Standard

 

R State Standard         £ Institutionally Developed          College: n/a

 

EMS 1111 – 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. In addition to the NSC-B 1994 standards, this course also includes portions of Section 6 of the NSC EMT-Intermediate 1985 Standard. The Georgia Office of EMS specific module for Emergency Response to Weapons of Mass Destruction is also included. Topics Include: bleeding and shock, soft tissue injuries, musculoskeletal care, injuries to the head/spine, patient access and extrication, and emergency medical response to WMD.

 

Competency Areas

Hours

Bleeding and Shock

Class

3

Soft Tissue Injuries

D. Lab

2

Musculoskeletal Care

P. Lab/O.B.I.

0

Injuries to the Head and Spine

Credit

4

Extrication (TCSG specific)

 

 

General Patient Assessment and Initial Management (Trauma Related)

 

 

Trauma - Practical Lab

 

 

Trauma – Evaluation

 

 

Response to WMD Events

 

 

Georgia Specific - Evaluation (WMD Related)

 

 

 

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.

Bleeding and Shock 5-1

4

0

0

Basic:5-1.1

List the structure and function of the circulatory system. (C-1)

 

 

 

Basic:5-1.2

Differentiate between arterial, venous and capillary bleeding. (C-3)

 

 

 

Basic:5-1.3

State methods of emergency medical care of external bleeding. (C-1)

 

 

 

Basic:5-1.4

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

 

 

 

Basic:5-1.5

Establish the relationship between airway management and the trauma patient. (C-3)

 

 

 

Basic:5-1.6

Establish the relationship between mechanism of injury and internal bleeding. (C- 3)

 

 

 

Basic:5-1.7

List the signs of internal bleeding. (C-1)

 

 

 

Basic:5-1.8

List the steps in the emergency medical care of the patient with signs and symptoms of internal bleeding. (C-1)

 

 

 

Basic:5-1.9

List signs and symptoms of shock (hypoperfusion). (C-1)

 

 

 

Basic:5-1.10

State the steps in the emergency medical care of the patient with signs and symptoms of shock (hypoperfusion). (C-1)

 

 

 

Basic:5-1.11

Explain the sense of urgency to transport patients that are bleeding and show signs of shock (hypoperfusion). (A-1)

 

 

 

Intermediate:6.4

Describe orthostatic vital signs and evaluate their usefulness in assessing a patient in shock. [1.6.40]

 

 

 

Intermediate:6.31

Develop, execute, and evaluate a treatment plan based on the field impression for the hemorrhage or shock patient. [1.6.48]

 

 

 

Soft Tissue Injuries 5-2

6

2

0

Basic:5-2.1

State the major functions of the skin. (C-1)

 

 

 

Basic:5-2.2

List the layers of the skin. (C-1)

 

 

 

Basic:5-2.3

Establish the relationship between body substance isolation (BSI) and soft tissue injuries. (C-3)

 

 

 

Basic:5-2.4

List the types of closed soft tissue injuries. (C-1)

 

 

 

Basic:5-2.5

Describe the emergency medical care of the patient with a closed soft tissue injury. (C-1)

 

 

 

Basic:5-2.6

State the types of open soft tissue injuries. (C-1)

 

 

 

Basic:5-2.7

Describe the emergency medical care of the patient with an open soft tissue injury. (C-1)

 

 

 

Basic:5-2.8

Discuss the emergency medical care considerations for a patient with a penetrating chest injury. (C-1)

 

 

 

Basic:5-2.9

State the emergency medical care considerations for a patient with an open wound to the abdomen. (C-1)

 

 

 

Basic:5-2.10

Differentiate the care of an open wound to the chest from an open wound to the abdomen. (C-3)

 

 

 

Basic:5-2.11

List the classifications of burns. (C-1)

 

 

 

Basic:5-2.12

Define superficial burn. (C-1)

 

 

 

Basic:5-2.13

List the characteristics of a superficial burn. (C-1)

 

 

 

Basic:5-2.14

Define partial thickness burn. (C-1)

 

 

 

Basic:5-2.15

List the characteristics of a partial thickness burn. (C-1)

 

 

 

Basic:5-2.16

Define full thickness burn. (C-1)

 

 

 

Basic:5-2.17

List the characteristics of a full thickness burn. (C-1)

 

 

 

Basic:5-2.18

Describe the emergency medical care of the patient with a superficial burn. (C-1)

 

 

 

Basic:5-2.19

Describe the emergency medical care of the patient with a partial thickness burn. (C-1)

 

 

 

Basic:5-2.20

Describe the emergency medical care of the patient with a full thickness burn. (C-1)

 

 

 

Basic:5-2.21

List the functions of dressing and bandaging. (C-1)

 

 

 

Basic:5-2.22

Describe the purpose of a bandage. (C-1)

 

 

 

Basic:5-2.23

Describe the steps in applying a pressure dressing. (C-1)

 

 

 

Basic:5-2.24

Establish the relationship between airway management and the patient with chest injury, burns, blunt and penetrating injuries. (C-1)

 

 

 

Basic:5-2.25

Describe the effects of improperly applied dressings, splints and tourniquets. (C-1)

 

 

 

Basic:5-2.26

Describe the emergency medical care of a patient with an impaled object. (C-1)

 

 

 

Basic:5-2.27

Describe the emergency medical care of a patient with an amputation. (C-1)

 

 

 

Basic:5-2.28

Describe the emergency care for a chemical burn. (C-1)

 

 

 

Basic:5-2.29

Describe the emergency care for an electrical burn. (C-1)

 

 

 

Basic:5-2.30

Demonstrate the steps in the emergency medical care of open soft tissue injuries. (P-1, 2)

 

 

 

Basic:5-2.31

Demonstrate the steps in the emergency medical care of a patient with an open chest wound. (P-1, 2)

 

 

 

Basic:5-2.32

Demonstrate the steps in the emergency medical care of a patient with open abdominal wounds. (P-1, 2)

 

 

 

Basic:5-2.33

Demonstrate the steps in the emergency medical care of a patient with an impaled object. (P-1, 2)

 

 

 

Basic:5-2.34

Demonstrate the steps in the emergency medical care of a patient with an amputation. (P-1, 2)

 

 

 

Basic:5-2.35

Demonstrate the steps in the emergency medical care of an amputated part. (P-1, 2)

 

 

 

Basic:5-2.36

Demonstrate the steps in the emergency medical care of a patient with superficial burns. (P-1, 2)

 

 

 

Basic:5-2.37

Demonstrate the steps in the emergency medical care of a patient with partial thickness burns. (P-1, 2)

 

 

 

Basic:5-2.38

Demonstrate the steps in the emergency medical care of a patient with full thickness burns. (P-1, 2)

 

 

 

Basic:5-2.39

Demonstrate the steps in the emergency medical care of a patient with a chemical burn. (P-1, 2)

 

 

 

Basic:5-2.40

Demonstrate completing a prehospital care report for patients with soft tissue injuries. (P-2)

 

 

 

Musculoskeletal Care 5-3

4

2

0

Basic:5-3.1

Describe the function of the muscular system. (C-1)

 

 

 

Basic:5-3.2

Describe the function of the skeletal system. (C-1)

 

 

 

Basic:5-3.3

List the major bones or bone groupings of the spinal column; the thorax; the upper extremities; the lower extremities. (C-1)

 

 

 

Basic:5-3.4

Differentiate between an open and a closed painful, swollen, deformed extremity. (C-1)

 

 

 

Basic:5-3.5

State the reasons for splinting. (C-1)

 

 

 

Basic:5-3.6

List the general rules of splinting. (C-1)

 

 

 

Basic:5-3.7

List the complications of splinting. (C-1)

 

 

 

Basic:5-3.8

List the emergency medical care for a patient with a painful, swollen, deformed extremity. (C-1)

 

 

 

Basic:5-3.9

Explain the rationale for splinting at the scene versus load and go. (A-3)

 

 

 

Basic:5-3.10

Explain the rationale for immobilization of the painful, swollen, deformed extremity. (A-3)

 

 

 

Basic:5-3.11

Demonstrate the emergency medical care of a patient with a painful, swollen, deformed extremity. (P-1, 2)

 

 

 

Basic:5-3.12

Demonstrate completing a prehospital care report for patients with musculoskeletal injuries. (P-2)

 

 

 

Injuries to the Head and Spine 5-4

4

4

0

Basic:5-4.1

State the components of the nervous system. (C-1)

 

 

 

Basic:5-4.2

List the functions of the central nervous system. (C-1)

 

 

 

Basic:5-4.3

Define the structure of the skeletal system as it relates to the nervous system. (C-1)

 

 

 

Basic:5-4.4

Relate mechanism of injury to potential injuries of the head and spine. (C-3)

 

 

 

Basic:5-4.4.5

5-4-TCSG-2

Describe the mechanism of injury, assessment and management of injuries for the head injury patient. (TCSG specific)

 

 

 

Basic:5-4.5

Describe the implications of not properly caring for potential spine injuries. (C-1)

 

 

 

Basic:5-4.6

State the signs and symptoms of a potential spine injury. (C-1)

 

 

 

Basic:5-4.7

Describe the method of determining if a responsive patient may have a spine injury. (C-1)

 

 

 

Basic:5-4.8

Relate the airway emergency medical care techniques to the patient with a suspected spine injury. (C-3)

 

 

 

Basic:5-4.9

Describe how to stabilize the cervical spine. (C-1)

 

 

 

Basic:5-4.10

Discuss indications for sizing and using a cervical spine immobilization device. (C-1)

 

 

 

Basic:5-4.11

Establish the relationship between airway management and the patient with head and spine injuries. (C-1)

 

 

 

Basic:5-4.12

Describe a method for sizing a cervical spine immobilization device. (C-1)

 

 

 

Basic:5-4.13

Describe how to log roll a patient with a suspected spine injury. (C-1)

 

 

 

Basic:5-4.14

Describe how to secure a patient to a long spine board. (C-1)

 

 

 

Basic:5-4.15

List instances when a short spine board should be used. (C-1)

 

 

 

Basic:5-4.16

Describe how to immobilize a patient using a short spine board. (C-1)

 

 

 

Basic:5-4.17

Describe the indications for the use of rapid extrication. (C-1)

 

 

 

Basic:5-4.18

List steps in performing rapid extrication. (C-1)

 

 

 

Basic:5-4.19

State the circumstances when a helmet should be left on the patient. (C-1)

 

 

 

Basic:5-4.20

Discuss the circumstances when a helmet should be removed. (C-1)

 

 

 

Basic:5-4.21

Identify different types of helmets. (C-1)

 

 

 

Basic:5-4.22

Describe the unique characteristics of sports helmets. (C-1)

 

 

 

Basic:5-4.23

Explain the preferred methods to remove a helmet. (C-1)

 

 

 

Basic:5-4.24

Discuss alternative methods for removal of a helmet. (C-1)

 

 

 

Basic:5-4.25

Describe how the patient's head is stabilized to remove the helmet. (C-1)

 

 

 

Basic:5-4.26

Differentiate how the head is stabilized with a helmet compared to without a helmet. (C-3)

 

 

 

Basic:5-4.27

Explain the rationale for immobilization of the entire spine when a cervical spine injury is suspected. (A-3)

 

 

 

Basic:5-4.28

Explain the rationale for utilizing immobilization methods apart from the straps on the cots. (A-3)

 

 

 

Basic:5-4.29

Explain the rationale for utilizing a short spine immobilization device when moving a patient from the sitting to the supine position. (A-3)

 

 

 

Basic:5-4.30

Explain the rationale for utilizing rapid extrication approaches only when they indeed will make the difference between life and death. (A-3)

 

 

 

Basic:5-4.31

Defend the reasons for leaving a helmet in place for transport of a patient. (A-3)

 

 

 

Basic:5-4.32

Defend the reasons for removal of a helmet prior to transport of a patient. (A-3)

 

 

 

Basic:5-4.32.5

5-4-TCSG-1

Distinguish between the types of traumatic brain injury based upon an understanding of pathophysiology and assessment. (TCSG specific)

 

 

 

Basic:5-4.33

Demonstrate opening the airway in a patient with suspected spinal cord injury. (P-1, 2)

 

 

 

Basic:5-4.34

Demonstrate evaluating a responsive patient with a suspected spinal cord injury. (P-1, 2)

 

 

 

Basic:5-4.35

Demonstrate stabilization of the cervical spine. (P-1, 2)

 

 

 

Basic:5-4.36

Demonstrate the four person log roll for a patient with a suspected spinal cord injury. (P-1, 2)

 

 

 

Basic:5-4.37

Demonstrate how to log roll a patient with a suspected spinal cord injury using two people. (P-1, 2)

 

 

 

Basic:5-4.38

Demonstrate securing a patient to a long spine board. (P-1, 2)

 

 

 

Basic:5-4.39

Demonstrate using the short board immobilization technique. (P-1, 2)

 

 

 

Basic:5-4.40

Demonstrate procedure for rapid extrication. (P-1, 2)

 

 

 

Basic:5-4.41

Demonstrate preferred methods for stabilization of a helmet. (P-1, 2)

 

 

 

Basic:5-4.42

Demonstrate helmet removal techniques. (P-1, 2)

 

 

 

Basic:5-4.43

Demonstrate alternative methods for stabilization of a helmet. (P-1, 2)

 

 

 

Basic:5-4.44

Demonstrate completing a prehospital care report for patients with head and spinal injuries. (P-2)

 

 

 

Extrication (TCSG specific) 5-4a

4

0

0

Basic:5-4a.1

5-4a-TCSG-1

Demonstrate the prehospital management of the patient with a traumatic brain injury. (TCSG specific)

 

 

 

Basic:5-4a.2

5-4a-TCSG-2

Describe the purpose of extrication.

 

 

 

Basic:5-4a.3

5-4a-TCSG-3

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

 

 

 

Basic:5-4a.4

5-4a-TCSG-4

Define the fundamental components of extrication.

 

 

 

Basic:5-4a.5

5-4a-TCSG-5

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

 

 

 

Basic:5-4a.1

5-4a-TCSG-6

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

 

 

 

General Patient Assessment and Initial Management (Trauma Related) I-6b

2

2

0

Intermediate:6.34

Discuss the pathophysiology of injury to the lung, including: [1.6.23], Simple pneumothorax, Open pneumothorax, Tension pneumothorax.

 

 

 

Intermediate:6.35

Discuss the management of lung injuries. [1.6.23]

 

 

 

Intermediate:6.36

Discuss the pathophysiology of diaphragmatic injuries. [1.6.23]

 

 

 

Intermediate:6.37

Discuss the management of diaphragmatic injuries. [1.6.23]

 

 

 

Intermediate:6.38

Discuss the epidemiology and pathophysiology of specific chest wall injuries, including a flail segment. [1.6.23]

 

 

 

Intermediate:6.39

Discuss the management of chest wall injuries. [1.6.23]

 

 

 

Intermediate:6.39.25

I-6-TCSG-1

Discuss special consideration in trauma assessment and management with regard to pregnant, pediatric, and geriatric patients.  (TCSG specific)

 

 

 

Intermediate:6.39.5

I-6-TCSG-2

Describe the pathological conditions that can occur in the nose, pharynx, and larynx to obstruct or retard air flow and identify the complications of laryngeal fracture. (TCSG specific)

 

 

 

Trauma - Practical Lab 5-5

0

8

0

Basic:5-5.1

Demonstrate the cognitive objectives of Lesson 5-1: Bleeding and Shock.

 

 

 

Basic:5-5.2

Demonstrate the cognitive objectives of Lesson 5-2: Soft Tissue Injuries.

 

 

 

Basic:5-5.3

Demonstrate the cognitive objectives of Lesson 5-3: Musculoskeletal Care.

 

 

 

Basic:5-5.4

Demonstrate the cognitive objectives of Lesson 5-4: Injuries to the Head and Spine.

 

 

 

Basic:5-5.5

Demonstrate the affective objectives of Lesson 5-1: Bleeding and Shock.

 

 

 

Basic:5-5.6

Demonstrate the affective objectives of Lesson 5-3: Musculoskeletal Care.

 

 

 

Basic:5-5.7

Demonstrate the affective objectives of Lesson 5-4: Injuries to the Head and Spine.

 

 

 

Basic:5-5.8

Demonstrate the psychomotor objectives of Lesson 5-1: Bleeding and Shock.

 

 

 

Basic:5-5.9

Demonstrate the psychomotor objectives of Lesson 5-2: Soft Tissue Injuries.

 

 

 

Basic:5-5.10

Demonstrate the psychomotor objectives of Lesson 5-3: Musculoskeletal Care.

 

 

 

Basic:5-5.11

Demonstrate the psychomotor objectives of Lesson 5-4: Injuries to the Head and Spine.

 

 

 

Trauma – Evaluation  5-6

2

2

0

Basic:5-6.1

Demonstrate knowledge of the cognitive objectives of Lesson 5-1: Bleeding and Shock.

 

 

 

Basic:5-6.2

Demonstrate knowledge of the cognitive objectives of Lesson 5-2: Soft Tissue Injuries.

 

 

 

Basic:5-6.3

Demonstrate knowledge of the cognitive objectives of Lesson 5-3: Musculoskeletal Care.

 

 

 

Basic:5-6.4

Demonstrate knowledge of the cognitive objectives of Lesson 5-4: Injuries to the Head and Spine.

 

 

 

Basic:5-6.5

Demonstrate knowledge of the affective objectives of Lesson 5-1: Bleeding and Shock.

 

 

 

Basic:5-6.6

Demonstrate knowledge of the affective objectives of Lesson 5-3: Musculoskeletal Care.

 

 

 

Basic:5-6.7

Demonstrate knowledge of the affective objectives of Lesson 5-4: Injuries to the Head and Spine.

 

 

 

Basic:5-6.8

Demonstrate knowledge of the psychomotor objectives of Lesson 5-1: Bleeding and Shock.

 

 

 

Basic:5-6.9

Demonstrate knowledge of the psychomotor objectives of Lesson 5-2: Soft Tissue Injuries.

 

 

 

Basic:5-6.10

Demonstrate knowledge of the psychomotor objectives of Lesson 5-3: Musculoskeletal Care.

 

 

 

Basic:5-6.11

Demonstrate knowledge of the psychomotor objectives of Lesson 5-4: Injuries to the Head and Spine.

 

 

 

Response to WMD Events G-1

4

0

0

Basic:G-1.1

Emergency Medical Response to Weapons of Mass Destruction.

 

 

 

Basic:G-1.10

Recognize the patient experiencing exposure to a Weapon of Mass Destruction, to include chemicals and radiation.

 

 

 

Basic:G-1.11

Describe the emergency medical care of the patient experiencing exposure to a Weapon of Mass Destruction.

 

 

 

Basic:G-1.12

List signs/symptoms associated with Weapons of Mass Destruction.

 

 

 

Basic:G-1.13

State the medication forms, dose, administration, action, and contraindications for the Mark I kit, Potassium Iodide, and Amyl Nitrite.

 

 

 

Basic:G-1.14

Differentiate between the general category of those patients exposed to a Weapon of Mass Destruction and those requiring immediate medical care, including immediate use of the Mark I kit, Potassium Iodide, and Amyl Nitrite.

 

 

 

Basic:G-1.15

Explain the rationale for administering the Mark I kit, Potassium Iodide, and Amyl Nitrite.

 

 

 

Basic:G-1.16

Demonstrate the emergency medical care of the patient exposed to a Weapon of Mass Destruction.

 

 

 

Basic:G-1.17

Demonstrate the use of a Mark I Kit, Potassium Iodide, and Amyl Nitrite.

 

 

 

Basic:G-1.18

Perform the necessary steps required to provide a patient with a Mark I Kit, Potassium Iodide, and Amyl Nitrite.

 

 

 

Basic:G-1.19

Demonstrate the assessment and documentation of patient response to a Weapon of Mass Destruction.

 

 

 

Basic:G-1.20

Demonstrate the proper disposal of the Mark I Kit.

 

 

 

Georgia Specific - Evaluation (WMD Related) G-4 (hours included in module G-1)

 

 

 

Basic:G-4.1

Demonstrate knowledge of the cognitive objectives of Lesson G-1: Response to WMD Events.

 

 

 

Basic:G-4.2

Demonstrate knowledge of the affective objectives of Lesson G-1: Response to WMD Events.

 

 

 

Basic:G-4.3

Demonstrate proficiency in the psychomotor objectives of Lesson G-1: Response to WMD Events.

 

 

 

 

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   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