Standards

 

xState Standard    ¨ Institutionally Developed     College:  not applicable

 

EMS 121 - Emergency Medical Technology II

Course Description

Introduces the student to the Emergency Medical Technician profession.  This course covers the second half of the U.S. Department of Transportation Basic EMT Program.  Topics include:  general pharmacology, respiratory emergencies, cardiology, diabetes, altered mental status, seizures, allergies, poisonings, environmental emergencies, behavioral emergencies, bleeding and shock, PASG, soft tissue injuries, musculoskeletal injuries, head and spinal injuries, OB/GYN, infants and children, and special needs patients.

 

Competency Areas

Hours

 

General Pharmacology

Class

7

Respiratory Emergencies

D. Lab

1

Cardiology

P. Lab/O.B.I.

0

Diabetes

Credit

7

Altered Mental Status

 

 

Seizures

 

 

Allergies

 

 

Poisonings

 

 

Environmental Emergencies

 

 

Behavioral Emergencies

 

 

Bleeding and Shock

 

 

PASG

 

 

Soft Tissue Injuries

 

 

Head and Spinal Injuries

 

 

OB/GYN

 

 

Infants and Children

 

 

Special Needs patients

 

 


Prerequisite:

EMS 120

Corequisite:

     

 

Course Guide

 

Competency

After completing this section, the student will:

Hours

Class

D.Lab

P.Lab/

O.B.I.

General Pharmacology

2

0

0

     

Identify which medications will be carried on the unit

 

 

 

 

State the medications carried on the unit by the generic name

 

 

 

 

Identify the medications with which the EMT‑Basic may assist the patient with administering

 

 

 

 

State the medications the EMT‑Basic can assist the patient with by the generic name

 

 

 

 

Discuss the forms in which the medications may be found

 

 

 

 

Explain the rationale for the administration of medications

 

 

 

 

Demonstrate general steps for assisting patient with self‑administration of medications

 

 

 

 

Read the labels and inspect each type of medication

 

 

 

Respiratory Emergencies

6

0

0

 

List the structure and function of the respiratory system

 

 

 

 

State the signs and symptoms of a patient with breathing difficulty

 

 

 

 

Describe the emergency medical care of the patient with breathing difficulty

 

 

 

 

Recognize the need for medical direction to assist in the emergency medical care of the patient with breathing difficulty

 

 

 

 

Describe the emergency medical care of the patient with breathing distress

 

 

 

 

Establish the relationship between airway management and the patient with breathing difficulty

 

 

 

 

State the generic name, medication forms, dose, administration, action, indications and contraindications for the prescribed inhaler

 

 

 

 

Distinguish between the emergency medical care of the infant, child and adult patient with breathing difficulty

 

 

 

 

Differentiate between upper airway obstruction and lower airway disease in the infant and child patient

 

 

 

 

Defend EMT-Basic treatment regimens for various respiratory emergencies

 

 

 

 

Explain the rationale for administering an inhaler

 

 

 

 

Demonstrate the emergency medical care for breathing difficulty

 

 

 

 

Perform the steps in facilitating the use of an inhaler

 

 

 

Cardiology

10

0

0

 

Describe the structure and function of the cardiovascular system

 

 

 

 

Describe the emergency medical care of the patient experiencing chest pain/discomfort

 

 

 

 

Define the role of EMT‑B in the emergency cardiac care system

 

 

 

 

Discuss the position of comfort for patients with various cardiac emergencies

 

 

 

 

Establish the relationship between airway management and the patient with cardiovascular compromise

 

 

 

 

Predict the relationship between the patient experiencing cardiovascular compromise and basic life support

 

 

 

 

Explain the importance of prehospital ACLS intervention if it is available

 

 

 

 

Discuss the importance of post-resuscitation care

 

 

 

 

List the components of post-resuscitation care

 

 

 

 

Recognize the need for medical direction of protocols to assist in the emergency medical care of the patient with chest pain

 

 

 

 

List the indications for the use of nitroglycerin

 

 

 

 

State the contraindications and side effects for the use of nitroglycerin

 

 

 

 

Explain the rationale for administering nitroglycerin to a patient with chest pain or discomfort

 

 

 

 

Demonstrate the assessment and emergency medical care of a patient experiencing chest pain/discomfort

 

 

 

 

Perform the steps in facilitating the use of nitroglycerin for chest pain or discomfort

 

 

 

 

Demonstrate the assessment and documentation of patient response to nitroglycerin

 

 

 

 

Practice completing a prehospital care report for patients with cardiac emergencies

 

 

 

Diabetes Altered Mental States Seizures

4

0

0

 

Identify the patient taking diabetic medications with altered mental status and the implications of a diabetes history

 

 

 

 

State the steps in the emergency medical care of the patient taking diabetic medicine with an altered mental status and a history of diabetes

 

 

 

 

Establish the relationship between airway management and the patient with altered mental status

 

 

 

 

State the generic and trade names, medication forms, dose, administration, action, and contraindications for oral glucose

 

 

 

 

Evaluate the need for medical direction in the emergency medical care of the diabetic patient

 

 

 

 

Explain the rationale for administering oral glucose

 

 

 

 

Demonstrate the steps in the emergency medical care for the patient taking diabetic medicine with an altered mental status and a history of diabetes

 

 

 

 

Demonstrate the steps in the administration of oral glucose

 

 

 

 

Demonstrate the assessment and documentation of patient response to oral glucose

 

 

 

 

Demonstrate how to complete a prehospital care report for patients with diabetic emergencies

 

 

 

Allergic Reactions And Poisonings

0

0

 

Recognize the patient experiencing an allergic reaction

 

 

 

 

Describe the emergency medical care of the patient with an allergic reaction

 

 

 

 

Establish the relationship between the patient with an allergic reaction and airway management

 

 

 

 

Describe the mechanisms of allergic response and the implications for airway management

 

 

 

 

State the generic and trade names, medication forms, dose, administration, action, and contraindications for the epinephrine auto‑injector

 

 

 

 

Evaluate the need for medical direction in the emergency medical care of the patient with an allergic reaction

 

 

 

 

Differentiate between the general category of those patients having an allergic reaction and those patients having an allergic reaction and requiring immediate medical care, including immediate use of epinephrine auto-injector

 

 

 

 

Explain the rationale for administering epinephrine using an auto-injector

 

 

 

 

Demonstrate the emergency medical care of the patient experiencing an allergic reaction

 

 

 

 

Demonstrate the use of epinephrine auto-injector

 

 

 

 

Demonstrate the assessment and documentation of patient response to an epinephrine injection

 

 

 

 

Demonstrate proper disposal of equipment

 

 

 

 

Demonstrate completing a prehospital care report for patients with allergic emergencies

 

 

 

 

List various ways that poisons enter the body

 

 

 

 

List signs/symptoms associated with poisoning

 

 

 

 

Discuss the emergency medical care for the patient with possible overdose

 

 

 

 

Establish the relationship between the patient suffering from poisoning or overdose and airway management

 

 

 

 

State the generic and trade names, indications, contraindications, medication form, dose, administration, actions, side effects and re‑assessment strategies for activated charcoal

 

 

 

 

Recognize the need for medical direction in caring for the patient with poisoning or overdose

 

 

 

 

Explain the rationale for administering activated charcoal

 

 

 

 

Explain the rationale for contacting medical direction early in the prehospital management of the poisoning or overdose patient

 

 

 

 

Demonstrate the steps in the emergency medical care for the patient with possible overdose

 

 

 

 

Perform the necessary steps required to provide a patient with activated charcoal

 

 

 

 

Demonstrate the assessment and documentation of patient response

 

 

 

 

Demonstrate the assessment and documentation of patient response

 

 

 

 

Demonstrate proper disposal of the equipment for the administration of activated charcoal

 

 

 

 

Demonstrate completing a prehospital care report for patients with a poisoning/overdose emergency

 

 

 

Environmental Emergencies

4

0

0

 

Describe the various ways that the body loses heat List the signs and symptoms of exposure to cold

 

 

 

 

List the signs and symptoms of exposure to cold

 

 

 

 

Explain the steps in providing emergency medical care to a patient exposed to cold

 

 

 

 

List the signs and symptoms of exposure to heat

 

 

 

 

Explain the steps in providing emergency care to a patient exposed to heat

 

 

 

 

Recognize the signs and symptoms of water-related emergencies

 

 

 

 

Describe the complications of near drowning

 

 

 

 

Discuss the emergency medical care of bites and stings

 

 

 

 

Demonstrate the assessment and emergency medical care of a patient with exposure to cold

 

 

 

 

Demonstrate the assessment and emergency medical care of a patient with exposure to heat

 

 

 

 

Demonstrate the assessment and emergency medical care of a near drowning patient

 

 

 

 

Demonstrate completing a prehospital care report for patients with environmental emergencies

 

 

 

Behavioral Emergencies

0

 

Define behavioral emergencies

 

 

 

 

Discuss the general factors that may cause an alteration in a patient's behavior

 

 

 

 

State the various reasons for psychological crises

 

 

 

 

Discuss the characteristics of an individual's behavior which suggests that the patient is at risk for suicide

 

 

 

 

Discuss special medical/legal considerations for managing behavioral emergencies

 

 

 

 

Discuss the special considerations for assessing a patient with behavioral problems

 

 

 

 

Discuss the general principles of an individual's behavior which suggests that he is at risk for violence

 

 

 

 

Discuss methods to calm behavioral emergency patients

 

 

 

 

Explain the rationale for learning how to modify your behavior toward the patient with a behavioral emergency

 

 

 

 

Demonstrate the assessment and emergency medical care of the patient experiencing a behavioral emergency

 

 

 

 

Demonstrate various techniques to safely restrain a patient with a behavioral problem

 

 

 

Evaluation Module 5

3

1

0

Written Examination

 Unit exam

 

 

 

Practical Examination

 Unit exam

 

 

 

Bleeding And Shock PASG/ MAST

4

0

0

 

List the structure and function of the circulatory system

 

 

 

 

Differentiate between arterial, venous and capillary bleeding

 

 

 

 

State methods of emergency medical care of external bleeding

 

 

 

 

Establish the relationship between body substance isolation and bleeding

 

 

 

 

Establish the relationship between airway management and the trauma patient

 

 

 

 

Establish the relationship between mechanism of injury and internal bleeding

 

 

 

 

List the signs of internal bleeding

 

 

 

 

List the steps in the emergency medical care of the patient with signs and symptoms of internal bleeding

 

 

 

 

List signs and symptoms of shock (hypoperfusion)

 

 

 

 

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

 

 

 

 

Explain the sense of urgency to transport patients that are bleeding and show signs of shock (hypoperfusion

 

 

 

 

Demonstrate direct pressure as a method of emergency medical care of external bleeding

 

 

 

 

Demonstrate the use of diffuse pressure as a method of emergency medical care of external bleeding

 

 

 

 

Demonstrate the use of pressure points and tourniquets as a method of emergency medical care of external bleeding

 

 

 

 

Demonstrate the care of the patient exhibiting signs and symptoms of internal bleeding

 

 

 

 

Demonstrate the care of the patient exhibiting signs and symptoms of shock (hypoperfusion)

 

 

 

 

Demonstrate completing a prehospital care report for patient with bleeding and/or shock (hypoperfusion)

 

 

 

Soft Tissue Injuries

4

0

0

 

State the major functions of the skin

 

 

 

 

List the layers of the skin

 

 

 

 

Establish the relationship between body substance isolation (BSI) and soft tissue injuries

 

 

 

 

List the types of closed soft tissue injuries

 

 

 

 

Describe the emergency medical care of the patient with a closed soft tissue injury

 

 

 

 

State the types of open soft tissue injuries

 

 

 

 

Discuss the emergency medical care considerations for a patient with a penetrating chest injuries

 

 

 

 

State the emergency medical care considerations for a patient with an open wound to the abdomen

 

 

 

 

Differentiate the care of an open wound to the chest from an open wound to the abdomen

 

 

 

 

List the classifications of burns

 

 

 

 

Define superficial burn

 

 

 

 

List the characteristics of a superficial burn

 

 

 

 

List the characteristics of a partial thickness burn

 

 

 

 

Define full thickness burn

 

 

 

 

List the characteristics of a full thickness burn

 

 

 

 

Describe the emergency medical care of the patient with a superficial burn

 

 

 

 

Describe the emergency medical care of the patient with a partial thickness burn

 

 

 

 

Describe the emergency medical care of the patient with a full thickness burn

 

 

 

 

List the functions of dressing and bandaging

 

 

 

 

Describe the purpose of a bandage

 

 

 

 

Describe the steps in applying a pressure dressing

 

 

 

 

Establish the relationship between airway management and the patient with chest injury, burns, blunt and penetrating injuries

 

 

 

 

Describe the effects of improperly applied dressings, splints and tourniquets

 

 

 

 

Describe the emergency medical care of a patient with an impaled object

 

 

 

 

Demonstrate the steps in the emergency medical care of a patient with an amputation

 

 

 

 

Demonstrate the steps in the emergency medical care of an amputated part

 

 

 

 

Demonstrate the steps in the emergency medical care of a patient with superficial burns

 

 

 

 

Demonstrate the steps in the emergency medical care of a patient with partial thickness burns

 

 

 

 

Demonstrate the steps in the emergency medical care of a patient with full thickness burns

 

 

 

 

Demonstrate the steps in the emergency medical care of a patient with a chemical burn

 

 

 

 

Demonstrate completing a prehospital care report for patients with soft tissue injuries

 

 

 

Musculoskeletal Injuries

4

0

0

 

Describe the function of the muscular system

 

 

 

 

Describe the function of the skeletal system

 

 

 

 

List the major bones or bone groupings of the spinal column; the thorax; the upper extremities; the lower extremities

 

 

 

 

Differentiate between an open and a closed painful, swollen, deformed extremity

 

 

 

 

State the reasons for splinting

 

 

 

 

List the general rules of splinting

 

 

 

 

List the complications of splinting

 

 

 

 

List the emergency medical care for a patient with a painful, swollen, deformed extremity

 

 

 

 

Explain the rationale for splinting at the scene versus “load and go”

 

 

 

 

Explain the rationale for immobilization of the painful, swollen, deformed extremity

 

 

 

 

Demonstrate the emergency medical care of a patient with a painful, swollen, deformed extremity

 

 

 

 

Demonstrate completing a prehospital care report for patients with musculoskeletal injuries

 

 

 

Head And Spinal Injuries

4

0

0

 

State the components of the nervous system

 

 

 

 

List the functions of the central nervous system

 

 

 

 

Define the structure of the skeletal system as it relates to the nervous system

 

 

 

 

Relate mechanism of injury to potential injuries of the head and spine

 

 

 

 

Describe the implications of not properly caring for potential spine injuries

 

 

 

 

State the signs and symptoms of a potential spine injury

 

 

 

 

Describe the method of determining if a responsive patient may have a spine injury

 

 

 

 

Relate the airway emergency medical care techniques to the patient with a suspected spine injury

 

 

 

 

Describe how to stabilize the cervical spine

 

 

 

 

Discuss indications for sizing and using a cervical spine immobilization device

 

 

 

 

Establish the relationship between airway management and the patient with head and spine injuries

 

 

 

 

Describe a method for sizing a cervical spine immobilization device

 

 

 

Practical Skills Lab I

0

4

0

 

Practical skills lab

 

 

 

 

 

 

 

 

Practical Skills Lab II-Trauma

0

4

0

 

Lab II must include Trauma skills practiced in a simulated wrecked vehicle

 

 

 

Evaluation Module 6

2

2

0

Written Examination

Practical Examination

Unit exams

 

 

 

Obstetrics And Gynecology

3

1

0

 

Identify the following structures:  Uterus, vagina, fetus, placenta, umbilical cord, amniotic sac, perineum

 

 

 

 

Identify and explain the use of the contents of an obstetrics kit

 

 

 

 

Identify predelivery emergencies

 

 

 

 

State indications of an imminent delivery

 

 

 

 

Differentiate the emergency medical care provided to a patient with predelivery emergencies from a normal delivery

 

 

 

 

State the steps in the predelivery preparation of the mother

 

 

 

 

Establish the relationship between body substance isolation and childbirth

 

 

 

 

State the steps to assist in the delivery

 

 

 

 

Describe care of the baby as the head appears

 

 

 

 

Describe how and when to cut the umbilical cord

 

 

 

 

Discuss the steps in the delivery of the placenta

 

 

 

 

List the steps in the emergency medical care of the mother post-delivery

 

 

 

 

Summarize neonatal resuscitation procedures

 

 

 

 

Describe the procedures for the following abnormal deliveries:  Breech birth, prolapsed cord, limb presentation

 

 

 

 

Differentiate the special considerations for multiple births

 

 

 

 

Describe special considerations of a premature baby

 

 

 

 

Discuss the emergency medical care of a patient with a gynecological emergency

 

 

 

 

Explain the rationale for understanding the implications of treating two patients (mother and baby)

 

 

 

 

Demonstrate the steps to assist in the normal cephalic delivery

 

 

 

 

Demonstrate necessary care procedures of the fetus as the head appears

 

 

 

 

Demonstrate infant neonatal procedures

 

 

 

 

Demonstrate post delivery care of infant

 

 

 

 

Demonstrate how and when to cut the umbilical cord

 

 

 

 

Attend to the steps in the delivery of the placenta

 

 

 

 

Demonstrate the post-delivery care of the mother

 

 

 

 

Demonstrate the procedures for the following abnormal deliveries:  vaginal bleeding, breech birth, prolapsed cord, limb presentation