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Standard |
Rev: 4/18/07; Posted: 06/11/07
This unit
is designed to help the Paramedic assess and treat a wide variety of
respiratory related illnesses in the pediatric and adult patient. Topics include a review of anatomy and
physiology, pathophysiology of foreign body airway obstruction, recognition of
respiratory compromise, use of airway adjunctive equipment and procedures,
current therapeutic modalities for bronchial asthma, chronic bronchitis,
emphysema, spontaneous pneumothorax, and hyperventilation syndromes. This section also provides expanded
information for adult respiratory distress syndrome, pulmonary thromboembolism,
neoplasms of the lung, pneumonia, emphysema, pulmonary edema, and respiratory
infections. This course provides
instruction on topics in Division 2 (Airway), Section 1 (Airway Management and
Ventilation) and Division 5 (Medical), Section 1 (Respiratory) of the
USDOT/NHTSA Paramedic National Standard Curriculum.
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Competency Areas |
Hours |
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Airway Anatomy
and Physiology |
Class |
4 |
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Pathophysiology
of Respiratory Diseases |
D. Lab |
2 |
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Physiology
of Ventilation and Respiration |
P.
Lab/O.B.I. |
0 |
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Pharmacological Intervention of
Respiratory Emergencies |
Credit |
5 |
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Use of
Adjunctive Equipment in Respiratory Emergencies |
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Integration
of Assessment Findings and Management |
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Special
Considerations |
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Prerequisites: |
AHS 101 |
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Corequisite: |
EMS 126,
EMS 127, EMS 128, |
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Course Guide |
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Competency |
After completing this section,
the student will: |
Hours |
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Class |
D.Lab
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P.Lab/ O.B.I. |
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TERMINOLOGY
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2 |
0
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0 |
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Define gag reflex. |
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Define gastric distention. |
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Define atelectasis. |
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Define FiO2. |
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Define complete airway obstruction. |
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Describe peak expiratory flow. |
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Define pulsus paradoxes. |
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Define and differentiate between hypoxia and hypoxemia. |
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Describe the modified forms of respiration. |
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Define, identify and describe a tracheostomy,
stoma, and tracheostomy tube. |
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Define, identify, and describe a laryngectomy. |
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Define how to ventilate with a patient with a
stoma, including mouth-to-stoma and bag-valve-mask-to-stoma
ventilation. |
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ANATOMY AND PHYSIOLOGY
OF THE AIRWAY
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10 |
6
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0 |
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Identify the anatomy of the upper and lower airway. |
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Describe the functions of the upper and lower airway. |
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Explain the differences between adult and pediatric airway
anatomy. |
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List factors that cause decreased oxygen
concentrations in the blood. |
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List the concentration of gases that comprise atmospheric air. |
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Describe the measurement of oxygen in the blood. |
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Describe the measurement of carbon dioxide in the blood. |
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List the factors that increase and decrease
carbon dioxide production in the body. |
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Explain the relationship between pulmonary circulation and
respiration. |
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Describe the voluntary and involuntary regulation of
respiration. |
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Describe visual landmarks for direct laryngoscopy. |
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CONTROL AND VENTILATION OF THE AIRWAY
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24 |
12
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0 |
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Explain the primary objective of airway
maintenance. |
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Identify commonly neglected prehospital skills
related to airway. |
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Define and explain the implications of partial airway
obstruction with good and poor air exchange. |
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Describe causes of upper airway obstruction. |
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Describe manual airway maneuvers. |
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Describe the Sellick (cricoid pressure) maneuver. |
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Describe complete airway obstruction maneuvers. |
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Explain the purpose for suctioning the upper airway. |
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Describe the indications for suctioning the upper airway. |
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Identify techniques of suctioning the upper airway. |
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Identify special considerations of suctioning the upper airway. |
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Identify special considerations of gastric decompression. |
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Describe the indications, contraindications,
advantages, disadvantages, complications, and technique
for inserting an oropharyngeal and nasopharyngeal airway. |
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Describe the indications, contraindications,
advantages, disadvantages, complications, and technique
for ventilating a patient by: Mouth-to-mouth, Mouth-to-nose, Mouth-to-mask, One person bag-valve-mask, Two person bag-valve-mask, Three person bag-valve-mask, Flow-restricted, oxygen-powered ventilation |
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Explain the advantage of the two person method when ventilating
with the bag-valve-mask. |
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Compare the ventilation techniques used for an adult patient to
those used for pediatric patients. |
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Describe indications, contraindications, advantages,
disadvantages, complications, and technique for ventilating a patient with an
automatic transport ventilator (ATV). |
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Describe the indications, contraindications,
advantages, disadvantages, complications, and technique
of | ||||