EMSP 2330 Syllabus

Subject Code

EMSP

Course Number

2330

Course Title

Therapeutic Modalities of Trauma Care

Prerequisites

EMSP 2110 with a grade of C or higher, EMSP 2120 with a grade of C or higher, EMSP 2130 with a grade of C or higher, EMSP 2140 with a grade of C or higher

Corequisites

None

Terms Offered

Credit Hours

Course Description

This course will enable students to integrate a comprehensive knowledge of causes and pathophysiology into the management of traumatic, cardiac arrest and peri-arrest states shock, and respiratory failure or arrest with an emphasis on early intervention to prevent arrest. This course will also include integrating assessment findings with principles of epidemiology and pathophysiology to formulate a field impression and implement comprehensive treatment and disposition plans for acutely injured patients. Students will complete a nationally recognized pre-hospital trauma course (i.e. PHTLS, ITLS, ATT, etc.). Topics include shock and trauma resuscitation; trauma overview; bleeding; chest trauma; abdominal and genitourinary trauma; orthopedic trauma; soft tissue trauma; head, facial, neck, and spine trauma; nervous system trauma; special considerations in trauma; environmental emergencies; multi-system trauma; and assessment of trauma emergencies.

Course Outcomes

Shock and Trauma Resuscitation

  • Integrate a comprehensive knowledge o causes and pathophysiology into the management of traumatic cardiac arrest and peri-arrest states.
  • Integrate a comprehensive knowledge of the causes and pathophysiology into the management of shock, respiratory failure or arrest with an emphasis on early intervention to prevent arrest in the acutely injured patient.
  • Prioritize the assessment and management of various patients in traumatic cardiac arrest and/or per-arrest states.
  • Prioritize the assessment and management of various patients experiencing shock and/or respiratory failure/arrest with an emphasis one early intervention to prevent arrest in the acutely injured patient.
  • Motivate other resuscitation team members to properly perform appropriate basic and advanced cardiac life support techniques (consistent with the current American Heart Association guidelines for Emergency Cardiovascular Care) for various patients in traumatic cardiac arrest and/or per-arrest states.

Trauma Overview

  • Integrate assessment findings with principles of epidemiology and pathophysiology to formulate a field impression to implement a comprehensive treatment/disposition plan for an acutely injured patient.
  • Integrate the pathophysiology, assessment, and management of the trauma patient in trauma scoring and transport and destination.

Bleeding

  • Integrate the assessment findings with principles of epidemiology and pathophysiology to manage bleeding.
  • Adapt the assessment and management principles to the treatment of various patients that are bleeding.
  • Appreciate the need for appropriate management of various patients that are bleeding.

Chest Trauma

  • Evaluate the pathophysiology, assessment, and management of the following: traumatic aortic disruption; pulonay contusion; blunt cardiac injury; hemothorax; pneumothorax (including open, simple, and tension); cardiac tamponade; rib fractures; flail chest; commotio cordis; tracheobronchial disruption; diaphragmatic rupture; and traumatic asphyxia.
  • Adapt the assessment and management principles to the treatment of various patients with chest trauma.
  • Appreciate the eed for appropriate management of various patients with chest trauma.

Abdominal and Genitourinary Trauma

  • Evaluate the pathophysiology, assessment, and management of the following: vascular injury; solid and hollow organ injuries; blunt versus penetrating mechanisms of injury; evisceration; retroperitoneal injuries; and injuries to the external genitalia.
  • Adapt the assessment and management principles to the treatment of various patients with genitourinary trauma.
  • Appreciate the need for appropriate management of various patients with genitourinary trauma.
  • Promote empathy for patients who have experienced a genitourinary injury caused by sexual assault.

Orthopedic Trauma

  • Articulate the pathophysiology, assessment, and management of the following: pediatric fractures; tendon laceration/transection/rupture (Achille's and patellar); and compartment syndrome.
  • Evaluate the pathophysiology, assessment, and management of the following: upper and lower extremity orthopedic trauma' open fractures; closed fractures; and dislocations.
  • Adapt the assessment and management principles to the treatment of various patients with orthopedic trauma.
  • Appreciate the need for appropriate management of various patients with  orthopedic trauma.

Soft Tissue Trauma

  • Integrate the pathophysiology, assessment, and management of the following wounds; avulsions; bite wounds; lacerations; and puncture wounds.
  • Integrate teh pathophysiology, assessment, and management of the following burns: electrical; chemical; and thermal.
  • Integrate the pathophysiology, assessment, and management of a high-pressure injection.
  • Integrate the pathophysiology, assessment, and management of crush syndrome.
  • Adapt the assessment and management principles to the treatment of various patients with soft tissue trauma.
  • Appreciate the need for appropriate management of various patients with soft tissue trauma.

Head, Facial, Neck, and Spine Trauma

  • Articulate the pathophysiology, assessment, and management of the following: unstable facial fractures; orbital fractures; and perforated tympanic membrane.
  • Evaluate the pathophysiology, assessment, and management of the following: skull fractures; penetrating neck trauma; laryngeotracheal injuries; spine trauma (including dislocations/subluxations, fractures, and sprains/strains); and mandibular fractures.
  • Adapt the assessment and management principles to the treatment of various patients with head, facial, neck, and spinal trauma.
  • Appreciate the need fro appropriate management of various patients head, facial, neck, and spinal trauma.

Nervous System Trauma

  • Articulate the pathophysiology, assessment, and management of the following: cauda equina syndrome; nerve root injury; and peripheral nerve injury.
  • Integrate the pathophysiology, assessment, and management of the following; traumatic brain injury; spinal cord injury; and spinal shock.
  • Adapt the assessment and management principles to the treatment of various patients with nervous system trauma.
  • Appreciate the need for appropriate management of various patients with nervous system trauma.

Special Considerations in Trauma

  • Evaluate the pathophysiology, assessment, and management of trauma in the following: pregnant patients; pediatric patients; geriatric patients; and cognitively impaired patients.
  • Adapt the assessment and management principles of various traumatic injuries for the following types of patients; pregnant; pediatric; geriatric; and cognitively impaired.
  • Appreciate the need to adapt the assessment and management principles of various traumatic injuries for the following types of patients: pregnant; pediatric; geriatric; and cognitively impaired.

Environmental Emergencies

  • Evaluate the pathophysiology, assessment, and management of the following: near-drowning, temperature-elated illness; bites and envenomations; dysbarism (including High-altitude and diving injuries); electrical injury; and high altitude illness.
  • Adapt the assessment and management principles to the treatment of various patients experiencing an environmental emergency.
  • Appreciate the need to adapt the assessment and management principles to the treatment of various patients experiencing an environmental emergency.

Multi-System Trauma

  • Evaluate the pathophysiology, assessment, and management of multi-system trauma and blast injuries.
  • Adapt the assessment and management principles to the treatment of various patients with multi-system trauma.
  • Appreciate the need for appropriate management of various patients with multi-system trauma.

Assessment of Trauma Emergencies

  • Integrate the appropriate assessment for various complaints of the following types of acute injuries: bleeding; chest trauma; abdominal/genitourinary trauma; orthopedic trauma; soft tissue trauma; head/facial/neck/and spine trauma; and nervous system trauma; special considerations (pregnant, pediatric, geriatric, and cognitively impaired); environmental emergencies; and multi-system trauma.
  • Appreciate the critical nature of accurate field impressions for patients with various traumatic injuries.
  • Establish certification in a nationally recognized pre-hospital trauma course (i.e., PHTLS, ITLS, ATT, etc.). This trauma course may be integrated throughout the various course competencies of EMSP 2330.