Standard |
(To Review
Previous Version of this Standard and Guide, Click Here)
Emphasizes the study of gynecological, obstetrical, pediatric and neonatal emergencies. Maternal/Child combines the unique relationships and situations encountered with mother and child. Provides a detailed understanding of anatomy/physiology, pathophysiology, assessment, and treatment priorities for the OB/GYN patient. Pediatric and neonatal growth and development, anatomy and physiology, pathophysiology, assessment and treatment specifics are covered in detail. Successful completion of a PLS/PALS course is required. This course provides instruction on topics in Division's 5 (Medical), Sections 13 (Obstetrics) & 14 (Gynecology) and 6 (Special Considerations), Sections 1 (Neonatology) and 2 (Pediatrics) of the USDOT/NHTSA Paramedic National Standard Curriculum.
|
Competency Areas |
Hours
|
|
|
Anatomy
and Physiology of the Female Reproductive System |
Class |
4 |
|
Pathophysiology
of the Female Reproductive System |
D. Lab |
2 |
|
Anatomy
and Physiology of the Pediatric and Neonatal Patient |
P. Lab/O.B.I. |
0 |
|
Pathophysiology of the Pediatric and Neonatal Patient Assessment
of the OB/GYN Patient Assessment
of the Pediatric and Neonatal Patient Treatment
Modalities of the OB/GYN Patient Treatment
Modalities of the Pediatric and Neonatal Patient Successful
Completion of either PALS and/or PLS |
Credit |
5 |
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Prerequisites: |
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Corequisite: |
None |
Course Guide |
|
Competency |
After completing this
section, the student will: |
Hours |
||
|
Class |
D.Lab |
P.Lab/ O.B.I. |
||
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ANATOMY AND PHYSIOLOGY OF THE
FEMALE REPRODUCTIVE SYSTEM |
2 |
1 |
0 |
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Identify the normal events of the menstrual cycle. |
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ASSESSMENT AND MANAGEMENT OF GYNECOLOGICAL EMERGENCIES |
2 |
1 |
0 |
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Describe how to assess a patient with a gynecological complaint. |
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Explain how to recognize a gynecological emergency. |
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Describe the general care for any patient experiencing a gynecological emergency. |
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Describe the pathophysiology, assessment, and management of specific gynecological emergencies. |
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Demonstrate how to assess a patient with a gynecological complaint. |
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Demonstrate how to provide care for a patient with: 1. Excessive vaginal bleeding 2. Abdominal pain 3. Sexual assault |
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Identify the need to provide care for a patient of sexual assault, while still preventing destruction of crime scene information. |
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NORMAL AND ABNORMAL PREGNANCY AND BIRTH PROCESS |
4 |
2 |
0 |
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Identify the stages of labor and the paramedic's role in each stage. |
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Differentiate between normal and abnormal delivery. |
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Identify and describe complications associated with pregnancy and delivery. |
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Describe and demonstrate how to assess an obstetrical patient. |
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Identify predelivery emergencies. |
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State indications of an imminent delivery. |
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Explain the use of the contents of an obstetrics kit. |
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Differentiate the management of a patient with predelivery emergencies from a normal delivery. |
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State the steps in the predelivery preparation of the mother. |
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Establish the relationship between body substance isolation and childbirth. |
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State the steps to assist in the delivery of a newborn. |
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Describe how to care for the newborn. |
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Describe how and when to cut the umbilical cord. |
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Discuss the steps in the delivery of the placenta. |
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Describe the management of the mother post-delivery. |
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Describe the procedures for handling abnormal deliveries. |
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Describe the procedures for handling complications of pregnancy. |
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Describe the procedures for handling maternal complications of labor. |
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Describe special considerations when meconium is present in amniotic fluid or during delivery. |
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Describe special considerations of a premature baby. |
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Advocate the need for treating two patients (mother and baby). |
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Value the importance of maintaining a patient’s modesty and privacy during assessment and management. |
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Serve as a role model for other discussing or performing the steps of childbirth. |
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Demonstrate how to provide care for a patient with: 1.
Excessive vaginal bleeding 2. Abdominal pain 3. Hypertensive crisis |
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Demonstrate how to prepare the obstetric patient for delivery. |
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Demonstrate how to assist in the normal cephalic delivery of the fetus. |
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Demonstrate how to deliver the placenta. |
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Demonstrate how to provide post-delivery care of the mother. |
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Demonstrate how to assist with abnormal deliveries. |
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Demonstrate how to care for the mother with delivery complications. |
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ASSESSMENT AND MANAGEMENT OF THE NEONATE/NEWBORN |
1 |
1 |
0 |
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Define the term newborn. |
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Identify important antepartum factors that can affect childbirth. |
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Identify important intrapartum factors that can term the newborn high risk. |
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low birth weight newborns. |
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Demonstrate and advocate appropriate interaction with a newborn/neonate that conveys respect for their position in life. |
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Recognize the emotional impact of newborn/neonate injuries/illnesses on parents/guardians. |
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Recognize and appreciate the physical and emotional difficulties associated with separation of the parent/ guardian and a newborn/neonate |
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CARE OF THE NEWBORN |
3 |
2 |
0 |
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Discuss pulmonary perfusion and asphyxia. |
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Identify the primary signs utilized for evaluating a newborn during resuscitation. |
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Determine when ventilatory assistance is appropriate for a newborn. |
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Prepare appropriate ventilation equipment, adjuncts and technique for a newborn. |
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Determine when chest compressions are appropriate for a newborn. |
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Discuss appropriate chest compression techniques for a newborn. |
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Assess patient improvement due to chest compressions and ventilations. |
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Determine when endotracheal intubation is appropriate for a newborn. |
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Discuss appropriate endotracheal intubation techniques for a newborn. |
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Assess patient improvement due to endotracheal intubation. |
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Identify complications related to endotracheal intubation for a newborn. |
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Determine when vascular access is indicated for a newborn. |
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Discuss the routes of medication administration for a newborn. |
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Determine when blow-by oxygen delivery is appropriate for a newborn. |
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Discuss appropriate blow-by oxygen delivery devices and technique for a newborn. |
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Assess patient improvement due to assisted ventilations. |
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Determine when an orogastric tube should be inserted during positive-pressure ventilation. |
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Discuss the signs of hypovolemia in a newborn. |
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Discuss the initial steps in resuscitation of a newborn. |
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Assess patient improvement due to blow-by oxygen delivery. |
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Determine the appropriate treatment for the newborn with narcotic depression. |
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Discuss appropriate transport guidelines for a newborn. |
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Determine appropriate receiving facilities for low and high risk newborns. |
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Describe the epidemiology, including the incidence, morbidity/mortality, risk factors and prevention strategies for meconium aspiration. |
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Discuss the pathophysiology of meconium aspiration. |
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Discuss the assessment findings associated with meconium aspiration. |
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Discuss the management/treatment plan for meconium aspiration. |
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Demonstrate preparation of a newborn resuscitation area. |
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Demonstrate appropriate assessment technique for examining a newborn. |
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Demonstrate appropriate assisted ventilations for a newborn. |
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Demonstrate appropriate endotracheal intubation technique for a newborn. |
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Demonstrate appropriate meconium aspiration suctioning technique for a newborn. |
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Demonstrate appropriate chest compression and ventilation technique for a newborn. |
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Demonstrate appropriate techniques to improve or eliminate endotracheal intubation complications. |
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Demonstrate vascular access cannulation techniques for a newborn. |
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Demonstrate the initial steps in resuscitation of a newborn. |
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Demonstrate blow-by oxygen delivery for a newborn. |
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|
PREMATURE INFANTS |
1 |
0 |
0 |
|
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|
Discuss the pathophysiology of premature infants. |
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Discuss the assessment findings associated with premature infants. |
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Discuss the management/treatment plan for premature infants. |
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|
CARE OF THE NEONATE |
4 |
3 |
0 |
|
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|
|
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||
|
Discuss the pathophysiology of apnea in the neonate. |
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Discuss the assessment findings associated with apnea in the neonate. |
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Discuss the management/treatment plan for apnea in the neonate. |
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Describe the epidemiology, pathophysiology, assessment findings, and management/treatment plan for diaphragmatic hernia. |
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Describe the epidemiology, including the incidence, morbidity/mortality and risk factors for bradycardia in the neonate. |
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Discuss the pathophysiology of bradycardia in the neonate. |
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Discuss the assessment findings associated with bradycardia in the neonate. |
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Discuss the management/treatment plan for bradycardia in the neonate. |
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Describe the epidemiology, including the incidence, morbidity/mortality and risk factors for respiratory distress/cyanosis in the neonate. |
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||
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Discuss the pathophysiology of respiratory distress/ cyanosis in the neonate. |
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Discuss the assessment findings associated with respiratory distress/cyanosis in the neonate. |
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Discuss the management/treatment plan for respiratory distress/cyanosis in the neonate. |
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Describe the epidemiology, including the incidence, morbidity/mortality and risk factors for seizures in the neonate. |
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Discuss the pathophysiology of seizures in the neonate. |
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Discuss the assessment findings associated with seizures in the neonate. |
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Discuss the management/treatment plan for seizures in the neonate. |
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Describe the epidemiology, including the incidence, morbidity/mortality and risk factors for fever in the neonate. |
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Discuss the pathophysiology of fever in the neonate. |
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Discuss the assessment findings associated with fever in the neonate. |
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Discuss the management/treatment plan for fever in the neonate. |
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Describe the epidemiology, including the incidence, morbidity/mortality and risk factors for hypothermia in the neonate. |
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|
Discuss the pathophysiology of hypothermia in the neonate. |
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Discuss the assessment findings associated with hypothermia in the neonate. |
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Discuss the management/treatment plan for hypothermia in the neonate. |
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Describe the epidemiology, including the incidence, morbidity/mortality and risk factors for hypoglycemia in the neonate. |
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Discuss the pathophysiology of hypoglycemia in the neonate. |
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Discuss the assessment findings associated with hypoglycemia in the neonate. |
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Discuss the management/treatment plan for hypoglycemia in the neonate. |
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||
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Discuss the pathophysiology of vomiting in the neonate. |
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Discuss the assessment findings associated with vomiting in the neonate. |
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Discuss the management/treatment plan for vomiting in the neonate. |
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Describe the epidemiology, including the incidence, morbidity/mortality and risk factors for diarrhea in the neonate. |
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Discuss the pathophysiology of in diarrhea the neonate. |
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Discuss the assessment findings associated with diarrhea in the neonate. |
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Discuss the management/treatment plan for diarrhea in the neonate. |
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Describe the epidemiology, including the incidence, morbidity/mortality and risk factors for common birth injuries in the neonate. |
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Discuss the pathophysiology of common birth injuries in the neonate. |
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Discuss the management/treatment plan for common birth injuries in the neonate. |
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Describe the epidemiology, including the incidence, morbidity/mortality and risk factors for cardiac arrest in the neonate. |
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Discuss the pathophysiology of cardiac arrest in the neonate. |
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Discuss the assessment findings associated with cardiac arrest in the neonate. |
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Discuss the management/treatment plan for cardiac arrest in the neonate. |
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Discuss the pathophysiology of post arrest management of the neonate. |
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Discuss the assessment findings associated with post arrest situations in the neonate. |
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Discuss the management/treatment plan to stabilize the post arrest neonate. |
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3 |
1 |
0 |
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Discuss the paramedic's role in the reduction of infant and childhood morbidity and mortality from acute illness and injury. |
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Identify methods/mechanisms that prevent injuries to infants and children. |
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Describe Emergency Medical Services for Children (EMSC). |
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Discuss how an integrated EMSC system can affect patient outcome. |
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Demonstrate and advocate appropriate interactions with the infant/child that conveys an understanding of their developmental stage. |
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Recognize the emotional dependence of the infant/child to their parent/guardian. |
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Recognize the emotional impact of the infant/child injuries and illnesses on the parent/guardian. |
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Demonstrate the ability to provide reassurance, empathy and compassion for the parent/guardian. |
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GROWTH AND DEVELOPMENT |
1 |
0 |
0 |
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Identify key anatomical and physiological characteristics of infants and children and their implications. |
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Demonstrate an appropriate assessment for different developmental age groups. |
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ASSESSMENT OF THE PEDIATRIC PATIENT |
3 |
2 |
0 |
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Describe techniques for successful treatment of infants and children. |
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Identify the common responses of families to acute illness and injury of an infant or child. |
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Describe techniques for successful interaction with families of acutely ill or injured infants and children. |
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Outline differences in adult and childhood anatomy and physiology. |
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Identify "normal" age group related vital signs. |
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Discuss the appropriate equipment utilized to obtain pediatric vital signs. |
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Demonstrate the appropriate approach for treating infants and children. |
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Demonstrate appropriate intervention techniques with families of acutely ill or injured infants and children. |
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Demonstrate an appropriate technique for measuring pediatric vital signs. |
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Describe the primary etiologies of altered level of consciousness in infants and children. |
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AIRWAY/RESPIRATORY MANAGEMENT OF THE PEDIATRIC PATIENT |
4 |
2 |
0 |
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Discuss complications of improper utilization of airway adjuncts with infants and children. |
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Discuss appropriate ventilation devices for infants and children. |
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Discuss complications of improper utilization of ventilation devices with infants and children. |
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Discuss appropriate endotracheal intubation equipment for infants and children. |
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Identify complications of improper endotracheal intubation procedure in infants and children. |
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List the indications and methods for gastric decompression for infants and children. |
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Define respiratory distress. |
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Define respiratory failure. |
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Define respiratory arrest. |
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Describe the general approach to the treatment of children with respiratory distress, failure, or arrest from upper airway obstruction or lower airway disease. |
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Describe the epidemiology, including the incidence, morbidity/mortality, risk factors and prevention strategies for respiratory distress/failure in infants and children. |
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Discuss the pathophysiology of respiratory distress/failure in infants and children. |
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Discuss the assessment findings associated with respiratory distress/failure in infants and children. |
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Discuss the management/treatment plan for respiratory distress/failure in infants and children. |
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Demonstrate the use of a length-based resuscitation device for determining equipment sizes, drug doses and other pertinent information for a pediatric patient. |
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Demonstrate the appropriate approach for treating infants and children with respiratory distress, failure, and arrest. |
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Demonstrate proper technique for administering blow-by oxygen to infants and children. |
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Demonstrate proper technique for suctioning of infants and children. |
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Demonstrate appropriate use of airway adjuncts with infants and children. |
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Demonstrate appropriate use of ventilation devices for infants and children. |
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Demonstrate endotracheal intubation procedures in infants and children. |
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Demonstrate appropriate treatment/management of intubation complications for infants and children. |
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Demonstrate appropriate needle cricothyroidotomy in infants and children. |
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Demonstrate proper placement of a gastric tube in infants and children. |
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Demonstrate appropriate interventions for infants and children with a partially obstructed airway. |
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Demonstrate age appropriate basic airway clearing maneuvers for infants and children with a completely obstructed airway. |
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Demonstrate appropriate airway and breathing control maneuvers for infant and child trauma patients. |
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Demonstrate appropriate treatment of infants and children requiring advanced airway and breathing control. |
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CARDIOVASCULAR ASSESSMENT AND TREATMENT |
4 |
3 |
0 |
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|
Evaluate the severity of hypoperfusion in infants and children. |
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Identify the major classifications of pediatric cardiac rhythms. |
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Discuss the primary etiologies of cardiopulmonary arrest in infants and children. |
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Discuss age appropriate vascular access sites for infants and children. |
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Discuss the appropriate equipment for vascular access in infants and children. |
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Identify complications of vascular access for infants and children. |
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Discuss basic cardiac life support (CPR) guidelines for infants and children. |
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Identify appropriate parameters for performing infant and child CPR. |
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Integrate advanced life support skills with basic cardiac life support for infants and children. |
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||
|
Describe the epidemiology, including the incidence, morbidity/mortality, risk factors and prevention strategies for hypoperfusion in infants and children. |
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Discuss the pathophysiology of hypoperfusion in infants and children. |
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Discuss the assessment findings associated with hypoperfusion in infants and children. |
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Discuss the management/treatment plan for hypoperfusion in infants and children. |
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Describe the epidemiology, including the incidence, morbidity/mortality, risk factors and prevention strategies for cardiac dysrhythmias in infants and children. |
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Discuss the pathophysiology of cardiac dysrhythmias in infants and children. |
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Discuss the assessment findings associated with cardiac dysrhythmias in infants and children. |
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Discuss the management/treatment plan for cardiac dysrhythmias in infants and children. |
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||
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Demonstrate an appropriate technique for administration of intramuscular, inhalation, subcutaneous, rectal, endotracheal and oral medication for infants and children. |
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Demonstrate an appropriate technique for insertion of an intraosseous line for infants and children. |
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Demonstrate proper infant CPR. |
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Demonstrate proper child CPR. |
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|
Demonstrate proper techniques for performing infant and child defibrillation and synchronized cardioversion. |
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|
SUDDEN INFANT DEATH SYNDROME (SIDS) |
1 |
0 |
0 |
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||
|
Discuss the parent/caregiver responses to the death of an infant or child. |
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|
Describe/Discuss the epidemiology, including the incidence, morbidity/mortality, risk factors and prevention strategies for SIDS infants. |
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Discuss the pathophysiology of SIDS in infants. |
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Discuss the assessment findings associated with SIDS infants. |
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Discuss the management/treatment plan for SIDS in infants. |
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|
Demonstrate appropriate parent/caregiver interviewing techniques for infant and child death situations. |
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|
CHILD ABUSE/NEGLECT AND TRAUMA |
4 |
0 |
0 |
|
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||
|
Define child neglect. |
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Identify common lethal mechanisms of injury in infants and children. |
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Discuss anatomical features of children that predispose or protect them from certain injuries. |
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Describe aspects of infant and children airway management that are affected by potential cervical spine injury. |
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Identify infant and child trauma patients who require spinal immobilization. |
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Discuss fluid management and shock treatment for infant and child trauma patient. |
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Determine when pain management and sedation are appropriate for infants and children. |
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Describe the epidemiology, including the incidence, morbidity/mortality, risk factors and prevention strategies for trauma in infants and children. |
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Discuss the pathophysiology of trauma in infants and children. |
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Discuss the management/treatment plan for trauma in infants and children. |
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Describe the epidemiology, including the incidence, morbidity/mortality, risk factors and prevention strategies for abuse and neglect in infants and children. |
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Discuss the pathophysiology of abuse and neglect in infants and children. |
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Discuss the assessment findings associated with abuse and neglect in infants and children. |
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Discuss the management/treatment plan for abuse and neglect in infants and children, including documentation and reporting. |
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Demonstrate appropriate immobilization techniques for infant and child trauma patients. |
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Demonstrate treatment of infants and children with head injuries. |
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Demonstrate appropriate treatment of infants and children with chest injuries. |
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Demonstrate appropriate treatment of infants and children with abdominal injuries. |
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Demonstrate appropriate treatment of infants and children with burns. |
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Describe the epidemiology, including the incidence, morbidity/mortality, risk factors and prevention strategies for neurological emergencies in infants and children. |
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Discuss the pathophysiology of neurological emergencies in infants and children. |
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Discuss the assessment findings associated with neurological emergencies in infants and children. |
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Discuss the management/treatment plan for neurological emergencies in infants and children. |
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CHILDREN WITH SPECIAL HEALTHCARE NEEDS AND TECHNOLOGY
ASSISTED PATIENTS |
2 |
2 |
0 |
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Define children with special health care needs. |
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Define technology assisted children. |
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Describe the epidemiology, including the incidence, morbidity/mortality, risk factors and prevention
strategies for
children with special health care needs, including technology assisted children. |
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Discuss the pathophysiology of children with special health care needs, including technology assisted children. |
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Discuss the assessment findings associated with children with special health care needs, including technology assisted children. |
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Discuss the management/treatment plan for children with special health care needs, including technology assisted children. |
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Recognize and appreciate the physical and emotional difficulties associated with separation of the parent/ guardian of a special needs child. |
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TRANSPORT OF INJURED/ILL CHILDREN |
1 |
0 |
0 |
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Discuss appropriate receiving facilities for low and high risk infants and children. |
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Suggested Resources |