A. Unit Code and Suggested Course Title:
EG 203 Medical Emergencies
B. Curriculum/Program:
Emergency Medical Technology-South Campus
Curriculum Code 0983, Hegis 5299
C. Catalog Description:
This course covers specific pathophysiology, assessment and management techniques for common medical
conditions encountered in the field. Topics include neurology, gastroenterology, urology, endocrinology,
toxicology, allergies and anaphylaxis, hematology, infectious and communicable diseases. Special patients and
circumstances are also addressed: acute interventions in the home care patient, abuse and assault, behavioral and
psychiatric disorders, environmental conditions and the challenged patient.
Prerequisites: Basic EMT, math (AARLV2)and English (AWRLV3 & ARELV3) pretest codes or higher
Concurrent Registration: EG 206, EG 207, EG 208
S (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:
Course is offered in the Spring semester as part of the Paramedic curriculum and meets for (12) five hour sessions.
E. Academic Credit Hours:
(4, 0, 4)
F. Suggested Text/Course Materials:
Nancy Caroline’s Emergency in the Streets, 6th edition, and workbook
G. Course Outcomes:
Integrate pathophysiological principles and assessment findings to formulate a field impression and implement a
treatment plan for patients with the following medical problems:
Neurological
Endocrine
Allergies and anaphylaxis
Gastroenterologic
Renal or urologic
Toxic exposure
Environmentally induced medical or traumatic conditions
Infections and communicable diseases
Integrate the pathophysiological principles of the hematopoietic system to formulate a field impression and
implement a treatment plan.
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.
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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:
Seven examinations, all equally weighted to constitute a 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 Department at South Campus maintains of a small collection of EMS journals students may
reference, but may not take from the department.
M. Topical Outline:
87
88
89
90
91
92
MEDICAL EMERGENCIES I
Drug Test: Thiamine (Pg 405/462)
Neurology
A&P
Pathophysiology
General Assessment Findings
Management of Nervous System Emergencies
MEDICAL EMERGENCIES I
Endocrinology
A&P
Disorders & Emergencies
Allergies & Anaphylaxis
Pathophysiology
Assessment Findings
Management of Anaphylaxis and Allergic Reactions
Patient Education
MEDICAL EMERGENCIES I
Written Exam: Neurology/Endocrine/Allergic/Anaphylaxis
Gastroenterology
General pathophysiology and management
Specific injuries/illness
Integration
Renal
General pathophysiology and management
MEDICAL EMERGENCIES I
Drug Test: Vasopressin (Pg 149-6th)
Written Exam: Gastroenterology
Renal
Specific injuries/illness
Integration
Toxicology
Epidemiology
Poison Control Centers
Routes of Exposure
General Principles of Toxicology, Assessment and management
Ingested, Inhaled, Surface Absorbed and Specific Toxins
MEDICAL EMERGENCIES I
Toxicology
Injected Toxins
Substance Abuse & Overdose
Alcohol Abuse
Hematology
A&P / General Assess. & Mgmt. of Specific Problem
MEDICAL EMERGENCIES I
Written Exam: Renal/Urology & Toxicology
Environmental Emergencies
Homeostasis
Pathophysiology of Heat and Cold Disorders
Near Drowning / Diving Emergencies
High Altitude Illness
Nuclear Radiation
MEDICAL EMERGENCIES I
Written Exam: Hematology
Infectious and Communicable Diseases
PC: Vol #3
Pg 246-299
Pg 300-331
Pg 332-347
Pg 348-379
Pg 380-413
Pg 414-457
Pg 458-489
Pg 490-533
93
94
95
96
97
Public Health Principles
Public Health Agencies
Microorganisms
Contraction, Transmission and Stages of Disease
The Body’s Defenses Against Disease
Infection Control in Prehospital Care
Assessment of the patient with Infectious Disease
MEDICAL EMERGENCIES I
Written Exam: Environmental Emergencies
Infectious and Communicable Diseases
HIV
Hepatitis A, B, C, non-ABC
Tuberculosis, Pneumonia, Chickenpox, Meningitis
Other viral Diseases
Respiratory, GI, Nervous System infections
Sexually Transmitted Diseases
MEDICAL EMERGENCIES I
Infectious and Communicable Diseases
Skin Diseases
Pt. Education / Preventing Disease Transmission
Behavioral & Psychiatric Disorders
Behavioral Emergencies
Pathophysiology of Psychiatric Disorders
Assessment of Behavioral Emergencies
Specific Psychiatric Disorders
MEDICAL EMERGENCIES I
Written Exam: Infectious & Communicable Diseases
Behavioral & Psychiatric Disorders
Management of Behavioral Emergencies
Violent Patients and Restraints/ Case studies & Restraint Practice
MEDICAL EMERGENCIES I
Written Exam: Behavioral Disorders
Make-up Session for Semester #2
N. Proposal Prepared By: EMT Department Faculty
Pg 534-595
Pg 534-595
Pg 596-623
Pg 596-623