CURRICULUM MAP Cluster: Health Science CTE Program of ... · Cluster: Health Science CTE Program of Study: HE0715 Allied Health Specialization: Emergency Services *Foundations of

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CURRICULUM MAP Cluster: Health Science

CTE Program of Study: HE0715 Allied Health Specialization: Emergency Services

*Foundations of Health Science (0711) and Advanced Principles of Health Science (0715) provide the introductory core for all Health Science Concentrations and require a minimum course completion score of 80% to advance to Emergency Services I (0792). Emergency Services I (0792) requires a minimum course

completion score of 80% to advance to Emergency Services II 0732)

*The Performance Skills for Emergency Services were adapted and condensed from the U S Department of Transportation, National Emergency Medical Services Education: Emergency Medical Technician Instructional Guidelines.

https://www.nremt.org/nremt/about/reg_1st_history.asp#Entry_Requirements *These educational Content Skills also meet the West Virginia Office of Emergency Medical Systems requirements. See http://www.wvoems.org.

National Emergency Medical Standards, Emergency Medical Responder see https://www.ems.gov/pdf/811077b.pdf

The Performance Skills for Emergency Services I‐meet the requirement for First Responder. The first responder is the first person to arrive at the scene who has

emergency medical training and the first designated level of professional emergency medical care as outlined by the National EMS education and practice blueprint. Skills taught to a First Responder include: Assessment for life‐threatening conditions in both medical and trauma patients, provision of initial airway care, assistance with breathing, provision of CPR, control of bleeding, and stabilization of spinal and extremity injuries. In addition the West Virginia Office of Emergency Services requires successful completion of the hazardous materials awareness training meeting the Department of Labor, Occupational Safety and

Health Administration (OSHA) 1910.120 requirements. Emergency Services II Applies fundamental knowledge of the EMS system, safety/well‐being of the EMT, and medical/legal and ethical issues to the provision of

emergency care.*The Performance Skills for Emergency Services I‐EMR were adapted and condensed from the U S Department of Transportation, National Emergency Medical Services Education: Emergency Medical Technician Instructional Guidelines. Emergency Services II builds upon knowledge obtained in

Emergency Services I. Refer to policy 2520.13 Guidance Document for recommended electives

STANDARD % SKILL SET/COMPETENCY REQUIRED CORE COURSES FOR COMPLETION 1st Course

0711 Foundations of Health Science

2nd Course 0715

Advanced Principles of

Health Science

3rd Course 0792

Emergency Services 1

4th Course 0732


Awareness and Sensitivity to Client Needs

12% Describe how healthcare workers can be aware and sensitive to clients and their

X X X

2



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


families (across the lifespan) emotional, spiritual, mental health and social needs, behaviors, and attitudes

Explain how different diseases can influence the functioning, behaviors, and attitudes of individuals including dementia/Alzheimer's disease

X X

Describe selected client service strategies (e.g., service, quality client care, client participation)

X

Dene the stages and processes of death and dying and the influence those stages have on clients and their families

X

Behaviors for Success in Healthcare Settings

14% Discuss healthcare fields and the types of workers needed X X

Describe employer behavioral expectations of healthcare personnel

X X

Identify the impact of quality in healthcare facilities as well as the responsibilities of users of the healthcare system (e.g., healthcare workers maintenance of personal wellness)

X X X

Describe selected types of healthcare facilities and healthcare delivery systems (e.g., organizational and financial structure, departments and services, type and levels of healthcare personnel, policies and requirements)

X

Communication in Healthcare Settings

27% Describe the components of verbal and nonverbal communication and situations in which these skills can be effectively used

X

Explain how active listening skills can improve client/individual and team communication

X

3



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


Use a variety of communication techniques to achieve effective interpersonal and team communication

X X

Describe communication skills that are important when managing conflict

X

Explain the components of accurate and appropriate documentation and reporting (e.g., common medical abbreviations)

X X X

Explain the roles and responsibilities of team members X X Describe the use of information technology in healthcare

settings X X

Using a problem‐solving process applied to healthcare situations, describe how healthcare workers can effectively communicate with their clients/individuals and team members

X X

Healthcare Ethics 12% Describe dimensions of values as they impact healthcare X X Describe basic principles of professional relationships X X Describe how ethical decision making influences the care of

clients X X X

Explain how an individual's diversity, socioeconomic, or religious beliefs could lead to potential ethical differences with that of other healthcare employees

X X

Legal Issues in Healthcare

11% Explain the laws (e.g., liability, influence on client care) X X X X

Explore legal issues such as sexual harassment, wrongful discharge, negligence, malpractice and violence in the workplace (e.g., abuse, neglect, exploitation, and the Vulnerable Adults law)

X X X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


Identify the legal issues related to informed consent, advanced directives, ensuring the clients' rights and responsibilities, and accurate documentation

X X X

Describe the importance of confidentiality (HIPAA) and consequences of inappropriate use of healthcare data (social media and email) in terms of disciplinary actions

X X

Healthcare Safety and Standard Precautions

12% List healthcare safety standards and regulatory agencies and the requirements they set for safety standards for healthcare facilities, their employees, and clients/individuals

X X X X

Explain the current requirements of standard precautions and the procedures used at a variety of healthcare facilities to support those standards (e.g., infection control, proper hand washing, and gloving procedures)

X X X X

Identify ways in which healthcare workers can demonstrate personal and client safety (e.g., Safety Data Sheets (SDS), safety signs, symbols, labels, and physical, chemical, and biological safety)

X X X X

Explain the procedures used to respond to client/individual and healthcare facility emergencies (e.g., re safety and natural disasters)

X X X X

Respecting Client and Staff Diversity

12% Describe one's personal belief system as well as the belief systems and practices of diverse cultures

X

Explore personal responsibility as a healthcare employee to treat each person as an individual

X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


Discuss the appropriate workplace expectations to interact with team members and care for clients/individuals from diverse cultures, gender, age groups

X X

Using a problem‐solving process, applied to healthcare situations, describe how healthcare employees can respect client and staff diversity

X

West Virginia Standards Academic Foundations Identify the six essential nutrients. X Examine the basic food groups. X Compare therapeutic diets. X Demonstrate competency in basic math skills and mathematical

conversions as they relate to healthcare. a. Metric system b. mathematical (averages, ratios, fractions, percentages, addition, subtraction, multiplication, division) c. Conversions (height, weight/mass, length, volume, temperature, household measurements)

X X

Demonstrate the ability to analyze diagrams, charts, graphs, and tables to interpret healthcare results.

X X

Demonstrate use of the 24‐hour clock/military time X X Classify the basic structural and functional organization of the

human body (tissue, organ and system). X

Recognize body planes, directional terms, quadrants, and cavities.

X

Analyze the basic structure and function of the human body. X Describe common diseases and disorders of each body system

(prevention, pathology, diagnosis, and treatment). X

Recognize emerging diseases and disorders. X Investigate biomedical therapies as they relate to the

prevention, pathology and treatment of disease. X

Systems Identify and describe health issues in West Virginia X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


Compare and contrast world health issues to West Virginia health issues

X

Explain factors influencing the health care delivery system. X Explain the impact of emerging issues such as technology,

epidemiology, bioethics and socioeconomics on healthcare delivery systems.

X

Discuss common methods of payment for healthcare. X Teamwork Working in a team, analyze major West Virginia or Global health

challenges and proposed solutions X

Technical Skills Apply skills to obtain training and/or certification in Health Care Provider or Professional Rescuer CPR, AED and FBAO.

X

Apply skills to obtain training and/or certification in First Aid. X Identify technical skills required for all career specialties and

demonstrate skills and knowledge as appropriate. X

Apply procedures for measuring and recording vital signs including normal ranges.

X

Identify additional technical skills based upon career specialties. X EMS systems define the components of emergency medical (EMS) systems X research the National Highway Traffic Safety Administration as

related to emergency medical systems X

discuss how to access to the emergency medical services X research EMS National Scope of Practice Model and National

education standards X

define authorization to practice as related to the West Virginia Office of Emergency Services, medical oversight, local credentialing, employer policies and procedures

X

Describe the role of Emergency Medical Responder as a member of the EMS Team.

X

list and describe the responsibilities of the Emergency Medical Responder for the provision of pre‐hospital emergency care within the local EMS system

X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


describe principles of safely operating a ground ambulance X understand the guidelines of operating safety in and around a

landing zone during air medical operations and transport X

Workforce Safety and Wellness

have immunizations and health status reviewed X

discuss emotional reaction that maybe experience by First Responders, patients, family members and by standers when faced with trauma, illness, death and dying

X

discuss the steps in your approach to the family confronted with death and dying and describe the possible reactions that the family may exhibit

X

recognize the signs and symptoms of critical incident stress and state possible steps to reduce/alleviate stress

X

demonstrate correct handwashing X adhere to standard precautions and OSHA regulations X adhere to safe operation of EMS/patient care equipment X identify and implement the appropriate personal protective

equipment for patient care situations X

research exposure occurrence policies and procedures X identify stressful situations and ways to deal with stress as it

relates to EMS X

identify and prevent response‐related injuries as related to EMS X demonstrate proper technique when lifting and moving

patients X

explain the procedures for cleaning, disinfecting and/or disposal of all items that are potentially contaminated with infectious materials

X

describe health habits that promote physical and mental well‐being

X

demonstrate/determine the proper personal protective equipment to prevent exposure to infectious disease

X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


demonstrate proper procedures for hand washing and using alcohol based hand cleaners

X

discuss the health concerns related to exposure to hepatitis B, hepatitis C, tuberculosis and HIV/AIDS

X

access the centers for disease control website to obtain updated information on diseases of concern to EMS providers

X

explain the essential provisions of OSHA, CDC, and the Ryan White CARE act as they relate to infection control in EMS

X

describe the indication for use of an N‐95 or HEPA respirator X describe the purpose of the tuberculin skin test X give examples of common stressors in EMS work X describe and differentiate between the stages of the stress

response including the effects of each stage on the body X

list lifestyle changes that can be made to manage stress X explain the purpose of critical incident stress management X given a scenario involving death or dying, recognize a patient's

or family member reaction to death and dying X

given a scenario involving death or dying, use effective techniques for interacting with the patient and family members

X

outline proper responses to incidents including : hazardous material incidents, terrorist incidents, rescue operations and violence

X

given a scenario of an emergency response involving a safety threat, describe actions you should take to protect yourself and other EMS providers

X

demonstrate/promote safety on EMS calls X EMS Roles, Responsibility, and Professionalism

discuss and research roles and responsibilities of EMS personnel as related to : equipment, safety, scene evaluation, patient access, administering care, emotional support, continuity of care, community relations, medical and legal standards

X

demonstrate characteristics of professional behavior X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


research quality improvement as it relates to EMS X Communication and Documentation

demonstrate the proper procedure for the transfer of patient care to other EMS personnel

X

describe/record information regarding a patient's condition and treatment that need to be communicated

X

communicate/document the Emergency Medical Responder’s observations and actions to whomever patient care is transferred

X

communicate with team members/document call for resources X describe and apply the principles of communicating with

patients in a manner that achieves a positive relationship X

recognize simple medical prefixes, suffixes and combining words

X

master radio procedure used at various stages of the EMS call X demonstrate delivery and format of a radio report to the

hospital X

prepare and deliver a verbal hand‐off report to the hospital X develop communication skills used when interacting with other

members of the health care team X

develop communication skills used when interacting with the patient

X

develop components and procedures for the written prehospital care report

X

understand and demonstrate legal aspects and benefits of documentation

X

demonstrate documenting concerns in patient refusal X using a variety of scenarios demonstrate giving an organized,

complete, concise report of pertinent patient information when giving a verbal report

X

demonstrate principles and techniques of effective communication

X

10



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


adapt communication principles for effective interaction with patients of various ages and cultures

X

understand legal issues and special situations associated with documentation

X

Medical, Legal and Ethical Issues

describe and demonstrate an understanding of the medical legal aspects of an Emergency Medical Responder’s provision of emergency medical care in the jurisdiction having authority, including, but not limited to, duty to act, standard of care, consent to care, forcible restraint, abandonment, documentation, and any applicable Good Samaritan Laws

X

define the first responder standard of care X discuss the importance of do not resuscitate, advance

directives, and related state laws/rules X

define consent and discuss the methods of obtaining consent differentiating between expressed and implied consent

X

discuss the implication for EMR of patient refusal of transport X define abandonment, negligence, and assault and battery, and

their implications X

explain the importance and legality of patient confidentiality X state the conditions that require the EMR to notify local law

enforcement and action that should be taken when providing care at a crime scene

X

discuss and demonstrate fundamental components of documentation

X

discuss how consent would be obtained for a minor X describe and demonstrate scope of practice of an EMT X differentiate between scope of practice and standard of care X when given a variety of scenarios, determine which type of

patient consent applies including refusal of care, and do not resuscitate orders

X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


when given a variety of scenarios recognize/describe negligence and duty to act

X

explain the purpose of good Samaritan laws X identify situations that would constitute a breach of patient

confidentiality X

recognize medical identification devices and organ donor status X list items that may be considered evidence at a crime scene,

and ways to minimize your impact on evidence while caring for your patient

X

determine situations that may legally require reporting to authorities

X

given a scenario involving an ethical challenge, decide the most appropriate response for an EMT

X

Vital Signs determine and record skin color, temperature and moistness X demonstrate ability to accurately measure and record vital signs

including manual blood pressure X

Medical Identification Devices

identify the most commonly used digital medical identification devices

X

apply the information contained on or in the medical identification devices to patient assessment and patient care procedures

X

Anatomy and Physiology

understand and use basic anatomical and directional terms to identify body parts as they relate to each other

X

describe the anatomy and function of the: respiratory system, circulatory system, musculoskeletal system and nervous system

X

relate a given surface landmark with the appropriate underlying anatomy

X

identify the life support chain fundamental elements and issues impacting these elements including age related variations (pediatrics and geriatrics)

X

12



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


Shock and Respiratory Compromise

determine and record the level of consciousness of the injured person including person, place, time, and events

X

assess for an inadequate airway, inadequate respiration's, inadequate circulation and profuse bleeding

X

recognize when immediate correction is necessary X assess patient and determine if the patient has a life

threatening condition X

use spinal precautions as appropriate X Age Specific Assessment and Care

differentiate between the anatomy and physiology of the infant, child, and adult patient (vital signs, weight, pulmonary system, nervous system, psychological)

X

describe how assessment of the infant or child may be different from that of an adult

X

describe various causes of respiratory emergencies and summarize emergency care strategies for infant, children and elderly

X

list common causes and describe the management of seizures in the infant and child patient

X

discuss the emergency medical care of the infant, child, elderly trauma patient

X

summarize the signs and symptoms of child and elder abuse and neglect

X

describe the medical‐legal responsibilities in suspected child and elder abuse

X

demonstrate assessment of the infant and child patient X Public Health research the basic principles behind public health X discuss the EMS interface with public health X Emergency Medications know the names, effects, indication , routes of administration

and dosages for all emergency medications (chemical antidote auto injector devices)

X

13



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


demonstrate self‐administration of intramuscular injection by auto injector (advantages, disadvantage, techniques)

X

demonstrate peer administration of intramuscular injection by auto injector (advantages, disadvantage, techniques)

X

Basic Life Support establish and maintain an open airway using both manual and mechanical airway techniques

X

restore breathing and circulation by means of cardiopulmonary resuscitation (CPR)

X

demonstrate proficiency in the use of an automated external defibrillator (AED)

X

demonstrate proficiency in using basic lifesaving procedures X Bleeding identify items that can be used to control external bleeding and

minimize the contamination of open wounds X

apply pressure dressings that will control bleeding and minimize the contamination of open wounds

X

identify the likelihood of internal bleeding through observations of signs, symptoms and mechanisms of injury

X

care for a patient who exhibits the signs and symptoms of internal bleeding

X

apply current trauma treatment standards when applying a tourniquet which may include Prehospital Trauma Life Support (PHTLS) standards

X

Shock recognize the likelihood that shock may occur or be present on the basis of patient assessment and observation of a mechanism of injury

X

provide anti‐shock measures as a part of routine patient care X Airway Management apply knowledge of Anatomy and Physiology to airway

management procedures (I.E. patent airway, mechanical ventilation, respiration perfusion)

X

understand the pathophysiology of respiratory dysfunction X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


use available mechanical devices to assure the maintenance of an open airway and assist ventilation according to American Heart Association (AHA) standards )

X

demonstrate proficiency in supplemental oxygen therapy including portable oxygen cylinder and oxygen delivery devices

X

describe and demonstrate airway management utilizing of upper airway suctioning

X

consider age‐related variation in pediatric and geriatric patients X Assessment: Scene Size‐Up

secure the safety of the scene by describing common scene hazards

X

manage the scene by demonstrating knowledge of the impact of the environment on patient care, addressing hazards, assessing potential for violence and the need for additional or specialized resources

X

implement/demonstrate use of standard precautions and personal protective equipment

X

Patient Evacuation and Transfer

describe situations when a person should be evacuated or transferred

X

use the most appropriate assist, drag or carry (alone or with a partner) to move a sick or injured person from a dangerous location to a safe place

X

maintain safety precautions during evacuation and transfer X Demonstrate an understanding of the purpose and use of

transfer methods for patients including stair chairs and stretchers.

X

provide emergency evaluation and transfer of a sick and/or injured person

X

Demonstrate good body mechanics while lifting and moving patients

X

protect patients by using urgent, and non‐urgent moves X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


Primary Assessment identify those conditions that represent an immediate threat to the patient's life

X

demonstrate assessment of : level of consciousness, airway status, breathing status, circulatory status,

X

identify life threats X assess vital functions X begin interventions needed to preserve life X Secondary Assessment conduct a methodical head‐to‐toe physical examination to

discover conditions not found during the primary assessment X

demonstrate a focused assessment of pain X demonstrate assessment of vital signs X consider special interventions for pediatric and geriatric

patients (normal vital signs by age etc) X

interview the sick or injured person to obtain facts relevant to the person's condition

X

interview co‐workers, witnesses, family members, or other individuals to obtain facts relevant to the person's condition

X

Re‐assessment identify and treat changes in the patient's condition in a timely manner

X

reassess at regular intervals X reassess including primary assessment, vital signs, chief

complaint, interventions X

compare reassessment to the baseline status X assess pain X reassess effectiveness of each intervention, consider need for

new intervention X

consider age related assessment data X Neurology define altered mental status and causes of altered mental

status X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


research type of seizures, causes, assessment findings and management

X

describe the causes, assessment findings and management of patient with stroke symptoms

X

Abdominal and Gastrointestinal Disorders

define acute abdomen

X

identify assessment techniques and symptoms related to abdominal and gastrointestinal disorders

X

research general management for patient with abdominal pain X become familiar with specific acute abdominal conditions X consider age related variations for pediatric and geriatric

assessment and management related abdominal and gastrointestinal disorders

X

Musculo‐skeletal Injuries

Identify the various types of musculo‐skeletal injuries.

X

immobilize and otherwise care for suspected fractures, dislocations, sprains and strains with available supplies and equipment, including commercially available and improvised devices

X

demonstrate an understanding of the function and need for traction splints

X

Cervical/Spinal Injuries identify need for spinal immobilization X maintain in‐line immobilization of cervical spine X place proper fitting rigid extrication‐type cervical collar X place patient in supine position on full length spine board X secure patient to immobilization device X Immobilization identify need for extremity immobilization X assesses motor, sensory, and distal circulation in extremities X place proper fitting splint on extremity X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


reassesses motor, sensory, and distal circulation in extremities X Caring for the Sick and/or Injured

identify and care for patients with non‐traumatic chest pain, utilizing patient assessment

X

identify and care for patients experiencing respiratory distress, utilizing patient assessment

X

identify and care for patients experiencing a diabetic emergency, utilizing patient assessment

X

identify and care for a patient who is experiencing a seizure, utilizing patient assessment

X

identify and care for a patient who has ingested, inhaled, absorbed or been injected with a poisonous substance, utilizing patient assessment

X

identify and care for a patient who is in an altered state of consciousness, utilizing patient assessment

X

identify and care for a patient who is experiencing a stroke, utilizing patient assessment

X

identify and care for a patient who has a foreign body in the eye, utilizing patient assessment

X

identify and care for a patient with thermal, chemical, or electrical burns, determining the severity including degree, body surface area, type, and location utilizing patient assessment

X

identify and care for a patient suffering from an environmental emergency including heat cramps, heat exhaustion, heat stroke, and frostbite, utilizing patient assessment

X

Patient Care in Special Situations

identify patients who have special needs

X

care for injured/ill children X care for the injured/ill elderly X care for the injured/ill physically disabled X care for the injured/ill developmentally disabled X

18



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


Multiple Casualty Incidents

categorize the victims of multiple casualty incidents according to the severity of injury or illness on the basis of patient assessments

X

use triage tags or other identification devices available locally to indicate priorities for pre‐hospital emergency care and transportation to medical facilities

X

work as a member of a team to perform triage at locations of multiple casualty incidents

X

work as a member of a team to perform patient assessments at locations of multiple casualty incidents

X

work as a member of a team to carry out patient care procedures at the locations of multiple casualty incidents

X

demonstrate knowledge of the operating procedures during a terrorist event or during a natural or man‐made disaster

X

demonstrate a basic understanding of the Incident Command System (ICS) implemented by the Federal Emergency Management Agency (FEMA),

X

successfully complete Hazmat Awareness training meeting OSHA 1910.120

X

Life‐threatening Situations

take steps to minimize the chance of injury or death to all involved when confronted with a potentially life‐threatening situation on the basis of an assessment of a scene

X

Entrapment identify accident‐related hazards and undertake hazard control measures consistent with the capabilities of the Emergency Medical Responder and available equipment

X

use available equipment safely to gain access to persons who are entrapped

X

use available equipment safely to disentangle persons from mechanisms of entrapment

X

Emergency Childbirth evaluate a mother to determine whether delivery is imminent X assist with a normal delivery X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


care for the mother and baby X identify abnormal childbirth situations and care for the mother

and baby within the Emergency Medical Responder’s capabilities

X

Non‐medical Operational Skills

differentiate the phases of a prehospital call

X

identify the major components of an incident command system X discuss your role as a first responder in extrication X list various methods of gaining access to the patient X explain what to do if there is a hazard at the scene X state role you perform until appropriate trained personnel

arrive X

describe criteria for a multiple casualty situation and discuss your role as a first responder

X

summarize the components of basic triage X Foundations apply fundamental knowledge of the Emergency Medical

Services System X

recognize the NHTSA Technical Assistance Program Assessment Standards: • Regulation and policy • Resource management • Human Resources and Training • Transportation • Facilities

X

describe the access to Emergency Medical Services X understand the educational level of EMS licensure X describe the authorization to practice:

• Legislative decision on scope of practice • State EMS office oversight • Medical oversight (clinical protocols, Quality Improvement, Administrative)

X

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• Local credentialing • Administrative • Employer policies and procedures

Medical Terminology and Anatomy

apply common prefixes, suffixes and roots to determine the meaning of medical terms

X

recognize and use acronyms and abbreviations commonly used in EMS

X

use anatomical terms of position and direction to describe the location of body structures and position of the body

X

utilize topographical anatomical landmarks as points of reference

X

describe and recognize the structures and functions of each of the body systems:

X

Musculoskeletal, respiratory, cardiovascular, nervous, digestive, integumentary, endocrine, renal, reproductive.

X

describe the differences in the respiratory anatomy of children as compared to adults

X

given a variety of scenarios apply understanding of anatomy and physiology to explain the functions of the life support chain

X

describe the roles of water, glucose and oxygen in the cell X summarize conditions that can threaten cardiopulmonary

function X

explain how impaired cardiopulmonary function affect the body X discuss the mechanisms the body uses to compensate for

impaired cardiopulmonary function X

identify signs and symptoms that indicate the body is attempting to compensate for impaired cardiopulmonary function

X

describe ways/indications in which the body's: fluid balance can become disrupted nervous system may be impaired

X

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4th Course 0732


endocrine dysfunction digestive system dysfunction immune system dysfunction

X

Life Span Development describe physical and physiological characteristics, including normal vital signs for the following age groups:

infant toddler preschool age school age adolescent early adult middle adult late adult

X

describe psychosocial characteristics and concerns of individuals at each stage of life span development

X

given a variety of scenarios, utilize the knowledge of physical, physiological, and psychosocial development to anticipate the needs and concerns of patients of all ages

X

Airway Management, Respiration and Artificial Ventilation

apply knowledge of general anatomy and physiology to patient assessment and management in order to assure a patient airway, adequate mechanical ventilation and respiration for patients of all ages

X

describe airway pathophysiology X recognize the sounds of a partially obstructed airway X open airways X demonstrate the use of airway adjuncts X demonstrate suctioning X describe and demonstrate how to keep an airway open X

22



2nd Course 0715


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3rd Course 0792


4th Course 0732


explain the physiological relationship between assessing and maintaining an open airway, assessing and ensuring adequate ventilation, and assessing and maintaining adequate circulation

X

describe the mechanics of ventilation X explain mechanisms that control the depth and rate of

ventilation X

explain the relationships between tidal volume, respiratory rate, minute volume, dead air space, and alveolar ventilation

X

describe the physiology of external and internal respiration X given a variety of scenarios, differentiate between patients who

require artificial ventilation, those who do not, those who require administration of supplemental oxygen and are at risk for failure of the cardiopulmonary system

X

demonstrate the following techniques of artificial respiration for pediatric and adult medical and trauma patients:

mouth to mask two rescuer bag‐valve mask (BVM) one rescuer BVM flow restricted, oxygen powered ventilation device automatic transport ventilator (local protocol)

X

demonstrate assessment of the adequacy of artificial ventilations

X

demonstrate the application of cricoid pressure X demonstrate administration of oxygen by:

nonrebreather mask nasal cannula

X

describe the purpose and use of partial rebreather masks, venture masks and tracheostomy masks

X

demonstrate safe transport, storage and use of oxygen X

23



2nd Course 0715


Health Science

3rd Course 0792


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Patient Assessment apply scene information and patient assessment findings (scene size‐up, primary and secondary assessment, patient history, and reassessment) to guide emergency management

X

explain the ongoing nature of scene size‐up beyond the initial moments at the scene

X

given a scene‐arrival scenario, list several examples of potential hazards for which the EMT should actively search

X

describe and explain considerations in establishing a danger zone at the scene of a vehicle collision

X

recognize indication of possible crime scenes and possible violence

X

given a variety of scenarios perform a scene size‐up and determine:

mechanism of injury or nature of illness recognizing potential dangers make decisions about body substance isolation the number of patients the need for additional resources

X

demonstrate knowledge of the primary assessment including: decide on the approach to the primary assessment manual stabilization of the head and neck assessment of mental status ABC's as part of the assessment process how to make a priority decision

X

given several scenarios do the following: form a general impression determine the chief complaint determine the patient's mental status assess the airway assess breathing

X

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2nd Course 0715


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4th Course 0732


assess circulation determine the patient priority for transport X recognize findings that require immediate intervention X recognize mechanism of injury or nature of illness and level of

responsiveness X

determine how the approach to the assessment varies depending on patients age

X

obtain vital signs, including pulse, respirations, blood pressure, skin, temperature and pupils

X

document vital signs on a prehospital care report X use various monitoring devices X integrate vital signs into the patient assessment process

according to patients condition and the situation X

explain the use of vital signs in patient care decision making X demonstrate assessment of:

pulse respirations skin pupils blood pressure oxygen saturation blood glucose

X

integrate assessment of mental status and ongoing primary assessment while obtaining vital signs

X

differentiate between vital signs that are within expected ranges for a given patient and those that are not

X

compare and contrast techniques of assessment and expected vital sign values for pediatric and adult

X

25



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


describe the difference between assessment procedures for a trauma patient with no significant mechanism or injury and for a patient with a significant mechanism or injury

X

conduct a history of the present illness for a trauma patient X perform a physical exam for a trauma patient X obtain a past medical history for a trauma patient X perform a rapid trauma assessment X know when and how to perform a detailed physical

examination for a trauma patient X

conduct a systematic secondary assessment of an unstable or potentially unstable trauma patient or patient with a significant mechanism or injury

X

given a variety of scenarios: recognize situations where requesting advanced life

support personnel to assist with the management of a trauma patient

incorporate a detailed physical examination of the unstable or potentially unstable trauma patient

X

compare and contrast assessment procedures for a responsive medical patient and for an unresponsive medical patient

X

perform a secondary assessment for a responsive medical patient

X

collect a relevant past medical history and a systematic history of the present illness

X

adapt the secondary assessment process to specific patient complaints

X

explain the importance of collecting baseline vital signs in an unresponsive medical patient

X

identify other sources of patient information for the unresponsive or uncooperative patient

X

perform reassessment X

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recognize significance of changes in vital signs over time X compare and contrast reassessments for stable versus unstable

patients X

using a variety of scenarios: X assign meaning to trends in patient's condition over time X recognize both obvious and subtle changes in the patient’s

condition X

adapt reassessment process and frequency of reassessment based on patients' conditions

X

Critical Thinking and Decision Making

initiate basic interventions based on assessment findings intended to mitigate the emergency and provide limited symptom relief while providing access to definitive care

X

understand EMT diagnosis X develop the role of critical thinking in EMS X understand how an EMT can improve critical thinking skills X General Pharmacology demonstrate knowledge of medication on ambulance and

prescribed medications X

use critical decision making related to medication administration for a medical emergency

X

understand/describe medication safety X demonstrate knowledge of forms of medication, routes of

medication administration X

describe the following information about medications an EMT may administer/assist a patient with:

drug name (generic and trade) drug actions contraindications side effects dose route

X

27



2nd Course 0715


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prescribing information apply fundamental knowledge of assist/administering

medications in the following situations: assisting patients in taking prescribed medications administering medications taking medical direction (offline, online)

X

demonstrate competency of medication administration safety, including the five rights of medication administration

X

describe and demonstrate the characteristics of the oral, sublingual, inhaled, intravenous, intramuscular, subcutaneous and endotracheal routes of administration

X

identify special considerations in medication administration related to patients ages and weights

X

reassess: data indications for medications, action action‐medication administered response‐effect of medication

X

explain the importance's of accurate documentation of drug administration and patient reassessment

X

discuss steps an EMT may take in assisting with IV therapy X recall facts and apply information about medications an EMT

may administer: aspirin oral glucose oxygen

X

recall facts and apply information about medications an EMT may assist the patient to administer:

inhaled bronchodilators epinephrine nitroglycerin

X

28



2nd Course 0715


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Respiratory Emergencies

identify basic structures and functions of the respiratory system:

upper airway tract, lower airway tract chest care, ribs, muscles, pleura, phrenic nerve

innervation Vascular structures which support respiration Cellular function, respiratory regulation,

respiration/pulmonary ventilation

X

describe the physiology of respiration: pulmonary ventilation oxygenation respiration

X

describe the pathophysiology of respiration: pulmonary ventilation oxygenation circulation compromise cells

X

differentiate between adequate and inadequate breathing: Internal respiration Respiration, Ventilation or oxygenation problems and

how they relate to each other Assessment of Ventilation (signs of adequate and

inadequate ventilation) Assessment of respiration

X

demonstrate management of adequate and inadequate respiration:

assure adequate airway

X

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2nd Course 0715


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administer supplemental oxygen therapy (ambient air, oxygen sources, oxygen delivery devices, assisting ventilation in reparatory distress/failure

explain techniques of assuring a patent airway ( manual airway maneuvers, mechanical airway devices, relief of foreign body airway obstruction, upper airway suctioning)

X

demonstrate use and purpose of artificial ventilation devices: bag‐valve‐mask (advantages and disadvantages) manually triggered ventilation device (advantages and

disadvantages) automatic transport ventilator/resuscitator (advantages

and disadvantages)

X

demonstrate ventilation of an apneic patient X demonstrate ventilation of a protected airway X differentiate between:

normal and positive pressure ventilation air movement blood movement airway wall pressure esophageal opening pressure over ventilation

X

differentiate age related care for geriatric and pediatric respiratory compromised patients

X

Patient Assessment‐Scene

apply information related to scene safety: identify common scene hazards (environmental,

hazardous substances, violence, rescue) Evaluation of the scene

X

identify components of scene management and the impact of the environment on patient care (Medical, Trauma, Environmental considerations)

X

30



2nd Course 0715


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3rd Course 0792


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demonstrate addressing hazards: protect the patient protect the bystanders request resources scan the scene for information related to mechanism of

injury, nature of illness

X

assess the scene for violence and follow protocols X recognize the need for additional or specialized resources: (only

specialized trainee responders use the specialized equipment) chemical and biological suits rescue equipment necessary for difficult extrications Ascent or descent gear

X

demonstrate understanding of standard precautions as it relates to the scene

X

describe how to handle a scene with multiple‐patient situations X Patient Assessment‐ Primary Assessment

demonstrate an initial general impression based upon the patients age‐appropriate appearance

X

assess level of consciousness (speaking to patient and assessing patient response)

X

assess airway status (unresponsive patients, trauma patients, assess responsive patients airway patency)

X

assess breathing status for a responsive and unresponsive patient

X

assess circulatory status (pulse, bleeding perfusion) X identify life threats X assess vital functions X integrate treatment/procedures needed to preserve life X evaluate priority of patient care and transport X

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Patient Assessment‐ History Taking

investigate the chief complaint: consider factors that influence the data collection obtain the history of the present illness

X

identify components of a patient history: statistical and demographic information obtain and document past medical history obtain and document current health status

X

demonstrate techniques of history taking: setting the stage learning about the present illness determine chief complaint history of present illness assess past medical history (pertinent to the medical

event) assess current health status

X

understand the standardized approach to history taking X demonstrate knowledge of the SAMPLE history taking method X demonstrate knowledge of the OPQRST history taking method X understand how to take a history of sensitive topics ( alcohol

and drugs, physical abuse, violence, sexual history) X

using a variety of scenarios demonstrate taking a history on patients that are silent, over talkative, have multiple symptoms, anxious, angry and hostile, intoxicated, crying, depressed, demonstrating inappropriate behavior, limited cognitive ability, have a language barrier, hearing problems and visual impairment

X

use critical decision making to recognize when to locate a friend or family member to gather data

X

recognize age related variation for pediatric and geriatric assessment and management

X

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Patient Assessment‐ Secondary Assessment

demonstrate knowledge of the techniques of physical examination:

general approach respiratory system (chest shape, symmetry, respiratory

effort, auscultation) cardiovascular system (pulse, perfusion) neurological system (mental status‐appearance

behavior, speech and language, mood, thought and perceptions, memory and attention)

musculoskeletal system (pelvic region, lower extremities, upper extremities, back)

all anatomical regions (head, neck, chest) abdomen (patient position, shape/size, palpating,

physical findings)

X

demonstrate knowledge of patient assessment monitoring devices:

pulse oximetry non‐invasive blood pressure other monitoring devices

X

use critical decision making related to patient reassessment: how and when to reassess performed at regular intervals reassessment includes primary assessment, vital signs,

chief complaint, interventions compare the reassessment to baseline patient status repeat vital signs as necessary

X

constantly reassess chief complaint or major injury, assess pain/comfort level

X

reassess the effectiveness of each intervention and consider the need for new interventions or modification to care

X

33



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Medical Overview

identify and demonstrate assessment factors X

describe the major components of the patient assessment X demonstrate assessing baseline vital signs X complete a secondary assessment X recognize when to reassess and continually assess patients X Medicine‐ Neurology demonstrate knowledge related to the neurological system X review anatomy and function of the Brain and Cerebral Blood

Vessels X

assess symptoms and signs r/t neurological system X understand the stroke alert criteria X demonstrate how to manage a patient with stroke symptoms

and findings X

demonstrate scene safety and standard precautions r/t neurological symptoms and findings

X

recognize findings and symptoms related to TIA, seizures, headache

X

differentiate between age related variations for pediatric and geriatric assessment and management

X

understand and utilize communication and documentation r/t neurological findings and symptoms

X

understand transport decisions r/t neurological findings and symptoms

X

X Medicine‐Abdominal and Gastrointestinal Disorders

define acute abdomen

X

describe the location, structure and function of the organs of the abdominopelvic cavity

X

34



2nd Course 0715


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3rd Course 0792


4th Course 0732


explain the origins and characteristics of visceral, parietal and tearing pain

X

associate areas of referred pain with the likely origins of the pains

X

recognize the common signs and symptoms of abdominal conditions, including appendicitis, peritonitis, cholecystitis, pancreatitis, ulcers, abdominal aortic aneurysm, hernia and renal colic

X

discuss the type of abdominal pain that may indicate cardiac involvement

X

discuss appropriate assessment management of patient complaining of abdominal pain

X

using a variety of scenarios elicit key information in the history of patients complaining of abdominal pain, including history specific to female patient

X

consider age related variations for pediatric and geriatric assessment and management

X

describe the anatomic and physiologic differences in children X describe the pathophysiology of pediatric abdominal

emergencies X

using a variety of scenarios elicit key information in the history, assessment, and demonstrate management of pediatric patients with abdominal emergencies

X

describe the variances in geriatric patients presentation with an abdominal condition/ emergency

X

understand transport decisions r/t abdominal conditions/emergencies findings and symptoms

X

Medicine‐Immunology define allergic reaction and anaphylaxis X define risk factors and list common allergens X describe the basic immune system's response to allergens X

35



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


understand the fundamental pathophysiology of immune system's response to allergens

X

recognize the signs and symptoms of allergic reactions X prioritize the steps in assessment and management of patients

with allergic and anaphylactic reactions X

recognize the indications for administering and assisting a patient in the use of an epinephrine auto‐injector

X

describe the desired effects and side effects associated with the administration of epinephrine

X

demonstrate administration of epinephrine by auto‐injector X describe/demonstrate considerations in reassessment of

patients with allergic and anaphylactic reactions X

Medicine‐Immunology identify causes of infectious disease X using a variety of scenarios demonstrate proper body substance

isolation, personal protective equipment and cleaning and supposing of equipment and supplies per OSHA and CDC guidelines

X

consider age‐related variations in pediatric and geriatric patients as they relate to assessment and management of patients with a communicable or infectious condition or emergency

X

demonstrate communication and documentation for a patient with a communicable or infectious disease

X

understand transport decisions including special infection control procedures

X

follow legal requirements regarding reporting communicable or infectious diseases/conditions (exposure of health care providers and mandated reporting to health department or other agency)

X

Medicine‐Endocrine Disorders

define diabetes types I and II, hypoglycemia, hyperglycemia, diabetic ketosis

X

36



2nd Course 0715


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4th Course 0732


research the anatomy and function of the pancreas X describe the pathophysiology of diabetes and diabetic

emergencies X

describe a general assessment of a diabetic patient and the different findings and symptoms that maybe present

X

identify and describe management of diabetes and medications used to treat endocrine disorders

X

Consider age‐related variations for pediatric and geriatric assessment and management of endocrine disorders

X

demonstrate communication and documentation with a patient with an endocrine disorder emergency

X

understand transport decisions‐rapid transport for altered level of consciousness

X

Medicine‐Psychiatric define behavior, psychiatric disorder, behavioral emergency X discuss the epidemiology of psychiatric disorders X discuss assessment of a patient who appears to be suffering

from a behavior or psychiatric emergency X

describe behavioral change and factors that may alter a patients' behavior

X

for a patient whose abnormal behavior appears to be cause by stress, discuss techniques to calm the patient and gain his cooperation

X

discuss assessment of a patient who appears to be suffering from a behavioral or psychiatric emergency

X

discuss the steps in managing a patient presenting with a behavioral or psychiatric emergency

X

describe factors often associated with risk of suicide X discuss care for a patient who is at risk for potential or

attempted suicide X

recognize warning signs that a patient may become violent X

37



2nd Course 0715


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4th Course 0732


explain consideration in using force and restraint when managing behavioral emergency calls

X

explain considerations when faced with a behavioral emergency patient who refuses treatment and transport

X

consider age related variation for pediatric and geriatric assessment and management

X

Medicine‐Cardiovascular

Describe the anatomy and physiology of the cardiovascular system

X

describe the pathophysiology of cardiac compromise X discuss the primary assessment of a patient with cardiac signs

and symptoms X

complete a history of a patient experiencing cardiac signs and symptoms

X

research and discuss the management of cardiac signs and symptoms (refer to the current American Heart Association guidelines)

X

define acute coronary syndrome and discuss its most common signs and symptoms

X

define hypertensive emergencies and discuss the most common signs and symptoms

X

define cardiogenic shock and discuss the most common signs and symptoms

X

discuss the following conditions and how each may lead to a cardiac emergency:

Coronary artery disease aneurysm electric malfunctions of the heart mechanical malfunctions of the heart angina pectoris acute myocardial infarction

X

38



2nd Course 0715


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congestive heart failure discuss the following factors in the chain of survival and how

each may contribute to patient survival of the cardiac arrest: immediate recognition and activation early cardiopulmonary resuscitation rapid defibrillation effective advanced life support integrated post‐cardiac arrest care

X

list the skills necessary for EMT to manage a patient in cardiac arrest

X

discuss types of automated external defibrillators and how AEDs work

X

discuss the effective coordinator of CPR and AED for a patient in cardiac arrest

X

discuss the purpose and use of mechanical CPR devices X Discuss the following pharmacological agents used in

cardiovascular emergencies: Aspirin Nitroglycerin

X

comprehend the role of medical oversight in medication administration

X

discuss patient assisted medication administration X using a variety of scenarios related to cardiovascular

emergencies, document care provided X

consider age‐related variation for pediatric and geriatric patients for assessment and management of cardiac compromise

X

Medicine‐Toxicology define toxicology, poisoning, overdose, national Poison Control Center

X

identify ways in which poisons can enter the body X

39



2nd Course 0715


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3rd Course 0792


4th Course 0732


provide examples, assessment findings, and general management considerations of poisoning by ingestions, inhalation, injection, and absorption

X

identify common causative agents, assessment findings, symptoms, and management of opiate/narcotic overdose

X

describe alcoholism including long‐term effects X identify assessment findings, symptoms, and management of

alcohol abuse and withdrawal X

identify common causative agents, assessment findings, symptoms and management of cannabis, hallucinogens, stimulants, barbiturates/sedatives/hypnotics

X

explain potential dangers to EMS providers and others at scenes where poisoning, alcohol abuse, or substance abuse is involved

X

recognize common causative agents, assessment findings and symptoms of pesticides, chemicals, household clearing poisonings and poisonous plants

X

collect key elements in the history of a patient who has been poisoned

X

analyze management techniques of patients who have ingested poisonings, absorbed poisons through the skin and have inhaled poisons emergencies

X

describe the used of activated charcoal in the management of ingested poisons

X

explain common cause of medication overdoses (cardiac, psychiatric, non‐prescriptions pain medications, other)

X

analyze patient assessment findings and symptoms for patients with medication overdose

X

given a variety of scenarios, develop a treatment plan for patients with emergencies related to alcohol and substance abuse

X

employ management for a patient with medication overdose X

40



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


illustrate general treatment modalities for poisonings (scene safety, standard precautions and decontamination, airway control, ventilation and oxygenation, circulation, use of activated charcoal)

X

consider age‐related variations for pediatric and geriatric assessment management

X

utilize communication and documentation techniques for patients with toxicological emergencies

X

justify transport decisions related to patients with toxicological emergencies

X

given a variety of scenarios, develop a treatment plan for patients with emergencies related to toxicological emergencies

X

Medicine‐Respiratory describe the anatomy and physiology of respiratory system X differentiate between adequate and inadequate breathing

based on the rate, rhythm and quality of breathing X

discuss differences between adult and pediatric airways and respiratory systems

X

recognize signs of inadequate breathing in pediatric patients X provide supplemental oxygen and assisted ventilation as

needed for patients with inadequate breathing X

analyze assessment findings, symptoms and management for respiratory conditions (respiratory distress)

X

analyze the following respiratory conditions to define causes, assessment findings, symptoms, complications, specific prehospital management and transport decisions:

asthma pulmonary edema chronic obstructive pulmonary disease pneumonia spontaneous pneumothorax

X

41



2nd Course 0715


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pulmonary embolism epiglottitis pertussis cystic fibrosis environmental/industrial exposure/toxic gasses viral respiratory infections

assess the effectiveness of artificial ventilation X recognize and assess the patient with difficulty breathing X provide care for the patient with difficulty breathing X recognize the indication contraindications, risks and side effects

of CPAP X

summarize the indications/contraindications, actions, side effects, dose, route and medical control role involving metered‐dose inhaler and small volume nebulizers

X

assist a patient with administration of a prescribe bronchodilator by inhaler or small volume nebulizer as permitted by medical direction

X

demonstrate simulated communication and documentation related to care for patients with respiratory emergencies

X

consider age‐related variations for pediatric and geriatric assessment and management of respiratory emergencies

X

Medicine‐Hematology identify anatomy and physiology of blood, plasma, blood‐forming organs

X

identify medications that can interfere with blood clotting X explain the pathophysiology and complications of sickle cell

anemia X

discuss assessment and management for patients with emergencies related to sickle cell anemia/sickle cell crisis

X

describe clotting disorders X

42



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


consider age related variations for pediatric and geriatric patients with a hematologic emergency

X

Medicine‐Genitourinary/Renal

identify and describe the structure and function of the renal system

X

explain the pathophysiology of kidney failure and development of kidney stones

X

explain the purpose of hemodialysis and peritoneal dialysis X compare and contrast types of dialysis (hemodialysis and

peritoneal) X

identify special considerations for hemodialysis patients X analyze complications/adverse effects of dialysis X recognize patients with complications of end stage renal

disease, dialysis, signs and symptoms of missed dialysis treatments

X

identify management techniques for a patient with complications of end‐stage renal disease, dialysis and missed dialysis

X

explain the special considerations for patients who have received a kidney transplant

X

demonstrate urinary catheter management X Consider age‐related variations in pediatric and geriatric

patients with renal disease X

demonstrate communication and documentation related to patients with renal disease

X

summarize transport decisions made related to patients with renal disease

X

Medicine‐Gynecology identify the anatomy of the female reproductive system and fetal development

X

explain the physiology of pregnancy X

43



2nd Course 0715


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4th Course 0732


classify and describe assessment findings related to abdominal pain, vaginal pain, vaginal bleeding, vaginal discharge, fever, nausea and vomiting, syncope

X

identify general management techniques related to gynecological emergencies

X

define and list the causes, risk factors, assessment findings and management of the following specific gynecological emergencies:

vaginal bleeding sexual assault‐legal issues infections ‐pelvic inflammatory disease sexually transmitted diseases

X

consider age‐related variations for pediatric and geriatric assessment and management of gynecological emergencies

X

explain and describe measures to prevent or correct supine hypotensive syndrome

X

describe the 3 stages of labor X discuss the assessment of a patient in labor including history

and physical examination X

discuss how to decide if delivery is imminent or if the patient in labor should be transported to a medical facility for delivery

X

state finding that may indicate the need for neonatal resuscitation

X

discuss the role of the EMT in childbirth, including preparation and delivery

X

describe the normal steps in care of the neonate X explain the indications and procedures for neonatal

resuscitation, following the inverted pyramid order of priorities X

44



2nd Course 0715


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4th Course 0732


discuss after‐delivery care of the mother, including delivery of the placenta, controlling vaginal bleeding and providing comfort to the mother

X

describe and discuss the special care required for complications of delivery including:

breech presentation limb presentation prolapsed umbilical cord multiple birth premature birth meconium describe and discuss the special care required for

emergencies in pregnancy including: excessive pre‐birth bleeding ectopic pregnancy seizures in pregnancy miscarriage and abortion trauma in pregnancy stillbirths accidental death of a pregnant women

X

discuss transport decisions related to gynecological emergencies

X

Medicine‐Non‐Traumatic Musculoskeletal Disorders

describe the anatomy of the musculoskeletal system

X

research the pathophysiology of non‐traumatic fractures (cancers or osteoporosis)

X

perform an assessment related to non‐traumatic musculoskeletal disorders noting pain, swelling, abnormal or

X

45



2nd Course 0715


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loss of movement, sensation changes, circulatory changes, deformity

describe management of airway, ventilation, circulation ,splinting, transport consideration, communications and documentation related to non‐traumatic musculoskeletal injury

X

consider age‐related variations pediatric and geriatric related to musculoskeletal injury

X

Medicine‐Diseases of Eyes, Ears, Nose and Throat

explain the causes of nosebleeds

X

discuss the general assessment findings related to a nose bleed X demonstrate techniques to stop bleeding in conscious patients

if no risk of spine injury X

Shock and Resuscitation discuss ethical issues in resuscitation X review the anatomy and physiology of the respiratory system,

cardiovascular system X

explain the pathophysiology of respiratory failure X describe assessment findings related to:

pulmonary symptoms cardiovascular symptoms neurological symptoms other symptoms related to shock and resuscitation

X

identify treatments r/t shock and resuscitation including oxygen therapy and ventilator support

X

define cardiac arrest and explain the pathophysiology X explain the system components to maximize survival of

resuscitation X

research AED use for Adult, Child, Infant Special AED Situations (refer to the current American Heart Association guidelines)

X

discuss shock related to poor perfusion X

46



2nd Course 0715


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4th Course 0732


review the anatomy and physiology that relates to poor perfusion (heart, blood vessels, essential components for normal perfusion, physiology of respiration)

X

discuss disruptions that can cause shock X identify the categories of shock X describe signs and symptoms related to shock due to fluid loss,

pump failure, container failure X

using a variety of scenarios complete a patient assessment including scene size up, primary assessment, relevant history, secondary assessment, reassessment related to shock

X

discuss the management of patients in shock X consider age‐related variations pediatric and geriatric related to

shock X

Trauma‐Overview identify and categorize trauma patients by becoming familiar with the National Trauma Triage Protocol Centers for Disease Control and Prevention https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6101a1.htm

X

describe the pathophysiology of the trauma patient X discuss the following components of assessment of the trauma

patient: major components of the patient assessment mechanism of injury (MOI) non‐significant MOI pediatric considerations reevaluating the MOI special considerations

X

explain the components of primary survey including details of airway and breathing, secondary assessment, trauma scoring

X

47



2nd Course 0715


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discuss the management of the trauma patient including rapid transport and destination issues, destination selection, trauma system components and transport considerations

X

X Trauma‐Bleeding review the structure and function of the circulatory system,

including the functions of the blood X

explain the concept of perfusion X compare and contrast arterial, venous and capillary bleeding X describe the types of traumatic bleeding, severity and the

physiological response to bleeding X

discuss the general assessment of a bleeding trauma patient including mechanism of injury, primary survey, physical exam, history, pediatric considerations, geriatric considerations

X

describe body substance isolation, airway patency, oxygenation and ventilation management strategies for a bleeding trauma patient

X

compare and contrast internal and external bleeding control management strategies

X

describe how to stabilize body temperature and provide psychological support for a bleeding trauma patient

X

consider transport decisions related to a bleeding trauma patient

X

Trauma‐chest research the incidence, morbidity, mortality of chest trauma X describe mechanisms of injury commonly associated with chest

injuries X

review the anatomy of the chest X describe the role of the chest in systemic oxygenation and

ventilation X

research the pathophysiology of chest trauma including impaired cardiac output, ventilation, gas exchange

X

explore the general assessment findings related to chest trauma X

48



2nd Course 0715


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4th Course 0732


describe the specific chest injuries including flail chest, open chest wound, pneumothorax, tension pneumothorax, hemothorax, hemopneumothorax, traumatic asphyxia, cardiac tamponade, aortic injury and commotio cordis and the assessment and management for each of these specific injuries

X

consider age‐related variations for pediatric and geriatric assessment and management of chest trauma

X

Trauma‐Abdominal discuss the incidents of morbidity and mortality related to abdominal and genitourinary trauma

X

recognize the location, structure and function of the organs in the abdominal cavity

X

describe the structures of the genitourinary system X explain the physiology of the genitourinary and abdominal

organs X

associate areas of referred pain with the likely origins of the pain

X

recognize the mechanism of injury, common signs and symptoms of a closed abdominal trauma

X

perform an assessment and develop a treatment plan to manage signs and symptoms of a closed abdominal trauma

X

recognize the mechanism of injury, common signs and symptoms of a penetrating/open abdominal trauma

X

perform an assessment and develop a treatment plan to manage signs and symptoms of a penetrating/closed abdominal trauma

X

analyze and consider the following injuries in abdominal trauma: hollow organs injuries solid organ injuries

X

discuss appropriate assessment and management of patients complaining of abdominal pain

X

49



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


compare and contrast the areas of referred pain with likely origins of the pain

X

distinguish the type of abdominal pain that may indicate cardiac involvement

X

elicit key information in the history of patients complaining of abdominal pain, including history specific to female patients

X

distinguish different types of general management techniques for abdominal pain including transportation, communication and documentation

X

using a variety of scenarios, assess age‐related variations for pediatric and geriatric assessment and management of abdominal trauma

X

explain special considerations related to abdominal trauma X Trauma‐Orthopedic research the incidence of orthopedic trauma including:

morbidity/mortality (upper/lower extremity) pediatric considerations geriatric considerations mechanism of injury (direct, indirect, twisting force)

X

explain the anatomy related to orthopedic trauma: skin layers subcutaneous layers extremity structures axial structures component of a long bone

X

summarize the physiology of the function of the musculoskeletal system

X

elaborate on pathophysiology of sprains/strains X relate the mechanism of injury to the anatomical structure

(upper extremity, lower extremity) X

identify complications related to musculoskeletal trauma X

50



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


identify types of fractures X identify dislocations related to specific anatomical area injury

(clavicle, shoulder, elbow, wrist, metacarpal‐phalanx, knee) X

describe the management of scene safety, limb‐threatening injury, splinting related to musculoskeletal trauma

X

compare and contrast 4 types of musculoskeletal injury (fracture, dislocation, sprain and strain), the mechanism of injury, assessment and management

X

define open and closed extremity injuries X summarize the incidence, mechanism of injury, signs and

symptoms, assessment and management of pelvic fracture injury

X

using a variety of scenarios, perform a general assessment including scene safety, mechanism of injury, determine life threatening injuries, use the 6 P's of assessment, complete physical exam, bleeding, guarding/self‐splinting, associated injuries for a musculoskeletal trauma patient

X

using a variety of scenarios students will analyze scenario data and create a general management plan and demonstrate skills to control hemorrhage, embolization/splinting, neurologic/circulatory examination, pain management, associated injuries, transport to appropriate facility, appropriate communication and documentation

X

discuss considerations in the assessment and management of specific types of injuries including:

amputation sprains and strains including special assessment

findings (sound, severe weakness, pain, edema, apply cold/pressure, wrap, elevate, immobilize)

shoulder girdle injuries pelvic injuries

X

51



2nd Course 0715


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hip dislocation hip fracture femoral shaft fracture knee injury tibia of fibula injury ankle or foot injury clavicle injury humerus injury forearm injury

compare specific considerations for splinting (rigid, formable, traction, air, vacuum, pillow/blanket, short spine board, long spine board)

X

contrast age‐related variations for pediatric and geriatric assessment and management with an orthopedic traumatic injury

X

Trauma‐Soft Tissue research the incidence of soft tissue injury including the mortality and morbidity

X

describe the structure and function of the skin X compare the different types of closed soft‐tissue wounds and

the assessment and management of closed soft tissue wounds X

compare the different types of open soft‐tissues wounds and general assessment and care for open soft‐tissue wounds

X

describe specific treatment for abrasions and lacerations, puncture wounds, impaled objects, avulsions, amputation and genital injuries

X

research the incidence of burn injury including morbidity/mortality and risk factors

X

explain the anatomy and physiology of burns(types of burns, depth classification, body surface are of burns, severity

X

discuss the complications of burn injuries X

52



2nd Course 0715


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4th Course 0732


describe assessment and management for burns including thermal, inhalation, chemical, radiation and electrical burns

X

compare and contrast consideration in the dressing and bandaging of open wounds

X

discuss the age‐related variations related to soft tissue trauma injuries both pediatric and geriatric

X

Trauma‐ Head, Facial, Neck and Spine

research the incidence of head/scalp, face, neck injuries including the mechanism of injuries, morbidity and mortality and associated injuries

X

discuss the components and function of the nervous system and the anatomy of the head and spine

X

describe the types of injuries to the skull and brain X analyze the general assessment and management of scalp,

facial, neck injuries (non‐spinal), nasal fractures, eye/orbit, dental, laryngeal, head injury, skull fractures and brain injuries

X

describe the specific concerns in management of cranial injuries with impaled objects

X

describe specific concerns in management of injuries to the face and jaw

X

define nontraumatic brain injuries X explain the purpose and elements of the Glasgow coma scale X discuss the assessment and management of open wounds to

the neck X

using a variety of scenarios complete assessment and management plan for a patient with a head, neck, facial and non‐spinal injury trauma

X

using a variety of scenarios demonstrate the skills necessary for management of a patient with a head, neck, facial and non‐spinal injury trauma

X

Trauma‐Nervous System

research the incidence including morbidity and mortality of nervous system trauma

X

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review the anatomy and physiology of the brain and spine X identify general assessment and management for brain trauma

patients X

discuss the management of a patient with brain trauma X analyze transport considerations for a patient with brain

trauma X

research the Brain Injury Foundation Guidelines X consider age‐related variations for pediatric and geriatric

assessment and management of brain injuries X

list types and mechanisms of spine injury X discuss the assessment and management of spine and spinal

cord injury X

discuss other assessment findings in spinal trauma patients (presentation of other injuries with spinal injury)

X

discuss the general management consideration of a patient with spinal trauma

X

discuss issues in the immobilization of the head, neck and spine for the following:

applying a cervical collar immobilizing a seated patient, including rapid

extrication for high priority patients applying a long back board rapid extrication for a child safety seat immobilizing a standing patient immobilizing a patient wearing a helmet

X

discuss issues in selective spine immobilization X compare and contrast age‐related variations for pediatric and

geriatric assessment and management of spinal injury X

Trauma‐Special Considerations

consider unique consideration for pregnant patients involved in trauma including mechanism of injury and fetal health

X

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4th Course 0732


explain the special anatomy, physiology and pathophysiology related to pregnancy and fetal considerations

X

explain unique types of injuries and conditions of concern for pregnant patients involve in trauma

X

demonstrate assessment consideration for pregnant patient involved in trauma

X

express management considerations for the pregnant patients involved in trauma

X

summarize special considerations for pediatric patients involved in trauma

X

explain the special anatomy, physiology and pathophysiology related to injured pediatric patients involved in trauma

X

consider unique assessment findings for pediatric patients who have sustained trauma

X

demonstrate unique management considerations for pediatric patient involved in trauma

X

describe special considerations for geriatric patients involved in trauma

X

explain the special anatomy, physiology and pathophysiology related to injured geriatric patients involved in trauma

X

consider unique assessment findings for geriatric patients who have sustained trauma

X

demonstrate unique management considerations for geriatric patients involved in trauma including the cognitively impaired patient

X

Trauma‐Environmental Emergencies

describe submersion incidents including the incidence and predictors of morbidity and mortality

X

describe the difference between fresh water and salt water submersion incidents

X

explain the pathophysiology related to submersion incidents X describe the following related to submersion incidents: X

55



2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


unique signs and symptoms assessment considerations management considerations

recognize temperature‐related illnesses including cold and heat related illness

X

state how the body loses heat X identify the type of temperature‐related illness (generalized

cold injury, localized cold injury, generalized heat injury) X

recognize the pathophysiology of cold related and heat related injuries

X

summarize signs and symptoms of cold related illness (generalized and localized) as well as heat related illness (moist pale skin and hot skin)

X

demonstrate using a variety of scenarios management considerations of cold and heat related illnesses

X

describe safe techniques for water rescues and ice rescues X discuss the assessment and management of the following types

of bites and stings: X

insect bites and stings X snake bites X poisoning from marine life X define dysbarism as related to diving emergencies X summarize the following related to diving emergencies:

mechanism of injury pathophysiology signs and symptoms management considerations

X

describe assessment and management of electrical burns X describe assessment and management of radiation injuries X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


analyze age related variations for pediatric and geriatric assessment and management related to environmental emergencies

X

Trauma‐Multi‐System explain the kinematics of trauma X distinguish multisystem trauma X analyze the golden principles of out‐of‐hospital trauma care X using a variety of scenarios and critical thinking skills for multi‐

system trauma care differentiate the following: oxygenation related to profuse bleeding sequence of treating patients rapid transport use backboard use

X

recognize the most harmful injuries on the scene X identify trauma care as a leading cause of death of young

people X

distinguish specific injuries related to multi‐system trauma such as blast injuries

X

Special Patient Populations‐Obstetrics

review anatomy and physiology of the female reproductive system

X

review normal anatomical, physiological and psychological changes in pregnancy

X

identify: premonitory signs of labor, stages of labor and delivery, antepartum and intrapartum assessment findings, management of a normal delivery and postpartum care

X

identify the following complications of pregnancy: abuse, substance abuse, diabetes mellitus, placental problems, hypertensive disorders, high‐risk pregnancy, complications of labor, complications of delivery, postpartum complications

X

Special Patient Populations‐Neonatal Care

describe the anatomical and physiological differences between an adult and pediatric patient (head, airway, chest and lungs,

X

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Health Science

3rd Course 0792


4th Course 0732


abdomen, extremities, integumentary, respiratory, nervous system and spinal column, metabolic differences

identify the growth and development stages of infancy, toddler years, preschool years, middle childhood years, adolescence

X

discuss and demonstrate a pediatric assessment including general considerations, assessment process, scene survey, patient assessment, hand on ABCs, focused history and detailed physical exam

X

explain specific pathophysiology, assessment and management of the pediatric patient related to:

respiratory distress shock neurological changes gastrointestinal changes toxicology sudden infant death syndrome pediatric trauma

X

Special Patient Populations‐Geriatrics

identify cardiovascular changes in the elderly

X

recognize myocardial infarction in a geriatric patient X explain heart failure X identify respiratory changes in the elderly X explain pneumonia from bacterial, viral or fungal causes

(evaluation, risk factors, signs and symptoms, physical assessment, treatment)

X

describe pulmonary embolism (signs and symptoms, physical assessment, assessment tools, treatment)

X

recognize neurovascular system anatomical and physiological changes and pathophysiology in elderly

X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


describe the cognitive abilities, psychomotor skills and social skill changes related to dementia

X

complete and evaluation of pathophysiology through history, risk factors and current medications as it relates to dementia

X

describe known reversible causes of dementia, associated signs and symptoms, problems associated with management of patient with dementia

X

express the difference between dementia and delirium X describe the following as it relates to delirium:

mortality rates evaluation of pathophysiology through history, risk factors and medications associated signs and symptoms possible changes in physical assessment assessment tools treatment

X

describe gastrointestinal system anatomical and physiological changes and pathophysiology changes in the elderly

X

identify gastrointestinal bleeding caused by disease processes, inflammation, infection and obstruction of the upper and lower gastrointestinal tract

X

recognize the genitourinary system anatomical and physiological changes and pathophysiology changes in the elderly

X

define the endocrine system anatomical and physiological changes and pathophysiology changes in the elderly

X

identify hyperosmolar hyperglycemic syndrome (nonketotic coma) as a complication of type 2 diabetes (formerly NIDDM of Type II) in elderly (does not cause ketosis but does lead to osmotic diuresis and shift of fluid to the intravascular space, resulting in dehydration

X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


describe musculoskeletal system anatomical and physiological changes and pathophysiology in the elderly

X

recognize toxicological emergencies in the elderly X identify sensory changes in the elderly X Special Patient Populations‐Special Challenges

recognize the types of abuse and neglect in children and the elderly

X

use the assessment to identify findings of concern related to abuse in children and elderly

X

develop a management plan that includes reporting and safely transporting suspected abuse victims

X

summarize the legal aspects related to abuse X identify documentation techniques related to abuse X explain the special concerns related to:

homelessness/poverty and emergency care Bariatric patients technology assisted/dependent patients hospice care and terminally ill tracheostomy care sensory deficits homecare patients patients with a developmental disability

X

EMS Operations‐ Principles of Safely Operating a Ground Ambulance

identify risk and responsibilities of Emergency Response including safety issues during transport

X

describe how to establish and work within the incident management system including certification in ICS‐100, FEMA IS‐700 (can be done as part of this course or prerequisite or as part of the EMS I course)

X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


EMS Operations‐Multiple Casualty Incidents

identify multiple casualty incidents as an event that places great demand of resource (equipment, personnel)

X

perform triage, re‐triage, destination decisions X identify post‐traumatic and cumulative stress X EMS Operations‐Air Medical

describe safe air medical operations, landing zone selection and preparation

X

demonstrate the correct way to approach the aircraft X identify communication issues r/t air traffic X recognize criteria for utilizing air medical response X EMS Operations‐Vehicle Extrication

describe safe vehicle extrication (role of EMS, personal safety, patient safety, situation safety, determine number of patients)

X

demonstrate use of simple hand tools in relation to vehicle extrication

X

examine special consideration for patient care related to vehicle extrication

X

EMS Operations‐Hazardous Material Awareness

identify risks and responsibilities of operating in a cold zone at a hazardous material or other special incident

X

Entry level students need to be certified in Hazardous Waste Operations and Emergency Response (HAZWOPER) standard 29 CFR 1910.120(q)(6)(i)‐First Responder Awareness Level (this can be done as a co requisite, prerequisite or part of the entry‐level course)

X

EMS Operations‐Mass Casualty Incidents Due to Terrorism and Disaster

analyze the risks and responsibilities of operating on the scene of a natural or man‐made disaster (role of EMS, personal and patient)

X

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2nd Course 0715


Health Science

3rd Course 0792


4th Course 0732


using a variety of scenarios complete a 360 degree assessment and scene size‐up, determine number of patients, evaluate need for addition resources

X

explain EMS operations during terrorist, weapons of mass destruction, disaster events

X

summarize care of emergency responders on scene X

Documents

CURRICULUM MAP Cluster: Health Science CTE Program of ... · Cluster: Health Science CTE Program of Study: HE0715 Allied Health Specialization: Emergency Services *Foundations of