Standard

EMS 135 – Maternal/Pediatric

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Course Description

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

Prerequisites:	EMS 126, EMS 127, EMS 128, EMS 129
Corequisite:	None

Course Guide

Competency	After completing this section, the student will:	Hours
		Class	D.Lab	P.Lab/ O.B.I.
ANATOMY AND PHYSIOLOGY OF THE FEMALE REPRODUCTIVE SYSTEM		2	1	0
	Review the anatomic structures and physiology of the female reproductive system.
	Identify the normal events of the menstrual cycle.
ASSESSMENT AND MANAGEMENT OF GYNECOLOGICAL EMERGENCIES		2	1	0
	Describe how to assess a patient with a gynecological complaint.
	Explain how to recognize a gynecological emergency.
	Describe the general care for any patient experiencing a gynecological emergency.
	Describe the pathophysiology, assessment, and management of specific gynecological emergencies.
	Demonstrate how to assess a patient with a gynecological complaint.
	Demonstrate how to provide care for a patient with: 1. Excessive vaginal bleeding 2. Abdominal pain 3. Sexual assault
	Identify the need to provide care for a patient of sexual assault, while still preventing destruction of crime scene information.
NORMAL AND ABNORMAL PREGNANCY AND BIRTH PROCESS		4	2	0
	Identify the normal events of pregnancy.
	Identify the stages of labor and the paramedic's role in each stage.
	Differentiate between normal and abnormal delivery.
	Identify and describe complications associated with pregnancy and delivery.
	Describe and demonstrate how to assess an obstetrical patient.
	Identify predelivery emergencies.
	State indications of an imminent delivery.
	Explain the use of the contents of an obstetrics kit.
	Differentiate the management of 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 of a newborn.
	Describe how to care for the newborn.
	Describe how and when to cut the umbilical cord.
	Discuss the steps in the delivery of the placenta.
	Describe the management of the mother post-delivery.
	Summarize neonatal resuscitation procedures.
	Describe the procedures for handling abnormal deliveries.
	Describe the procedures for handling complications of pregnancy.
	Describe the procedures for handling maternal complications of labor.
	Describe special considerations when meconium is present in amniotic fluid or during delivery.
	Describe special considerations of a premature baby.
	Advocate the need for treating two patients (mother and baby).
	Value the importance of maintaining a patient’s modesty and privacy during assessment and management.
	Serve as a role model for other EMS providers when discussing or performing the steps of childbirth.
	Demonstrate how to provide care for a patient with: 1. Excessive vaginal bleeding 2. Abdominal pain 3. Hypertensive crisis
	Demonstrate how to prepare the obstetric patient for delivery.
	Demonstrate how to assist in the normal cephalic delivery of the fetus.
	Demonstrate how to deliver the placenta.
	Demonstrate how to provide post-delivery care of the mother.
	Demonstrate how to assist with abnormal deliveries.
	Demonstrate how to care for the mother with delivery complications.
ASSESSMENT AND MANAGEMENT OF THE NEONATE/NEWBORN		1	1	0
	Define the term neonate.
	Define the term newborn.
	Identify important antepartum factors that can affect childbirth.
	Identify important intrapartum factors that can term the newborn high risk.
	Identify the factors that lead to premature birth and low birth weight newborns.
	Demonstrate and advocate appropriate interaction with a newborn/neonate that conveys respect for their position in life.
	Recognize the emotional impact of newborn/neonate injuries/illnesses on parents/guardians.
	Recognize and appreciate the physical and emotional difficulties associated with separation of the parent/ guardian and a newborn/neonate
CARE OF THE NEWBORN		3	2	0
Resuscitation of the newborn/neonate	Distinguish between primary and secondary apnea.
	Discuss pulmonary perfusion and asphyxia.
	Identify the primary signs utilized for evaluating a newborn during resuscitation.