EMSP 1010 Syllabus

Subject Code

EMSP

Course Number

1010

Course Title

Emergency Medical Responder

Prerequisites

Corequisites

Terms Offered

Credit Hours

Course Description

This course prepares the student to provide initial stabilizing care to the sick or injured prior to the arrival of Emergency Medical Services Professionals (EMS), and to assist EMS personnel in transporting patients for definitive care at an appropriate hospital/facility. Major areas of instruction include Introductory Medical Terminology and Anatomy & Physiology; Responder Safety; Incident Command; Bloodborne Pathogen Training; Basic Physical Assessment; and Treatment of Trauma and Medical Emergencies; Cardiopulmonary Resuscitation and the use of Automatic External Defibrillators. The course is a blend of lecture, hands on lab/learning, and practical scenario based learning/testing. The course will include Healthcare Provider CPR/AED Certification from a Nationally Recognized Body (American Heart Association, Red Cross, etc). If this course is also approved by the Georgia State Office of Emergency Medical Services and Trauma (SOEMST), successful completion will allow the student to be eligible to take the National Registry of Emergency Medical Technicians (NREMT) Emergency Medical Responder (EMR) certification. Topics include Preparatory; Anatomy and Physiology; Medical Terminology; Pathophysiology; Life Span Development; Public Health; Pharmacology; Airway; Management; Respiration and Artificial Ventilation; Assessment; Medicine; Shock and Resuscitation; Trauma; Special Patient Populations; EMS Operations; and Integration of Patient Assessment and Management.

Course Outcomes

Preparatory

Use simple knowledge of the EMS system, safety/well-being of the EMR, medical/legal issues at the scene of an emergency while awaiting a higher level of care.
Discuss EMS systems.
Discuss the roles, responsibilities, and professionalism of EMS personnel.
Display appropriate professional interactions with other EMS personnel.
Explain quality improvement.
Discuss the impact of research on EMR care.
Describe data collection.
Discuss standard safety precautions.
Demonstrate the application of standard safety precautions.
Describe personal protective equipment.
Demonstrate the appropriate use of personal protective equipment.
Describe stress management (particularly death and dying).
Discuss the prevention of response-related injuries.
Describe lifting and moving patients.
Demonstrate appropriate lifting and moving techniques.
Discuss recording patient findings.
Describe the process of calling for additional resources.
Discuss the process of calling for additional resources.
Discuss the transfer of patient care.
Illustrate interaction within the team structure.
Describe principles of communicating with patients in a manner that achieves a positive relationship.
Discuss interviewing techniques.
Discuss consent and refusal of care.
Discuss confidentiality
Discuss advanced directives.
Discuss tort and criminal actions.
Discuss evidence preservation.
Describe statutory responsibilities
Discuss mandatory reporting.
Discuss ethical principles and moral obligations.
Discuss end-of-life issues.

Anatomy and Physiology

Use simple knowledge of the anatomy and function of the upper airway, heart, vessels, blood, lungs, skin, muscles, and bones as the foundation of emergency care.

Medical Terminology

Use simple medical and anatomical terms.

Pathophysiology

Use simple knowledge of shock ad respiratory compromise to respond to life threats.

Life Span Development

Use simple knowledge of age-related differences to assess and care for patients.
Display appropriate sensitivity for age-related differences in the assessment and care of patients.

Public Health

Demonstrate awareness o local public health resources and the role EMS personnel play in public health emergencies.

Pharmacology

Use simple knowledge of the medications that the EMR may self-administer or administer to a peer in an emergency.
Identify the names, effects, indications, routes of administration, and dosages for the medications administered within the scope of practice of the EMR.
Demonstrate self-administration of medications, within the scope of practice of the EMR.
Demonstrate peer-administration of medications, within the scope of practice of the EMR.

Airway Management, Respiration, and Artificial Ventilation

Apply knowledge of general anatomy and physiology to assure a patent airway, adequate mechanical ventilation, and respiration while awaiting additional EMS response for patients of all ages
Demonstrate within the scope of practice the EMR the following: airway anatomy; airway assessment; and techniques of assuring a patent airway.
Describe the anatomy of the respiratory system.
Describe the physiology and pathophysiology of respiration: pulmonary ventilation; oxygenation,and respiration (including external, internal, and cellular).
Discuss the assessment and management of and inadequate respiration.
Demonstrate the assessment and management of adequate and inadequate respiration.
Discuss supplemental oxygen therapy.
Demonstrate supplemental oxygen therapy.
Describe the assessment and management of adequate and inadequate ventilation, to include: Artificial ventilation; Minute ventilation; Alveolar ventilation; and the Effect of artificial ventilation on cardiac output.
Demonstrate the assessment and management of adequate and inadequate ventilation.

Assessment

Use scene information and simple patient assessment findings to identify and manage immediate life threats and injuries within the scope of practice of the EMR.
Anticipate scene safety.
Promote the need for crew members to evaluate scene safety prior to entering.
Demonstrate scene management including: impact of the environment on patient care; addressing hazards; violence; need for additional or specialized resources; and standard precautions.
Describe the primary assessment for all patient situations including: general impression; level of consciousness; ABCs; identifying life threats; assessment of vital functions.
Demonstrate the primary assessment for various patient situations including: general impression; level of consciousness; ABCs; identifying life threats; assessment of vital functions.
Display sensitivity toward patients when performing a primary assessment.
Describe the treatment/procedures needed to preserve life.
Demonstrate the appropriate treatment/procedures needed to preserve life.
Describe the method for determining the chief complaint.
Describe the methods for determining the mechanism of injury/nature of illness.
Describe associated signs and symptoms for various chief complaints.
Demonstrate history taking techniques,including: determining the chief complaint; determining the mechanism of injury/nature of illness; and assessing for associated signs and symptoms.
Display sensitivity toward patients during history taking.
Describe a rapid full body scan.
Perform a rapid full body scan.
Describe a focused assessment of pain
Perform a focused assessment of pain.
Describe assessment of vital signs.
Perform an assessment of vital signs.
Describe how and when to reassess patients.

Medicine

Recognize and manage life threats based on assessment findings of a patient with a medical emergency while awaiting additional emergency response.
Identify the assessment and management of a medical complaint.
Demonstrate the assessment and management of a medical complaint.
Describe the anatomy, presentations, and management of the following: decreased level of responsiveness; seizure; and stroke.
Describe the anatomy, presentations and management of shock associated with abdominal emergencies including gastrointestinal bleeding.
Discuss the recognition and management of shock and difficulty breathing related to anaphylactic reactions.
Identify a patient who may have an infectious disease.
Anticipate the need for decontamination of equipment after treating a patient
Demonstrate awareness that diabetic emergencies cause altered mental status.
Recognize behaviors that pose a risk to the EMR, patient, or others.
Identify the anatomy, signs, symptoms, and management for chest pain and cardiac arrest.
Discuss the recognition and management of carbon monoxide poisoning and nerve agent poisoning and nerve agent poisoning.
Identify how and when to contact a poison control center.
Identify the anatomy, signs, symptoms, and management of respiratory emergencies including those that affect the upper airway and lower airway
Describe the blood pressure assessment in hemodialysis patients.
Discuss the recognition and management of shock associated with vaginal bleeding.
Discuss the recognition and management of a nose bleed.
Demonstrate the assessment and management of the following types of medical complaints; neurological; abdominal/gastrointestinal; immunologic; infectious diseases; endocrine disorders; psychiatric; cardiovascular; toxicological; respiratory; genitourinary/renal; gynecological; and diseases of the eyes, ears, nose, and throat.

Shock and Resuscitation

Use assessment information to recognize shock, respiratory failure or arrest, and cardiac arrest based on assessment findings and manages the emergency while awaiting additional emergency response.
Establish certification in CPR consistent with the AHA Healthcare Provider level (refer to the current American Heart Association guidelines).

Trauma

Use simple knowledge to recognize and manage life threats based on assessment findings for an acutely injured patient while awaiting additional emergency medial response.
Discuss the recognition and management of bleeding.
Demonstrate the management of bleeding.
Discuss the recognition and management of the following types of chest trauma; blunt versus penetrating mechanisms; open chest wound; and impaled object.
Discuss the recognition and management of the following types of abdominal and genitourinary trauma: blunt versus penetrating mechanisms; evisceration; and impaled object.
Discuss the recognition and management of the following types of orthopedic trauma: Open fractures; Closed fractures: Dislocations; and Amputations.
Discuss the recognition and management of the following types of soft tissue trauma: Wounds; Burns (Electrical, Chemical, Thermal); and Chemicals in the eye an on the skin.

Discuss the recognition and management of life threats as they relate to head, facial, neck, and spinal trauma.
Discuss the recognition and management of spinal trauma.
Discuss the recognition and management of trauma i the following: the pregnant patient; pediatric patient; and geriatric patient.
Discuss the recognition and management of the following: submersion incidents and temperature-related illness.
Discuss the recognition and management of multi-system trauma.
Demonstrate the assessment and management of the following types of injuries in all patients (including pregnant, pediatric, and geriatric); bleeding; chest trauma; abdominal and genitourinary trauma; orthopedic trauma; soft tissue trauma; head, facial, neck, and spine trauma; environmental emergencies; and multi-system trauma.

Special Patient Populations

Recognize and manage life threats based on simple assessment findings go a patient with special needs while awaiting additional emergency response.
Display appropriate sensitivity for patients with special needs while awaiting response.
Discuss the recognition and management of the normal delivery of a newborn.
Demonstrate the recognition and management of the normal delivery of a newborn.
Discuss the recognition and management of vaginal bleeding in the pregnant patient.
Demonstrate the recognition and management of vaginal bleeding in the pregnant patient.

Describe newborn care and neonatal resuscitation.
Demonstrate newborn care and neonatal resuscitation.
Discuss age-related assessment findings, and age-related assessment and treatment modifications for pediatric specific major diseases and/or emergencies including the following: upper airway obstruction; lower airway reactive disease; respiratory distress/failure/arrest; shock; seizures; and Sudden Infant Death Syndrome.
Demonstrate age-related findings, and age-related assessment and treatment modifications for pediatric specific major disease and/or emergencies.
Demonstrate an appropriate age-related assessment and treatment modifications for pediatric specific major diseases and/or emergencies.
Identify the impact of age-related changes on assessment and care of geriatric patient.
Identify how to recognize and report abuse and neglect.

EMS Operation

Describe the operational roles and responsibilities used to ensure safe patient, public, and personnel safety.
Discuss the risks and responsibilities of emergency response.
Appreciate the risks and responsibilities of emergency response.
Establish and work within the incident management system.
Describe triage principles.
Demonstrate appropriate triage techniques.
Discuss resource management.
Describe safe air medical operations.
Describe the criteria for utilizing air medical response.
Describe safe vehicle extrication.
Describe the use of simple hand tools.
Describe the risks and responsibilities of operating in a cold zone at a hazardous material or other special incident.
Describe the risks and responsibilities of operating on the scene of a natural or man-made disaster.

Integration of Patient Assessment and Management

Apply the knowledge of patient assessment ad management i various scenarios.
Display appropriate sensitivity for patients during assessment and management in various scenarios.
Demonstrate the knowledge of patient assessment and management in various scenarios.
Perform a simple assessment to identify life threats, identify injuries requiring immobilization and conditions requiring treatment within the scope of practice of the EMR: including foreign substance in the eyes and nerve agent poisoning.
Demonstrate the communication necessary to obtain and clearly transmit information with an awareness of cultural differences.
Perform safely and effectively all airway and breathing psychomotor skills within the National EMS Scope of Practice Model AND state Scope of Practice at the EMR level including the following: Basic Airway Maneuvers (including Head-tilt, chin-lift, Jaw thrust, Modified chin lift, FBAO relief-manual); Oropharyngeal airway; Sellick's maneuver; Positive pressure ventilation devices such as BVM; Suction of the upper airway; and Supplemental oxygen therapy (including nasal cannula and non-rebreather mask).
Perform safely and effectively all assessment psychomotor skills within the National EMS Scope of Practice Model AND state Scope of Practice at the EMR level including the following: Manual B/P.
Perform safely and effectively all assessment psychomotor skills within the National EMS Scope of Practice Model AND state Scope of Practice at the EMR level including the following: Unit-dose autoinjectors (lifesaving medications intended for self or peer rescue in hazardous materials situation, nerve agent antidote kit).
Perform safely and effectively all assessment psychomotor skills within the National EMS Scope of Practice Model AND state Scope of Practice at the EMR level including the following: Manual CPR; AED; and the assisted normal delivery of a newborn.
Perform safely and effectively all assessment psychomotor skills within the National EMS Scope of Practice Model AND state Scope of Practice at the EMR level including the following: Manual stabilization (C-spine injuries, Extremity fractures); Bleeding control; Emergency moves; and Eye irrigation.
Demonstrate professional behavior including: but no limited to, integrity, empathy, self-motivation, appearance/personal hygiene, self-confidence, communications, time management, teamwork/diplomacy, respect, patient advocay, and careful delivery of service.
Demonstrate the initiation of simple interventions based on assessment findings intended to mitigate the emergency and provide limited symptom relief while providing access to definitive care.
Demonstrate recording simple assessment findings and interventions.
Perform a patient assessment and provide prehospital emergency care for patient complaints: abdominal pain, abuse/neglect, altered mental status/decreased leel of consciousness, apnea, back pain, behavioral emergency, bleeding, cardiac arrest, chest pain, cyanosis, dyspnea, eye pain, GI bleeding, hypotension, multiple trauma, pain, paralysis, posoning, shcok, and stridor/drooling.
Demonstrate management of the scene until care is transferred to an EMS team member licensed at a higher level.
Demonstrate how to ensure the safety of the rescuer and others during an emergency.