EMS 1119L - Fundamentals of Emergency Medical Care Lab
College of Health Sciences
Credit(s): 2
Contact Hours: 70
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
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
- 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:
- being responsible for his/her own personal safety.
- being responsible for the safety of the crew, patient, and bystanders.
- using appropriate patient care based on patient assessment.
- selecting the safest and most efficient way to move and transport patients to the appropriate healthcare facility, including appropriate transfer of care.
- explaining the need to be a patient advocate.
- The student will demonstrate the knowledge and understanding required for basic airway management by:
- performing the head-tilt, chin-lift, and jaw thrust.
- performing the techniques of suctioning.
- using mouth-to-mouth artificial ventilation with body substance isolation (barrier shields).
- using a pocket mask to artificially ventilate a patient.
- constructing the assembly of a bag-valve-mask unit.
- performing artificial ventilation of a patient with a bag-valve-mask for one and two rescuers.
- performing artificial ventilation of a patient with a bag-valve-mask while using the jaw thrust.
- performing artificial ventilation of a patient with a flow restricted, oxygen-powered ventilation device.
- performing artificial ventilation of a patient with a stoma.
- illustrating how to insert an oropharyngeal (oral) airway and a nasopharyngeal(nasal) airway.
- illustrating how to insert a nasopharyngeal (nasal) airway.
- illustrating the correct operation of oxygen tanks and regulators.
- illustrating the use of a nonrebreather face mask and stating the oxygen flow requirements needed for its use.
- illustrating the use of a nasal cannula and stating the flow requirements needed for its use.
- using the emergency medical care for breathing difficulty.
- performing the steps in facilitating the use of an inhaler.
- The student will demonstrate the knowledge and understanding required for general patient assessment by:
- performing the skills involved in assessment of breathing, pulse and blood pressure.
- performing the skills associated with assessing the pupils.
- performing the skills to obtain information from the patient, family, or bystanders at the scene.
- 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.
- assessing the patient's skin color, temperature, condition and capillary refill (infants and children only) .
- prioritizing patients.
- 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.
- performing the detailed physical exam and the ongoing assessment.
- producing a completed prehospital care report.
- The student will demonstrate the knowledge and understanding required for medical, behavioral emergencies, obstetrics and gynecology by:
- 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.
- performing a scenario, the EMT will complete disinfection/cleaning and all reporting documentation.
- using knowledge of the medical-legal aspects of significant exposure cases for the patient and the EMT.
- 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.
- performing with a partner, the EMT will apply techniques for the transfer of a patient from an ambulance stretcher to a hospital stretcher.
- performing general steps for assisting patient with self-administration of medications.
- reading the labels and inspecting each type of medication.
- 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.
- performing the application and operation of the automated external defibrillator.
- performing the maintenance of an automated external defibrillator.
- performing the assessment and documentation of a patient’s response to the automated external defibrillator, to nitroglycerin, to oral glucose and to epinephrine injection.
- performing the skills necessary to complete the automated defibrillator: operator's shift checklist.
- performing the steps in facilitating the use of nitroglycerin for chest pain or discomfort.
- practicing completing a prehospital care report for patients with cardiac or diabetic emergencies.
- performing the steps in the emergency medical care for the patient taking diabetic medicine with an altered mental status and a history of diabetes.
- performing the steps in the administration of oral glucose.
- performing the emergency medical care of the patient experiencing an allergic reaction.
- using the epinephrine auto-injector.
- performing proper disposal of equipment.
- producing a prehospital cite report for patients with allergic emergencies.
- performing the emergency medical care procedures for the patient with a possible overdose or with suspected poisoning.
- performing the necessary steps required to provide a patient with activated charcoal.
- performing the assessment and documentation of patient response.
- selecting proper disposal of the equipment for the administration of activated charcoal.
- producing a prehospital care report for patients with a poisoning/overdose emergency.
- performing the assessment and emergency medical care of a near drowning patient.
- producing a prehospital care report for patients with environmental emergencies or obstetrical and gynecological emergencies.
- applying various techniques to safely restrain a patient with a behavioral problem.
- performing the procedures to assist in the normal cephalic delivery.
- performing necessary care procedures of the fetus as the head appears.
- performing infant neonatal procedures.
- performing post-delivery care of the infant and the mother.
- assessing how and when to cut the umbilical cord.
- performing correct medical procedures correct medical procedures regarding the delivery of the placenta.
- performing the procedures for the following abnormal deliveries: vaginal bleeding, breech birth, prolapsed cord, limb presentation.
- performing the procedures in the emergency medical care of the mother with excessive bleeding.
- illustrating direct pressure or diffuse pressure or pressure points and tourniquets as a method of emergency medical care of external bleeding.
- performing care for the patient exhibiting signs and symptoms of internal bleeding and/or shock (hypoperfusion).
- producing a prehospital care report for patient with bleeding and/or shock (hypoperfusion).
- The student will demonstrate the knowledge and understanding required for trauma management by:
- illustrating the rapid trauma assessment that should be used to assess a patient based on mechanism of injury.
- performing the procedures in the emergency medical care of closed and soft tissue injuries.
- performing the steps in the emergency medical care of a patient with:
- an open chest wound
- open abdominal wounds
- an impaled object
- an amputation
- an amputated part
- superficial burns,
- partial thickness burns
- full thickness burns
- chemical burns.
- producing a prehospital care report for patients with soft tissue injuries, musculoskeletal injuries or head and spinal injuries.
- illustrating the emergency medical care of a patient with a painful, swollen, deformed extremity.
- opening the airway in a patient with suspected spinal cord injury.
- evaluating a responsive patient with a suspected spinal cord injury.
- performing stabilization of the cervical spine.
- illustrating the four person log roll for a patient with a suspected spinal cord injury.
- illustrating how to log roll a patient with a suspected spinal cord injury using two people.
- securing a patient to a long spine board.
- using the short board immobilization technique.
- illustrating the procedure for rapid extrication.
- illustrating the preferred methods for stabilization of a helmet.
- performing helmet removal techniques.
- illustrating alternative methods for stabilization of a helmet.
- The student will demonstrate the knowledge and understanding required for the management of infants and children by:
- illustrating the techniques of foreign body airway obstruction removal in the infant and the child.
- illustrating the assessment of the infant and child.
- performing bag-valve mask artificial ventilations for the infant and child.
- illustrating oxygen delivery for the infant and child.
- performing artificial ventilation to the infant and child patient.
- illustrating oxygen administration for the infant and child patient.
- performing the skills associated with assessing the skin color, temperature, condition, and capillary refill in infants and children.
- performing orotracheal intubation in the infant and child patient.
- performing the skill of confirming endotracheal tube placement in the infant and child patient.
- performing the securing of the endotracheal tube in the infant and child patient.
- The student will demonstrate the knowledge and understanding required for EMS operations by:
- performing triage when given a scenario of a mass casualty incident.
- performing a simulated, organized, concise radio transmission.
- performing an organized, concise patient report that would be given to the staff at a receiving facility.
- 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.
- The student will demonstrate the knowledge and understanding required for assisting the paramedic with ALS skills by,
- performing the skill of setting up the equipment necessary for orotracheal intubation and assisting the paramedic before and after the intubation is performed .
- performing the skill of 4 and 12-Lead ECG application to include monitor settings and printing the ECG record. .
- 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
- Emergency Medical Services (EMS-AS) (640) (Active)
- Emergency Medical Technician (EMT-ATD) (520) (Active)
- Emergency Medical Technician (to EMS-AS) (EMT2IC-AR) (650) (Active)
- Emergency Medical Technician (to PSA-BAS) (EMTIC-AR) (650) (Active)
- Emergency Medical Technician ATD (to EMS-AS) (EMTSW-AR) (610) (Active)
- Emergency Medical Technician ATD (to GEN-AA) (EMT2SW-AR) (610) (Active)
- Emergency Medical Technician ATD (to PSA-BAS) (EMT3SW-AR) (610) (Active)
- EMT ATD Statewide Articulation (EMTATDS-AR) (610) (Draft)
- Firefighter/Emergency Medical Technician - Combined Career Certificate (to EMS-AS) (FFEMTSW-AR) (645) (Active)
