Baton Rouge Community College Academic Affairs Master Syllabus Date Approved or Revised: 5/13/13 Course Name: Trauma Emergencies Course Number: EMSE 206 Lecture Hours: 2 Lab Hours: 3 Credit Hours: 3 Course Description: Emphasizes the pathophysiology, assessment, and current treatment modalities for the pre hospital patient with traumatic injuries. Discussions include the kinematics of trauma, burn management multi-systems trauma, and environmental emergencies. Emphasis is placed on the advanced skills of triage, injury prioritization, and fluid resuscitation. The basic skills of trauma care are also reviewed. Prerequisites: Completion of BIOL 110 with a grade of “C” or better and official admission to the CTS or AAS Paramedic program. Co-requisites: None Suggested Enrollment Cap: 16 Learning Outcomes: Upon successful completion of this course, the students will be able to: 1. 2. 3. 4. 5. 6. 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 comprehensive knowledge of the causes and pathophysiology into the management of shock Demonstrate comprehensive knowledge of the pathophysiology, assessment and management of the trauma patient Demonstrate comprehensive knowledge of the pathophysiology, assessment and management of bleeding, chest, abdominal, genitourinary, orthopedic, soft tissue, head, facial, neck, spine, and nervous system trauma. Integrate assessment and management of trauma with comprehensive knowledge of special considerations in trauma Demonstrate comprehensive knowledge of the pathophysiology, assessment and management of multisystem trauma 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. 1 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. 2 Expanded Course Outline: 1. Trauma Overview I. Identification and Categorization of Trauma Patients II. Incidence/significance of Trauma III. Trauma System IV. Types of Injury V. Trauma Assessment VI. Role of Documentation in Trauma VII. Trauma Scoring Scales VIII. Trauma Center Designations IX. Transfer of patients to the most appropriate hospital 2. Bleeding I. Incidence II. Anatomy and function III. Pathophysiology IV. Assessment consideration in Shock V. Shock Management strategies and considerations VI. Bleeding considerations 3. Chest Trauma I. Incidence of chest trauma II. Traumatic Aortic Disruption III. Pulmonary Contusions IV. Blunt Cardiac Injury V. Hemothorax VI. Pneumothorax VII. Cardiac Tamponade VIII. Rib fractures IX. Flail Chest X. Commotio cordis XI. Tracheobronchial disruption XII. Diaphragmatic rupture XIII. Traumatic asphyxia XIV. Pediatric considerations in chest trauma 4. Abdominal and Genitourinary Trauma I. Incidence II. Vascular injury III. Solid and hollow organ injuries IV. Blunt vs. Penetrating Abdominal Injury V. Evisceration VI. Retroperitoneal injury VII. Injuries to external genitalia VIII. Age-related variations 3 5. Orthopedic Trauma I. Incidence II. Pediatric fractures III. Tendon lacerations/transection/rupture (Achilles and patellar) IV. Open fractures V. Closed fractures VI. Dislocations VII. Compartment syndrome 6. Soft Tissue Trauma I. Incidence of soft tissue injury II. Anatomy and Physiology of soft tissue injury III. Pathophysiology of wound healing IV. Wounds V. Burns VI. High-pressure injection wounds 7. Head, Facial, Neck, and Spine Trauma I. Introduction II. Unstable Facial Fractures III. Orbital Fractures IV. Perforated tympanic membrane V. Skull fractures VI. Penetrating neck trauma (non-cord involvement) VII. Laryngeotracheal injuries VIII. Spine trauma (non-CNS involvement) IX. Mandibular fractures 8. Nervous System Trauma I. Incidence II. Cauda equine syndrome III. Nerve root injury (To be reviewed for inclusion later) IV. Peripheral nerve injury V. Traumatic brain injury VI. Spinal cord injury VII. Spinal shock 9. Special Considerations in Trauma I. Trauma in Pregnancy II. Pediatric Trauma III. Geriatric Trauma IV. Cognitively impaired patient 10. Environmental Emergencies I. Incidence II. Submersion incidents III. Temperature-related illness 4 IV. V. VI. Bites and Envenomation Electrical injury – Lightning strikes High altitude illness 11. Multi-System Trauma I. Kinematics of trauma II. Multi-System Trauma III. Specific injuries related to multi system trauma 12. Shock and Resuscitation I. Ethical Issues in Resuscitation II. Pre-Morbid Conditions III. Anatomy and physiology review IV. Physiology of normal blood flow V. Shock 5