A. Unit Code and Suggested Course Title: EG105 Pharmacology B. Curriculum/Program: Emergency Medical Technology-South Campus Curriculum Code 0983, Hegis 5299 C. Catalog Description: This didactic course is designed to introduce the paramedic student to the categories of pharmacological agents and the application of pharmacological concepts to clinical paramedic practice. Emphasis will be placed on understanding physiologic drug actions. Topics include pharmacokinetics, pharmacodynamics, drug interaction and classifications, venous access and medication administration. Prerequisites: EG 103, EG 104, Basic EMT, math (AARLV2) and english (AWRLV3 & ARELV3) pretest codes or higher. Corequisites: EG 106, 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 semester 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: Recall the various names and classifications of drugs. Discuss considerations in drug treatment for special populations of patients. Describe the specific anatomy and physiology pertinent to pharmacology. List and describe the phases of drug activity to include pharmaceutical, pharmacokinetic and pharmacodynamic. Describe how to safely and precisely access the venous circulation and administer medication. Integrate pathophysiological principles of pharmacology and assessment findings, to formulate a field impression and implement a pharmacologic management plan. Develop proficiency in arithmetic and algebraic equation calculation. Application of scientific data in relation to the action of drugs. Develop well reasoned arguments. 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. Communicate effectively. 2. Read and think critically. 3. Apply appropriate mathematical procedures and quantitative methods. K. Assessment of Student Learning: Four written examinations weighed evenly 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 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: 29 30 PATIENT ASSESSMENT: Exam: # 5 PHARMACOLOGY Techniques of Medication Administration BSI, Medial Direction, asepsis, sharp disposal, routes of administration Metric and Apothecary System conversions Fluids & Electrolytes, IV Therapy Cell physiology, blood components and collection, Demonstration of IV and Blood collection techniques. Drug Dose Calculations PHARMACOLOGY Drug Test: Dopamine (Pg 138/143) Cannulation Techniques Deomonstration of skills (4:30 – 7:00pm) BSI, IV insertion, Blood draws & leurs, saline traps, sharp disposal Metric System, Drug Dose Calculations(Bolus), Calculating IV drip rates Caroline 8.1-8.23 8.27- 8.31 PEP: xix-xxi Pg 45-63 Pg 86-117 Pg 513-516 Caroline 8.27 – 8.31 PEP: Pg 64-85 LAB 7:30 - 10:30 PHARMACOLOGY Drug Test: Dextrose (Pg 250/276) Pharmokinetics and Pharmodynamics General Pharmacology Information Hx, drug sources, information sources, investigational drugs Terminology and abbreviations, medical oversight, legal regulations and standards Drug names, profiles, forms 31 32 PHARMACOLOGY Exam: Session 29 Skill Evaluation:Live Stick for IV insertion and blood draw Calculations for IV drip rates and Drug dosing, Weight based dosing. Alternative Vascular Access External Jugular, Intraosseous, Umbilical vein Naso/Orogastric tube insertion / Nebulized medications Caroline 7.1-7.18 8.23-8.27 PEP: Pg. 1-44 Pg. 376-391 PEP: Pg516-518 Pg 522-529 LAB All Day 33 PHARMACOLOGY Exam: Pharmokenetics & Pharmodynamics CNS Drugs: Part 1 Analgesics & Antagonists, Anesthetics, Anti-anxiety & Sedative-hypnotic, Anti-seizure, CNS stimulants. Psychotherapeutics, Parkinson’s drugs CNS Drugs: Part 2 Autonomic nervous System Medications: Parasympathetic & Sympathetic Medications Cardiovascular Drugs: Part 1 Antidysrhythmics,Hemostatic agents, Antihyperlipidemic, Alkalinizing agents Caroline 7.18-7.29 PEP: Pg118-196 Pg 283-300 Pg 353-367 Pg 376-391 34 PHARMACOLOGY: BRING ORANGE TO CLASS Drug Test: Epinephrine(1:1,000) (Pg 375/427) Sterile technique for medication administration Preparation & administration of enteral medications Preparation, dose calculation and administration of parenteral meds. IM & SQ administration, Bolus dose calculation, medication preparation, EJ, NG/OG Med Admin. 35 PHARMACOLOGY Pharmacology midterm exam Cardiovascular Pharmacology: Part 2 Antihypertensives Antianginals Respiratory Pharmacology :Gases, Beta Agonists, Xanthines, Anticholinergics, corticosteroids, Mag. Sulfate 36 37 38 39 PHARMACOLOGY Midterm Skill Exam: Live stick for IM & SQ injections and bolus medication administration. IV bolus & drip calculations, weight based medication administration, EJ, NG/OG, Nebulized Medications PHARMACOLOGY Drug Test: Diltiazem (Pg 164/171) Drugs used for treatment of: Gastorintestinal Emergencies, Metabolic/Endocrine Eye, Ear Obstetrical/Gynecological, Cancer Skin, Diet supplements/Vitamins/Minerals Infectious Diseases, Poisonings & Overdoses PHARMACOLOGY Pharmacological adjuncts 1. Sedation 2. Neuromuscular blockade 3. Special patient considerations Comprehensive Review Case based drug review for: CNS, Cardiovascular, Respiratory, Metabolic Disorders, Neurologic PHARMACOLOGY Comprehensive Review Case based drug review for: Ob/Gyn, Toxicological, GI Infectious, Cancer Disorders PEP: Pg 507-511 Pg 518-522 LAB 7:30-10:30 Caroline 7.28-7.29 PEP: Pg 196-264 Review All Content LAB All Day Caroline 7.29 – 7.39 PEP: Pg 301-352 Pg 368-375 Pg 392-407 LAB All Day PEP: Pg 118-300 LAB All Day PEP: Pg 301-402 LAB All Day 40 PHARMACOLOGY Final Written & Skills Exam Case based evaluation Drug techniques of administration N. Proposal Prepared By: EMT Department Faculty LAB All Day