. (C-1)

 

 

 

Basic:4-9.10

Describe how and when to cut the umbilical cord. (C-1)

 

 

 

Basic:4-9.11

Discuss the steps in the delivery of the placenta. (C-1)

 

 

 

Basic:4-9.12

List the steps in the emergency medical care of the mother post-delivery. (C-3)

 

 

 

Basic:4-9.13

Summarize neonatal resuscitation procedures. (C-1)

 

 

 

Basic:4-9.14

Describe the procedures for the following abnormal deliveries: Breech birth, prolapsed cord, limb presentation. (C-1)

 

 

 

Basic:4-9.15

Differentiate the special considerations for multiple births. (C-3)

 

 

 

Basic:4-9.16

Describe special considerations of meconium. (C-1)

 

 

 

Basic:4-9.17

Describe special considerations of a premature baby. (C-1)

 

 

 

Basic:4-9.18

Discuss the emergency medical care of a patient with a gynecological emergency. (C-1)

 

 

 

Basic:4-9.19

Explain the rationale for understanding the implications of treating two patients (mother and baby). (A-3)

 

 

 

Basic:4-9.20

Demonstrate the steps to assist in the normal cephalic delivery. (P-1, 2)

 

 

 

Basic:4-9.21

Demonstrate necessary care procedures of the fetus as the head appears. (P-1, 2)

 

 

 

Basic:4-9.22

Demonstrate infant neonatal procedures. (P-1, 2)

 

 

 

Basic:4-9.23

Demonstrate post delivery care of infant. (P-1, 2)

 

 

 

Basic:4-9.24

Demonstrate how and when to cut the umbilical cord. (P-1, 2)

 

 

 

Basic:4-9.25

Attend to the steps in the delivery of the placenta. (P-1, 2)

 

 

 

Basic:4-9.26

Demonstrate the post-delivery care of the mother. (P-1, 2)

 

 

 

Basic:4-9.27

Demonstrate the procedures for the following abnormal deliveries: vaginal bleeding, breech birth, prolapsed cord, limb presentation. (P-1, 2)

 

 

 

Basic:4-9.28

Demonstrate the steps in the emergency medical care of the mother with excessive bleeding. (P-1, 2)

 

 

 

Basic:4-9.29

Demonstrate completing a prehospital care report for patients with obstetrical/gynecological emergencies. (P-2)

 

 

 

Medical - Practical Evaluation (just OB/GYN) 4-10b (hours included with module 4-9)

 

 

 

Basic:4-10.9

Demonstrate the cognitive objectives of Lesson 4-9: Obstetrics/Gynecology.

 

 

 

Basic:4-10.17

Demonstrate the affective objectives of Lesson 4-9: Obstetrics/Gynecology.

 

 

 

Basic:4-10.26

Demonstrate the psychomotor objectives of Lesson 4-9: Obstetrics/Gynecology.

 

 

 

Medical - Evaluation (just OB/GYN) 4-11b (hours included with module 4-9)

 

 

 

Basic:4-11.9

Demonstrate knowledge of the cognitive objectives of Lesson 4-9: Obstetrics/Gynecological.

 

 

 

Basic:4-11.17

Demonstrate knowledge of the affective objectives of Lesson 4-9: Obstetrics/Gynecological.

 

 

 

Basic:4-11.26

Demonstrate knowledge of the psychomotor objectives of Lesson 4-9: Obstetrics/Gynecological.

 

 

 

Infants and Children 6-1

3

5

0

Basic:6-1.1

Identify the developmental considerations for the following age groups:(C-1), infants, toddlers, pre-school, school age, adolescent

 

 

 

Basic:6-1.2

Describe differences in anatomy and physiology of the infant, child and adult patient. (C-1)

 

 

 

Basic:6-1.3

Differentiate the response of the ill or injured infant or child (age specific) from that of an adult. (C-3)

 

 

 

Basic:6-1.4

Indicate various causes of respiratory emergencies. (C-1)

 

 

 

Basic:6-1.5

Differentiate between respiratory distress and respiratory failure. (C-3)

 

 

 

Basic:6-1.6

List the steps in the management of foreign body airway obstruction. (C-1)

 

 

 

Basic:6-1.7

Summarize emergency medical care strategies for respiratory distress and respiratory failure. (C-1)

 

 

 

Basic:6-1.8

Identify the signs and symptoms of shock (hypoperfusion) in the infant and child patient. (C-1)

 

 

 

Basic:6-1.9

Describe the methods of determining end organ perfusion in the infant and child patient. (C-1)

 

 

 

Basic:6-1.10

State the usual cause of cardiac arrest in infants and children versus adults. (C-1)

 

 

 

Basic:6-1.11

List the common causes of seizures in the infant and child patient. (C-1)

 

 

 

Basic:6-1.12

Describe the management of seizures in the infant and child patient. (C-1)

 

 

 

Basic:6-1.13

Differentiate between the injuries patterns in adults, infants, and children. (C-3)

 

 

 

Basic:6-1.14

Discuss the field management of the infant and child trauma patient. (C-1)

 

 

 

Basic:6-1.15

Discuss the assessment findings associated with abuse and neglect in infants and children, (NREMT task analysis) and summarize the indicators of possible child abuse and neglect. (C-1)

 

 

 

Basic:6-1.16

Describe the medical legal responsibilities in suspected child abuse. (C-1)

 

 

 

Basic:6-1.16.5

6-1-TCSG-1

Discuss the management/ treatment plan for abuse and neglect in infants and children, including documentation and reporting.  (NREMT task analysis)

 

 

 

Basic:6-1.17

Recognize need for EMT-Basic debriefing following a difficult infant or child transport. (C-1)

 

 

 

Basic:6-1.17.25

6-1-TCSG-2

Describe the technique for assessing the infant or child with the following complaints and/or conditions: a. abdominal pain; b. suspected of, or identified as having, an infectious/ communicable disease; c. hematological disorder.  (NREMT task analysis)

 

 

 

Basic:6-1.17.5

6-1-TCSG-3

Describe the emergency medical care for the infant or child with the following complaints and/or conditions: a. abdominal pain; b. suspected of, or identified as having, an infectious/ communicable disease; c. hematological disorder.  (NREMT task analysis)

 

 

 

Basic:6-1.18

Define the following terms: a. pyrexia, b. pyrogen, c. antipyretic

 

 

 

Basic:6-1.19

Discuss the benefits to and potential harm fever may have on the body.

 

 

 

Basic:6-1.20

List possible sources of fever in children.

 

 

 

Basic:6-1.21

Discuss the signs and symptoms commonly found in febrile children.

 

 

 

Basic:6-1.22

Describe the indications, contraindications, precautions, and side effects of common oral antipyretic medications.

 

 

 

Basic:6-1.23

Describe the forms and dosages of common oral antipyretic medications.

 

 

 

Basic:6-1.24

Describe necessary elements to be documented concerning the administration of oral antipyretics.

 

 

 

Basic:6-1.25

Explain the rationale for having knowledge and skills appropriate for dealing with the infant and child patient. (A-3)

 

 

 

Basic:6-1.26

Attend to the feelings of the family when dealing with an ill or injured infant or child. (A-1)

 

 

 

Basic:6-1.27

Understand the provider's own response (emotional) to caring for infants or children. (A-1)

 

 

 

Basic:6-1.28

Explain the rationale for administration of oral antipyretics in pediatric patients with a fever.

 

 

 

Basic:6-1.29

Demonstrate the techniques of foreign body airway obstruction removal in the infant. (P-1, 2)

 

 

 

Basic:6-1.30

Demonstrate the techniques of foreign body airway obstruction removal in the child. (P-1, 2)

 

 

 

Basic:6-1.31

Demonstrate the assessment of the infant and child. (P-1, 2)

 

 

 

Basic:6-1.32

Demonstrate bag-valve-mask artificial ventilations for the infant. (P-1, 2)

 

 

 

Basic:6-1.33

Demonstrate bag-valve-mask artificial ventilations for the child. (P-1, 2)

 

 

 

Basic:6-1.34

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

 

 

 

Basic:6-1.35

Demonstrate the assessment and documentation of patient response to antipyretics.

 

 

 

Basic:6-1.36

6-1-TCSG-4

Demonstrate an appropriate trauma assessment for different developmental age groups.  (NREMT task analysis)

 

 

 

Basic:6-1.37

6-1-TCSG-5

Demonstrate appropriate emergency medical care of infants and children with trauma.  (NREMT task analysis)

 

 

 

Basic:6-1.38

6-1-TCSG-6

Demonstrate the proper assessment and management of a child or infant with cardiac arrest, in accordance with the latest ECC Guidelines. (NREMT task analysis)

 

 

 

Basic:6-1.39

6-1-TCSG-7

Demonstrate the proper assessment of the infant or child with a suspected hematological disorder.  (NREMT task analysis)

 

 

 

Infants and Children - Practical Skills Lab 6-2

0

4

0

Basic:6-2.1

Demonstrate the cognitive objectives of Lesson 6-1: Infants and Children.

 

 

 

Basic:6-2.2

Demonstrate the affective objectives of Lesson 6-1: Infants and Children.

 

 

 

Basic:6-2.3

Demonstrate the psychomotor objectives of Lesson 6-1: Infants and Children.

 

 

 

Infants and Children – Evaluation 6-3

0

2

0

Basic:6-3.1

Demonstrate knowledge of the cognitive objectives of Lesson 6-1: Infants and Children

 

 

 

Basic:6-3.2

Demonstrate knowledge of the affective objectives of Lesson 6-1: Infants and Children.

 

 

 

Basic:6-3.3

Demonstrate the psychomotor objectives of Lesson 6-1: Infants and Children.

 

 

 

Geriatrics G-3

2

2

0

Basic:G-3.1

Define the term “elderly.”

 

 

 

Basic:G-3.2

State the leading cause of death in the elderly.

 

 

 

Basic:G-3.3

Describe the physiologic changes of aging.

 

 

 

Basic:G-3.4

Describe the following basics of patient assessment for the elderly.

 

 

 

Basic:G-3.5

Describe the following basics of patient assessment for the elderly:  Scene size up

 

 

 

Basic:G-3.6

Describe the following basics of patient assessment for the elderly:  Initial Assessment

 

 

 

Basic:G-3.7

Describe the following basics of patient assessment for the elderly:  Focused history and physical exam

 

 

 

Basic:G-3.8

Describe the trauma assessment in the elderly.

 

 

 

Basic:G-3.9

Describe communication basics used with an elderly patient.

 

 

 

Basic:G-3.10

Describe the process of gathering patient information for the elderly.

 

 

 

Basic:G-3.11

Describe the acute illness assessment for the following conditions: Cardiovascular emergencies, Dyspnea / Respiratory emergencies, Syncope, Altered mental status, Acute abdomen

 

 

 

Basic:G-3.12

Define elder abuse.

 

 

 

Basic:G-3.13

Discuss the causes of elder abuse.

 

 

 

Special Needs Patients (TCSG specific) G-3a

2

2

0

Basic:G-3a.1

G-3a-TCSG-1

Discuss assessment techniques for children with special health care needs. (CSHCN) (TCSG specific)

 

 

 

Basic:G-3a.2

G-3a-TCSG-1

Describe complications and key interventions for selected special needs children. (TCSG specific)

 

 

 

Basic:G-3a.3

G-3a-TCSG-1

Outline management priorities for technology dependant children with complications of indwelling devices. (TCSG specific)

 

 

 

Basic:G-3a.4

G-3a-TCSG-1

Define the term special needs as related to patients. (TCSG specific)

 

 

 

Basic:G-3a.5

G-3a-TCSG-1

Describe methods of providing care to patients with special needs. (TCSG specific)

 

 

 

Basic:G-3a.6

G-3a-TCSG-1

Identify developmental considerations for patients with special needs. (TCSG specific)

 

 

 

Basic:G-3a.7

G-3a-TCSG-1

Describe examples of patients with developmental disabilities. (TCSG specific)

 

 

 

Basic:G-3a.8

G-3a-TCSG-1

Identify feelings of the family and caregivers in relation to an ill or injured special needs patient. (TCSG specific)

 

 

 

Basic:G-3a.9

G-3a-TCSG-1

Explain the need for knowledge and skills in treating special needs patients. (TCSG specific)

 

 

 

Basic:G-3a.10

G-3a-TCSG-1

Discuss the EMT’s own emotional response to caring for a patient with special needs. (TCSG specific)

 

 

 

Basic:G-3a.11

G-3a-TCSG-1

Develop methods of providing emergency care while appreciating the unique needs of each patient and family. (TCSG specific)

 

 

 

Georgia Specific - Evaluation (just Geriatrics) G-4 (hours included with module G-3)

 

 

 

Basic:G-4.3

Demonstrate knowledge of the cognitive objectives of Lesson G-3: Geriatrics

 

 

 

 

Suggested Resources

 

Media
Print
Audio/Visual (AV)
Web
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Note: Please adhere to the APA Formatting and Style Guidelines.
Examples:
   Author, A. A. (Year of publication). Title of work: Capital letter also for subtitle. Location: Publisher.

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

 

 

 

 

 

 

 

 

 

Date Posted/Updated: 11/18/08