Baton Rouge Community College
Academic Affairs Master Syllabus
Date Approved or Revised: 5/13/13
Course Name: Medical Emergencies II
Course Number: EMSE 205
Lecture Hours: 3
Lab Hours:
3
Credit Hours: 4
Course Description:
Emphasizes the pathophysiology, assessment, and current treatment modalities for the
prehospital medical emergency patient care. The lecture emphasizes the physiological changes
that occur with the most common medical emergencies. Medical situations related to drug abuse
and overdose, diabetes, stroke, hypertension, anaphylaxis, poisoning, acute abdomen, infectious
disease, epilepsy and other nervous system disorders are studied. A special section dealing with
behavioral emergencies and crisis intervention will be covered. The laboratory segment presents
the assessment, treatment, and pharmacological interventions, which the student must show
proficiency in prior to performing them in the clinical setting.
Prerequisites:
Completion of EMSE 200, EMSE 202, EMSE 203, EMSE 206, EMSE 209
and EMSE 212 with a grade of “C” or better
Co-requisites:
None
Suggested Enrollment Cap: 16
Learning Outcomes: Upon successful completion of this course, the students will be able
to:
1. Integrate scene and patient assessment findings with knowledge of epidemiology and
pathophysiology to form a field impression. This includes developing a list of differential
diagnoses through clinical reasoning to modify the assessment and formulate a treatment
plan.
2. Integrate assessment findings with principles of epidemiology and pathophysiology to
formulate a field impression and implement a comprehensive treatment/disposition plan for a
patient with medical complaints involving disorders of the neurological, gastrointestinal,
immune, integumentary, endocrine, central nervous, hematologic, genitourinary, renal and
musculoskeletal systems, and patients with special needs.
3. Demonstrate comprehensive knowledge of normal and abnormal changes associated with
aging, pharmacokinetic changes, psychosocial and economic aspects of aging,
polypharmacy, and age-related assessment and treatment modifications for the major or
common geriatric diseases and/or emergencies
4. Demonstrate comprehensive knowledge of the pathophysiology, assessment, and
management of near-drowning, temperature-related illness, bites and envenomations,
dysbarism, electrical injury, and high altitude illness
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Assessment Measures: Assessment of all learning outcomes will be measured using the
following methods:
1. Instructor designed exams will collectively assess a portion of the learning outcomes and
will be administered during the semester as listed in the course syllabus.
2. Instructor designed comprehensive final exam will assess a portion of the learning
outcomes and will be administered at the end of the semester.
3. Instructor designed clinical/lab competency tool will be used to assess a portion of the
learning out comes and will be administered as listed in the course syllabus.
Information to be included on the Instructor’s Course Syllabi:

Disability Statement: Baton Rouge Community College seeks to meet the needs of its
students in many ways. See the Office of Disability Services to receive suggestions for
disability statements that should be included in each syllabus.

Grading: The College grading policy should be included in the course syllabus. Any
special practices should also go here. This should include the instructor’s and/or the
department’s policy for make-up work. For example in a speech course, “Speeches not
given on due date will receive no grade higher than a sixty” or “Make-up work will not
be accepted after the last day of class.”

Attendance Policy: Include the overall attendance policy of the college. Instructors may
want to add additional information in individual syllabi to meet the needs of their
courses.

General Policies: Instructors’ policy on the use of things such as beepers and cell phones
and/or hand held programmable calculators should be covered in this section.

Cheating and Plagiarism: This must be included in all syllabi and should include the
penalties for incidents in a given class. Students should have a clear idea of what
constitutes cheating in a given course.

Safety Concerns: In some programs this may be a major issue. For example, “No
student will be allowed in the safety lab without safety glasses.” General statements such
as, “Items that may be harmful to one’s self or others should not be brought to class.”

Library/ Learning Resources: Since the development of the total person is part of our
mission, assignments in the library and/or the Learning Resources Center should be
included to assist students in enhancing skills and in using resources. Students should be
encouraged to use the library for reading enjoyment as part of lifelong learning
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Expanded Course Outline:
1.
Medical Overview
I.
Assessment Factors
II.
Major components of the patient assessment
III.
Forming a Field Impression
2.
Neurology
I.
Introduction—overview of neurological conditions
II.
Central Nervous System
III.
Neurological assessment- normal and abnormal findings
IV.
General management considerations
V.
Neurological conditions
VI.
Age-related variations
VII. Communication and documentation
VIII. Transport decisions
IX.
Patient education and prevention of complications or future neurological
emergencies.
3.
Abdominal and Gastrointestinal Disorders
I.
Introduction
II.
General pathophysiology, assessment and management
III.
Specific Injuries/ illness: causes, assessment findings and management for each
condition
IV.
Consider age-related variations
V.
Communication and documentation
VI.
Transport decisions
VII. Patient education and prevention
4.
Immunology
I.
Introduction
II.
Pathophysiology
III.
Assessment
IV.
Anaphylactic Reaction
V.
Managing an allergic reaction
VI.
Collagen vascular disease
VII. Transplant-related problems
VIII. Consider age-related variations in pediatric and geriatric patients
IX.
Communication and documentation
X.
Transport decisions
XI.
Patient education and prevention
5.
Infectious Diseases
I.
Public health principles and agencies responsible for public health
II.
Pathophysiology of Infectious Disease
III.
Standard Precautions, personal protective equipment, and cleaning and disposing of
equipment and supplies.
IV.
Specific diseases and conditions
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V.
VI.
VII.
VIII.
IX.
Consider age-related variations in pediatric and geriatric patients
Communication and documentation for a patient with a communicable or
infectious disease
Transport decisions including special infection control procedures.
Patient and family teaching regarding communicable or infectious diseases and
their spread.
Legal requirements regarding reporting communicable or infectious
diseases/conditions
6.
Endocrine Disorders
I.
Overview of endocrine conditions
II.
Pathophysiology, causes, Incidence, morbidity, and mortality, assessment findings,
management for endocrine conditions
III.
Consider age-related variations
IV.
Communication and documentation
V.
Transport decisions
VI.
Patient education and prevention
7.
Psychiatric
I.
Introduction
II.
Pathophysiology
III.
Understanding Behavior
IV.
Acute psychosis
V.
Agitated delirium
VI.
Specific Behavioral/Psychiatric Disorders
VII. Assessment findings for behavioral/psychiatric patients
VIII. Providing Empathetic and Respectful Management
IX.
Medications
X.
Consider age-related variations in pediatric and geriatric patients
XI.
Communication to medical facility and documentation
XII. Transport decisions
8.
Toxicology
I.
Epidemiology of toxicology emergencies
II.
Toxic syndromes (Toxidromes) including drugs of abuse
III.
Alcoholism
IV.
Poisonings and exposures
V.
Household Poisons
VI.
Medication overdose-- Introduction--Pathophysiology, incidence, toxic agents, risk
factors, complications
VII. General Treatment modalities for Poisonings
VIII. Communication and documentation for patients with toxicological emergencies
V. Hematological conditions
VI. Blood Transfusion Complications
VII. Consider age-related variations in pediatric and geriatric patients
VIII. Patient education and prevention
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IX.
X.
XI.
Transport decisions with toxicological emergencies
Age-related variations for pediatric and geriatric patients
Patient education and prevention of toxicological emergencies and drug and
alcohol abuse
9.
Hematology
I.
Introduction
II.
General assessment findings and symptoms
III.
General management for a patient with a hematological condition or emergency
IV.
Sickle Cell Disease
10.
Genitourinary/Renal
I.
Introduction
II. Renal Diseases
III. Urinary System Conditions
IV. Male genital tract conditions
V. Consider age-related variations for pediatric and geriatric patients
VI. Communication and documentation
VII. Transport decisions
VIII. Patient education and prevention
11.
Non-Traumatic Musculoskeletal Disorders
I.
Introduction
II. General assessment findings and symptoms
III. General management for a patient with a common or major non-traumatic
musculoskeletal disorder.
IV. Non-traumatic musculoskeletal conditions
V. Consider age-related variations in pediatric and geriatric patients
VI. Patient education and prevention
12.
Diseases of the Eyes, Ears, Nose, and Throat
I.
Introduction
II. General assessment findings and symptoms
III. General Management
IV. Diseases of the eyes, ears, nose, and throat.
V. Consider age-related variations in pediatric and geriatric patients
VI. Patient education and prevention
13.
Environmental Emergencies
I.
Incidence
II. Submersion incidents
III. Temperature-related illness
IV. Bites and Envenomations
V. Electrical injury – Lightening strikes
VI. High altitude illness
14.
Geriatrics
I.
Normal and Abnormal Changes associated with aging
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II.
III.
IV.
V.
15.
Sensory changes
Pharmacokinetic change
Polypharmacy
Psychosocial and economic aspects
Patients with Special Challenges
I.
Abuse and neglect
II. Homelessness/Poverty
III. Bariatric Patients
IV. Technology Assisted/Dependent
V. Hospice Care and Terminally Ill
VI. Tracheostomy care/Dysfunction
VII. Technology Assisted Patients
VIII. Pediatrics Developmental Disabilities
IX. Emotionally impaired
X. Physical Needs/Challenges
XI. Patients with Communicable Diseases
XII. Terminally Ill Patients
XIII. Mental Needs/Challenges
XIV. Specific Challenges Created by Chronic Conditions
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