Standard |
rev.02/23/04
(To Review
Previous Version of this Standard and Guide, Click Here)
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.
|
Competency
Areas |
Hours |
| |
|
Airway Anatomy and Physiology |
Class |
4 | |
|
Pathophysiology of Respiratory Diseases |
D. Lab |
2 | |
|
Physiology of Ventilation and Respiration |
P. Lab/O.B.I. |
0 | |
|
Pharmacological Intervention of Respiratory Emergencies |
Credit |
5 | |
| Use of Adjunctive Equipment in Respiratory Emergencies | |||
| Integration of Assessment Findings and Management | |||
| Special Considerations | |||
|
|
|
| |
|
Prerequisites: |
EMS126, EMS127, EMS128, EMS129 | ||
|
Corequisite: |
None | ||
Course Guide |
|
Competency |
After completing this
section, the student will: |
Hours | ||
|
Class |
D.Lab |
P.Lab/
O.B.I. | ||
TERMINOLOGY |
2 |
0 |
0 | |
|
|
Define gag
reflex. |
|
|
|
|
|
Define gastric
distention. |
|
|
|
|
|
Define
atelectasis. |
|
|
|
|
|
Define
FiO2. |
|
|
|
|
|
Define complete airway
obstruction. |
|
|
|
|
Describe peak expiratory
flow. |
|
|
| |
|
Define pulsus
paradoxes. |
|
|
| |
|
Define and differentiate
between hypoxia and hypoxemia. |
|
|
| |
|
Describe the modified forms
of respiration. |
|
|
| |
|
Define, identify and describe a tracheostomy, stoma,
and
tracheostomy tube. |
|
|
| |
|
Define, identify, and
describe a laryngectomy. |
|
|
| |
|
Define how to ventilate with a patient with a
stoma, including mouth-to-stoma and
bag-valve-mask-to-stoma ventilation. |
|
|
| |
ANATOMY AND PHYSIOLOGY OF THE AIRWAY |
10 |
6 |
0 | |
|
Identify the anatomy of the
upper and lower airway. |
|
|
| |
|
Describe the functions of
the upper and lower airway. |
|
|
| |
|
Explain the differences
between adult and pediatric airway anatomy. |
|
|
| |
|
List factors that cause decreased oxygen
concentrations in the blood. |
|
|
| |
|
List the concentration of
gases that comprise atmospheric air. |
|
|
| |
|
Describe the measurement of
oxygen in the blood. |
|
|
| |
|
Describe the measurement of
carbon dioxide in the blood. |
|
|
| |
|
List the factors that increase and decrease carbon
dioxide
production in the body. |
|
|
| |
|
Explain the relationship
between pulmonary circulation and respiration. |
|
|
| |
|
Describe the voluntary and
involuntary regulation of respiration. |
|
|
| |
|
Describe visual landmarks
for direct laryngoscopy. |
|
|
| |
CONTROL AND VENTILATION OF THE AIRWAY |
24 |
12 |
0 | |
|
Explain the primary objective of airway
maintenance. |
|
|
| |
|
Identify commonly neglected prehospital skills
related to
airway. |
|
|
| |
|
Define and explain the
implications of partial airway obstruction with good and poor air
exchange. |
|
|
| |
|
Describe causes of upper
airway obstruction. |
|
|
| |
|
Describe manual airway
maneuvers. |
|
|
| |
|
Describe the Sellick
(cricoid pressure) maneuver. |
|
|
| |
|
Describe complete airway
obstruction maneuvers. |
|
|
| |
|
Explain the purpose for
suctioning the upper airway. |
|
|
| |
|
Describe the indications for
suctioning the upper airway. |
|
|
| |
|
Identify techniques of
suctioning the upper airway. |
|
|
| |
|
Identify special
considerations of suctioning the upper airway. |
|
|
| |
|
Identify special
considerations of gastric decompression. |
|
|
| |
|
Describe the indications, contraindications,
advantages,
disadvantages, complications, and technique for
inserting
an oropharyngeal and nasopharyngeal
airway. |
|
|
| |
|
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
|
|
|
| |
|
Explain the advantage of the
two person method when ventilating with the bag-valve-mask. |
|
|
| |
|
Compare the ventilation
techniques used for an adult patient to those used for pediatric
patients. |
|
|
| |