A. Unit Code and Suggested Course Title:
EG107 Respiratory & Cardiology
B. Curriculum/Program:
Emergency Medical Technology-South Campus
Curriculum Code 0983, Hegis 5299
C. Catalog Description:
This course covers the specific pathophysiology, assessment and management of the respiratory and cardiac
systems. Topics include obstructive airway diseases, mechanical and pharmacological airway management,
dysrhythmia analysis, myocardial infarction, heart failure and vascular disorders and 12 Lead EKG recognition.
Upon successful completion of this course and the required co-requisite EG 108, the student will receive the
American Heart Association Advanced Cardiac Life Support Certificate.
Prerequisites: EG 105, EG 106, Basic EMT, math (AARLV2) and English (AWRLV3 & ARELV3)pretest codes
or higher.
Corequisites: EG 108, EG 110
F (S)
Students seeking entrance into this course must be currently certified as a basic EMT and be admitted to the
paramedic curriculum to register for this course.
D. Duration of Instructional Period:
This course is offered in the Fall as part of the Paramedic curriculum and meets for (6) five hour sessions.
E. Academic Credit Hours:
(2, 0, 2)
F. Suggested Text/Course Materials:
Nancy Caroline’s Emergency in the Streets, 6th edition, and workbook.
G. Course Outcomes:
Identify and describe the function of the structures located in the upper and lower airway.
Identify common pathological events that effect the pulmonary system.
Discuss abnormal assessment findings associated with pulmonary diseases and conditions.
Describe pharmacological preparations paramedics use for management of respiratory diseases and conditions.
Describe the anatomy of the heart.
Identify the components of cardiac output.
Describe a systematic approach to the analysis, interpretation, and treatment of cardiac arrhythmias.
Define the principle causes and terminology associated with heart failure.
Identify the critical actions necessary in caring for the patient with cardiac arrest.
Describe most commonly used cardiac drugs in terms of therapeutic effect, dosages, routes of administration, side
effects, and toxic effects.
Integrate pathophysiological principles and assessment findings to formulate a field impression, and implement a
treatment plan for the patient with respiratory problems and cardiovascular disease.
Develop proficiency in arithmetic calculation for drug dosages.
Develop an understanding of the scientific method in exploring natural phenomenon including observation,
hypothesis development, measurement, data collection, and evaluation.
Produce coherent texts within common college level written forms.
Demonstrate the ability to revise and improve such texts.
Evaluate an oral presentation according to established criteria.
Develop well reasoned arguments.
Develop an ability to locate, evaluate and synthesize information from a variety of sources.
H. Program Competencies:
Basic EMT
 Perform proper Body Substance Isolation.
 Properly conduct a patient history, physical examination and vital signs of a medical and trauma patient.
 Properly manage medical and trauma patients according to national standard protocols.
 Demonstrate manual airway maneuvers.
 Administer oxygen therapy utilizing the Nasal Cannula and Non-rebreather mask.
 Apply the proper airway management adjuncts to include: Oral and Nasal Airways, Suctioning.
 Perform positive pressure ventilation using Bag Valve Mask (BVM) ventilation.
 Demonstrate CPR and Choking maneuvers and the proper use of an Automatic External Defibrillator (AED) and
attain American Heart Association CPR credential at Healthcare Provider level.
 Assist with self administration of Nitroglycerine, Aspirin
 Perform with medical direction the administration of Nebulized Albuterol.
 Properly manage central nervous system injuries to include: spinal immobilization techniques utilizing cervical
collars, KED, short and long spine boards and helmet removal techniques.
 Properly manage orthopedic emergencies utilizing: Padded board splints, traction splints, air and vacuum splint
and cravats.
 Properly manage soft tissue injuries and treatment of shock, demonstrating bleeding control and bandaging
techniques and the application of MAST pants.
 Demonstrate techniques for assisting with normal and abnormal obstetrical emergencies.
 Demonstrate techniques for managing psychiatric emergencies and the application of patient restraints.
 Demonstrate proper lifting and moving techniques utilizing a stretcher, stair chair and manual lifts.
 Demonstrate proper radio communication techniques.
 Provide accurate written documentation in a Patient Care Report (PCR).
 Explain the role of medical direction and performing as a team member
EMT Intermediate: Must perform all the competencies of a Basic EMT and all the following:
 Perform peripheral vascular access demonstrating proper utilization of an angiocatheter, vacutainer, leuer adapter,
saline trap, Intraosseous needle and fluid administration.
 Perform advanced airway maneuvers to include but not limited to: Endotracheal Inbubation, EOA/EGTA, King
Airway, Combitube, Bougee and chest decompression.
 Demonstrate proper application of the Magill forceps during airway management.
 Demonstrate patient assessment skills adapted for the geriatric and special needs patients.
 Attain Pediatric Life Support and International Trauma Life Support (ITLS) credential.
EMT Paramedic: Must perform all the competencies of a Basic and Intermediate EMT and all the following:
 Perform the expanded scope patient assessment to include the utilization of the Otoscope and Opthalmoscope.
 Perform advanced airway techniques to include but not limited to: Laryngeal Mask Airway (LMA), Quicktrac,
needle cricothyrotomy and jet ventilation, CPAP/BiPAP, Waveform capnography,
 Perform proper electrocardiogram (EKG) monitoring utilizing both the 3 lead and 12 lead techniques.
 Properly interpret a 12 lead EKG and initiate proper treatment protocols.
 Perform manual defibrillaton, synchronized cardioversion and external cardiac paceing.
 Attain American Heart Association Advance Cardiac Life Support (ACLS) certification.
 Attain American Heart Association Pediatric Advanced Life Support (PALS) certification.
 Calculate drug dosages utilizing the metric system.
 Demonstrate proper medication administration techniques to include: IM, SQ, I.V bolus and infusion, ET, SL,
Buccal, transdermal.
 Contact the EMT department for the medication list under the paramedic scope of practice.
I.
SUNY General Education Ten Knowledge Areas:
This section is not applicable.
J.
ECC Graduate Learning Outcomes (GLO):
1.
2.
Communicate effectively.
Read and think critically.
K. Assessment of Student Learning:
Students will be given 4 written exams weighted evenly to determine the final grade.
Students must achieve a grade of C or better to progress to any course requiring this course as a prerequisite.
L. Library Resources:
Each of the three ECC campuses has a library staffed with professional librarians and modern resources such as
off site access to database searches and access to books and electronic journals. Students may borrow books and
other materials for up to 4 weeks with the use of their student ID. Each libraries resources vary to meet the needs
of the specific campus. Interlibrary loan is available.
The college also loans laptops for use in the library at no additional fee to students.
For additional information, visit the Library Resource Center at http://elinks.ecc.edu/lbrary/.
In addition, the EMT Departments at North and South Campus maintains of a small collection of EMS journals
students may reference, but may not take from the department.
M. Topical Outline:
41
42
43
44
45
46
47
RESPIRATORY & CARDIOLOGY
Pulmonology
Introduction: Epidemiology, A&P
General Systems: Pathophysiology, Assessment, Management
Specific Illnesses: ARDS, COPD
RESPIRATORY & CARDIOLOGY
Drug Test: Nitroglycerine (Pg 193/207)
Pulmonology
Identify structures of the airway: A&P Exercise & Review Manikins
Demonstrate general assessment of respiratory system & patient conditions: ARDS, COPD
Lab
7:30 10:30
RESPIRATORY & CARDIOLOGY
Pulmonology
Specific Illnesses: Pneumonia, Pulmonary Edema & Embolus, Neoplasm’s, URI, Spontaneous
pneumothorax, Hyperventilation
Cardiology
A&P: Engine of Life
RESPIRATORY & CARDIOLOGY
Pulmonology
Drug Test: Albuterol (Pg 215/229)
Cardiology A&P: ADAM- Sect. 1-3 & Manikins
Demonstrate respiratory assessment: Pneumonia, Pulmonary Edema,
Pulmonary Embolism, Lung Neoplasm’s, URI, Spontaneous Pneumothorax, Hyperventilation.
Lab
7:30
10:30
RESPIRATORY & CARDIOLOGY
Cardiology
ADAM Physiology
EKG monitoring- Normal EKG
RESPIRATORY & CARDIOLOGY
Pulmonology
Written & Skill Evaluation: Respiratory
Cardiology
Normal EKG & Monitoring
RESPIRATORY & CARDIOLOGY
Cardiology
Assessment/Physical Exam
Pathophysiology & Management
Dysrhythmia Recognition
Lab All
Day
48
49
50
51
52
53
RESPIRATORY & CARDIOLOGY
Cardiology
Drug Test: Aminophylline (Pg 220/236)
Dysrhythmia Recognition
No
Lab
Inst.
RESPIRATORY & CARDIOLOGY
Cardiology
Cardiovascular Pharmacology
Techniques of Management
RESPIRATORY & CARDIOLOGY
Cardiology
Techniques of Management
Dysrhythmia Recognition
RESPIRATORY & CARDIOLOGY
Drug Test: Ipratropium (Pg 382/435)
Cardiology
Dysrhythmia Recognition
RESPIRATORY & CARDIOLOGY
Cardiology
12 Lead EKG
Written & Skill Evaluation: Cardiology & Dynamic Rhythm Recognition
RESPIRATORY & CARDIOLOGY
Exam: ACLS algorithms
Skill Exam: A&P manikins
Cardiology
EKG Rhythm Review
12 Lead EKG (Scott - After lunch)
N. Proposal Prepared By: EMT Department Faculty
Lab
7:30 10:30
Lab
7:30
10:30
Lab
7:30 10:30