EMS 1119L - Fundamentals of Emergency Medical Care Lab

College of Health Sciences

Credit(s): 2
Contact Hours: 70
Effective Term Spring 2019 (555)

Requisites

Prerequisite "American Heart Association BLS Provider" CPR card. and
Pre- or Co-requisite EMS 1119 and
Pre- or Co-requisite EMS 1411

Course Description

Laboratory practice in emergency procedures for life-threatening disease, accident, or illness is closely supervised to foster confidence in the student's abilities to apply theory in a laboratory setting. Techniques for patient assessment, evaluation and treatment are practiced in an assessment-based format in a laboratory setting.

Learning Outcomes and Objectives

  1. The student will demonstrate the affective, cognitive and psychomotor skills, knowledge and understanding required for the roles and responsibilities of the Emergency Medical Technician (EMT) by:
    1. being responsible for his/her own personal safety.
    2. being responsible for the safety of the crew, patient, and bystanders.
    3. using appropriate patient care based on patient assessment.
    4. selecting the safest and most efficient way to move and transport patients to the appropriate healthcare facility, including appropriate transfer of care.
    5. explaining the need to be a patient advocate.
  2. The student will demonstrate the knowledge and understanding required for basic airway management by:
    1. performing the head-tilt, chin-lift, and jaw thrust.
    2. performing the techniques of suctioning.
    3. using mouth-to-mouth artificial ventilation with body substance isolation (barrier shields).
    4. using a pocket mask to artificially ventilate a patient.
    5. constructing the assembly of a bag-valve-mask unit.
    6. performing artificial ventilation of a patient with a bag-valve-mask for one and two rescuers.
    7. performing artificial ventilation of a patient with a bag-valve-mask while using the jaw thrust.
    8. performing artificial ventilation of a patient with a flow restricted, oxygen-powered ventilation device.
    9. performing artificial ventilation of a patient with a stoma.
    10. illustrating how to insert an oropharyngeal (oral) airway and a nasopharyngeal(nasal) airway.
    11. illustrating how to insert a nasopharyngeal (nasal) airway.
    12. illustrating the correct operation of oxygen tanks and regulators.
    13. illustrating the use of a nonrebreather face mask and stating the oxygen flow requirements needed for its use.
    14. illustrating the use of a nasal cannula and stating the flow requirements needed for its use.
    15. using the emergency medical care for breathing difficulty.
    16. performing the steps in facilitating the use of an inhaler.
  3. The student will demonstrate the knowledge and understanding required for general patient assessment by:
    1. performing the skills involved in assessment of breathing, pulse and blood pressure.
    2. performing the skills associated with assessing the pupils.
    3. performing the skills to obtain information from the patient, family, or bystanders at the scene.
    4. performing the techniques for assessing mental status, assessing the airway, assessing if the patient is breathing, assessing if the patient has a pulse, and for assessing the patient for external bleeding.
    5. assessing the patient's skin color, temperature, condition and capillary refill (infants and children only) .
    6. prioritizing patients.
    7. performing the patient assessment skills that should be used to assist a patient who is responsive with no known history, or unresponsive or who has an altered mental status.
    8. performing the detailed physical exam and the ongoing assessment.
    9. producing a completed prehospital care report.
  4. The student will demonstrate the knowledge and understanding required for medical, behavioral emergencies, obstetrics and gynecology by:
    1. using appropriate personal protective equipment when given a scenario with potential infectious exposure and properly removing and discarding the protective garments at the completion of the scenario.
    2. performing a scenario, the EMT will complete disinfection/cleaning and all reporting documentation.
    3. using knowledge of the medical-legal aspects of significant exposure cases for the patient and the EMT.
    4. performing with a partner for EMT will prepare each of the following devices for use, transfer a patient to the device, properly position the patient on the device, move the device to the ambulance and load the patient into the ambulance - wheeled ambulance stretcher, portable ambulance stretcher, stair chair, coop stretcher, long spine board, basket stretcher, and flexible stretcher.
    5. performing with a partner, the EMT will apply techniques for the transfer of a patient from an ambulance stretcher to a hospital stretcher.
    6. performing general steps for assisting patient with self-administration of medications.
    7. reading the labels and inspecting each type of medication.
    8. performing the assessment and emergency medical care of a patient with exposure to cold or heat or experiencing a behavioral emergency or experiencing chest pain/discomfort.
    9. performing the application and operation of the automated external defibrillator.
    10. performing the maintenance of an automated external defibrillator.
    11. performing the assessment and documentation of a patient’s response to the automated external defibrillator, to nitroglycerin, to oral glucose and to epinephrine injection.
    12. performing the skills necessary to complete the automated defibrillator: operator's shift checklist.
    13. performing the steps in facilitating the use of nitroglycerin for chest pain or discomfort.
    14. practicing completing a prehospital care report for patients with cardiac or diabetic emergencies.
    15. performing the steps in the emergency medical care for the patient taking diabetic medicine with an altered mental status and a history of diabetes.
    16. performing the steps in the administration of oral glucose.
    17. performing the emergency medical care of the patient experiencing an allergic reaction.
    18. using the epinephrine auto-injector.
    19. performing proper disposal of equipment.
    20. producing a prehospital cite report for patients with allergic emergencies.
    21. performing the emergency medical care procedures for the patient with a possible overdose or with suspected poisoning.
    22. performing the necessary steps required to provide a patient with activated charcoal.
    23. performing the assessment and documentation of patient response.
    24. selecting proper disposal of the equipment for the administration of activated charcoal.
    25. producing a prehospital care report for patients with a poisoning/overdose emergency.
    26. performing the assessment and emergency medical care of a near drowning patient.
    27. producing a prehospital care report for patients with environmental emergencies or obstetrical and gynecological emergencies.
    28. applying various techniques to safely restrain a patient with a behavioral problem.
    29. performing the procedures to assist in the normal cephalic delivery.
    30. performing necessary care procedures of the fetus as the head appears.
    31. performing infant neonatal procedures.
    32. performing post-delivery care of the infant and the mother.
    33. assessing how and when to cut the umbilical cord.
    34. performing correct medical procedures correct medical procedures regarding the delivery of the placenta.
    35. performing the procedures for the following abnormal deliveries: vaginal bleeding, breech birth, prolapsed cord, limb presentation.
    36. performing the procedures in the emergency medical care of the mother with excessive bleeding.
    37. illustrating direct pressure or diffuse pressure or pressure points and tourniquets as a method of emergency medical care of external bleeding.
    38. performing care for the patient exhibiting signs and symptoms of internal bleeding and/or shock (hypoperfusion).
    39. producing a prehospital care report for patient with bleeding and/or shock (hypoperfusion).
  5. The student will demonstrate the knowledge and understanding required for trauma management by:
    1. illustrating the rapid trauma assessment that should be used to assess a patient based on mechanism of injury.
    2. performing the procedures in the emergency medical care of closed and soft tissue injuries.
    3. performing the steps in the emergency medical care of a patient with:
      1. an open chest wound
      2. open abdominal wounds
      3. an impaled object
      4. an amputation
      5. an amputated part
      6. superficial burns,
      7. partial thickness burns
      8. full thickness burns
      9. chemical burns.
    4. producing a prehospital care report for patients with soft tissue injuries, musculoskeletal injuries or head and spinal injuries.
    5. illustrating the emergency medical care of a patient with a painful, swollen, deformed extremity.
    6. opening the airway in a patient with suspected spinal cord injury.
    7. evaluating a responsive patient with a suspected spinal cord injury.
    8. performing stabilization of the cervical spine.
    9. illustrating the four person log roll for a patient with a suspected spinal cord injury.
    10. illustrating how to log roll a patient with a suspected spinal cord injury using two people.
    11. securing a patient to a long spine board.
    12. using the short board immobilization technique.
    13. illustrating the procedure for rapid extrication.
    14. illustrating the preferred methods for stabilization of a helmet.
    15. performing helmet removal techniques.
    16. illustrating alternative methods for stabilization of a helmet.
  6. The student will demonstrate the knowledge and understanding required for the management of infants and children by:
    1. illustrating the techniques of foreign body airway obstruction removal in the infant and the child.
    2. illustrating the assessment of the infant and child.
    3. performing bag-valve mask artificial ventilations for the infant and child.
    4. illustrating oxygen delivery for the infant and child.
    5. performing artificial ventilation to the infant and child patient.
    6. illustrating oxygen administration for the infant and child patient.
    7. performing the skills associated with assessing the skin color, temperature, condition, and capillary refill in infants and children.
    8. performing orotracheal intubation in the infant and child patient.
    9. performing the skill of confirming endotracheal tube placement in the infant and child patient.
    10. performing the securing of the endotracheal tube in the infant and child patient.
  7. The student will demonstrate the knowledge and understanding required for EMS operations by:
    1. performing triage when given a scenario of a mass casualty incident.
    2. performing a simulated, organized, concise radio transmission.
    3. performing an organized, concise patient report that would be given to the staff at a receiving facility.
    4. performing a brief, organized report that would be given to an ALS provider arriving at an incident scene at which the EMT was already providing care.
  8. The student will demonstrate the knowledge and understanding required for assisting the paramedic with ALS skills by,
    1. performing the skill of setting up the equipment necessary for orotracheal intubation and assisting the paramedic before and after the intubation is performed .
    2. performing the skill of 4 and 12-Lead ECG application to include monitor settings and printing the ECG record. .
    3. illustrating the securing of the endotracheal tube in the adult patient.

Criteria Performance Standard

Upon successful completion of the course the student will, with a minimum of 80% accuracy and no critical failures (100%), demonstrate mastery of each of the above stated objectives through classroom measures developed by the faculty.

History of Changes

Revised 8/84 C&I 10/23/07, BOT 12/17/07, Revised 7/85 Effective 20081(0400): Revised 11/89 2007 3-year review. DBT 5/23/91 DBT 11/19/91 Effective Session 19912 DBT 4/18/95 Effective Session 19951 C&I 12/12/95; DBT 1/16/96 Effective Session 19961. C&I Approval: 10/23/2007, BOT Approval: 12/17/2007, Effective Term: Fall 2008 (400).
C&I Approval: 07/26/2018, BOT Approval: 09/18/2018, Effective Term: Spring 2019 (555)

Related Programs

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  2. Emergency Medical Technician (EMT-ATD) (520) (Active)
  3. Emergency Medical Technician (to EMS-AS) (EMT2IC-AR) (650) (Active)
  4. Emergency Medical Technician (to PSA-BAS) (EMTIC-AR) (650) (Active)
  5. Emergency Medical Technician ATD (to EMS-AS) (EMTSW-AR) (610) (Active)
  6. Emergency Medical Technician ATD (to GEN-AA) (EMT2SW-AR) (610) (Active)
  7. Emergency Medical Technician ATD (to PSA-BAS) (EMT3SW-AR) (610) (Active)
  8. EMT ATD Statewide Articulation (EMTATDS-AR) (610) (Draft)
  9. Firefighter/Emergency Medical Technician - Combined Career Certificate (to EMS-AS) (FFEMTSW-AR) (645) (Active)