CURRICULUM MAP Course Title: Emergency Medical Responder 3 Course Number: 8417171 UNIT/ORGANIZING PRINCIPLE: Introduction to EMS Services ESSENTIAL QUESTIONS: CONCEPTS /CONTENT (Outcomes) 22.0 Demonstrate and understanding of the roles and responsibilities of the Emergency Medical Responder 24.0 Demonstrate an understanding of medico-legal aspects 41.0 Recognize life-threatening situations. 44.0 Identify critical incident stressors 1. 2. 3. 4. PACING: Unit Number: 1 What are the Emergency Medical Responder’s legal and ethical responsibilities? How did EMS evolve? What are the roles and responsibilities of the Emergency Medical Responder? How should the Emergency Medical Responder interact with the Emergency Medical Services? LEARNING TARGETS/SKILLS (Performance Tasks) Knowledge: Describe the history of EMS Describe the roles and responsibilities of Emergency Medical Responder Recognize the signs and symptoms of critical incident stress Describe expressed and implied consent and related issues Describe the provisions of HPPA Describe the duty to act Describe chain of infection List and describe standard precautions Describe principles of safely operating a ground ambulance and operating safely in and around a landing zone during air medical operations and transport Reasoning: Research and analyze “The Whitepaper” During role-play discover whether an EMS career is appropriate for an individual. After viewing video, infer the legal and ethical responsibilities of EMS personnel. Discuss and demonstrate Hazardous Waste Operations and Emergency Response Updated: February 15, 2016 National Curriculum Standards: Module 1, Lesson 1-1: Introduction to EMS Systems BENCHMARKS 22.01 Describe the role of Emergency Medical Responder as a member of the EMS Team 22.02 List and describe the responsibilities of the Emergency Medical Responder for the provision of prehospital emergency care within the local EMS system. 22.03 Describe principles of safely operating a ground ambulance. 22.04 Understand the guidelines of KEY TERMINOLOGY Abandonment Advance Directives Assault Battery Body Substance Isolation Burn-out Child abuse Confidentiality Consent (both expressed and implied) Critical Incident Stress Debriefing Do Not Resuscitate (DNR) Domestic violence Duty to act Elder Abuse False imprisonment Good Samaritan Laws HAZWOPER HIPPA Joint Commission National Association of Emergency Medical Technicians National Highway Traffic ACTIVITIES/ RESOURCES View Videos on EMS services Make a timeline on EMS services Research and analyze “The White Paper” (available on-line) Role-play trauma incident to determine possible reactions as both Emergency Medical Responder and family member Discussion of critical incident stressors Use textbook and/or internet resources to describe chain of infection and standard precautions Proper hand hygiene, gloving, gowning, use of face masks View video: John Q or Lorenzo’s Oil (legal and ASSESSMENTS Performance Tasks (Skills Sheets) Selected Response Successful completion of AES HealthCenter 21 modules Tied to essential questions Data collected through Scantron Defined Testing Window 1 Lesson 1-2: Wellbeing of the Emergency Medical Responder Lesson 1-3: Legal and Ethical Issues Skills: Demonstrate proper use of PPE Demonstrate appropriate Joint Commission Patient Safety Goals Products: Create a timeline of the development of EMS services Updated: February 15, 2016 operating safely in and around a landing zone during air medical operations and transport. 22.05 Implement appropriate Joint Commission patient safety goals. 22.06 Discuss and demonstrate Hazardous Waste Operations and Emergency Response (HAZWOPER) standard. 24.01 Describe and demonstrate an understanding of the medicolegal aspects of an Emergency Medical Responder’s provision of emergency medical care…. 24.02 Practice within medicolegal standards. 41.01 Take steps to minimize to Safety Administration Negligence OSHA Patient’s Bill of Rights Personal Protective Equipment Physical restraint Scene survey Scope of Practice Stress White Paper ethical issues) Use textbook and/or internet resources to research legal and ethical issues. Interventions: Re-teach if necessary Peer tutoring ESE strategies ESOL strategies AES Curriculum—HealthCenter 21 Enrichment: Peer teaching Honors contract Suggested Resources: Textbook Internet AES Curriculum—HealthCenter 21 Videos/DVDs 2 minimize the chance of injury or death to all involved when confronted with a potentially lifethreatening situation on the basis of an assessment of a scene. 44.01 Identify stressors which may affect the performance of an Emergency Medical Responder. 44.02 Identify stressors which may affect the behavior of a sick or injured person. 44.03 Carry out procedures to minimize critical incident stress. Updated: February 15, 2016 3 CURRICULUM MAP Course Title: Emergency Medical Responder 3 UNIT/ORGANIZING PRINCIPLE: Anatomy and Physiology Review ESSENTIAL QUESTIONS: CONCEPTS /CONTENT (Outcomes) Health Science 1 Standards National Curriculum Standards: Module 1, Lesson 1-4—The human body Course Number: 8417171 PACING: Unit Number: 2 1. How is the body organized? 2. How do EMS workers communicate to one another about the human body? LEARNING TARGETS/SKILLS (Performance Tasks) Knowledge: Describe the structures and functions of the respiratory, muscular, skeletal, nervous, and circulatory/cardiovascular systems Use appropriate medical/topographical terminology Reasoning: Associate underlying structures with the superficial anatomy Skills: Demonstrate positioning patients Updated: February 15, 2016 BENCHMARKS N/A KEY TERMINOLOGY Abduction Adduction Alveoli Anterior Anatomical position Anatomy Aorta Appendicular skeleton Arteries Atlas AV node Autonomic nervous system Axial skeleton Axis Bilateral Blood Brain stem Bronchi Capillaries Central nervous system Circulation Cranium Deep Diaphragm Distal Dorsal Epiglottis ACTIVITIES/ RESOURCES Review the structures and functions of the respiratory, muscular, skeletal, nervous, and circulatory/cardiovascular systems. HealthCenter 21 activities Identify structures using appropriate models and diagrams. ASSESSMENTS Performance Tasks (Skills Sheets) Selected Response Successful completion of AES HealthCenter 21 modules Position patients Interventions: Re-teach if necessary Peer tutoring ESE strategies ESOL strategies AES Curriculum—HealthCenter 21 Tied to essential questions Data collected through Scantron Defined Testing Window Enrichment: Peer teaching Honors contract Suggested Resources: 4 Eversion Extension Flexion Fontanelles Fowler’s position Heart Homeostasis Inferior Inversion Lateral Medial Midaxillary line Midclavicular line Midline Perfusion Peripheral nervous system Physiology Posterior Pronation Prone Proximal Recovery position Respiration SA node Superficial Superior Supination Supine Thoracic cavity Topographical Trendelenberg’s position Unilateral Veins Ventilation Ventral Updated: February 15, 2016 Textbook Internet AES Curriculum—HealthCenter 21 Videos/DVDs 5 CURRICULUM MAP Course Title: Emergency Medical Responder 3 Course Number: 8417171 UNIT/ORGANIZING PRINCIPLE: Airway Management ESSENTIAL QUESTIONS: CONCEPTS /CONTENT (Outcomes) 27.0 Conduct a Primary assessment of problems that are a threat to life if not corrected immediately 28.0 Demonstrate BLS Procedures 32.0 Demonstrate understanding of airway management, respiration, and artificial ventilation 38.0 Identify and provide initial care for a sick and/or injured patient National Curriculum Standards: Module 2, Lesson 2-1 Airway PACING: Unit Number: 3 1. What are signs and symptoms of inadequate ventilation? 2. Why is “airway” always first? 3. What methods can be used to correct an airway problem? LEARNING TARGETS/SKILLS (Performance Tasks) Knowledge: Describe proper use of pulse-oximeter Describe signs and symptoms of airway compromise. Identify respiratory distress and respiratory failure. Identify oxygen delivery system Discuss Tracheostomy. Reasoning: Clinical scenarios and role-plays regarding airway compromise. Skills: Demonstrate maintenance of open airway. Correctly use barrier devices. Demonstrate proper use of recovery position. Demonstrate proper use of a bag-valve mask (one and two person). Demonstrate proper use of airway adjuncts. Demonstrate proper application of supplemental oxygen. Demonstrate proper use of suction. Assess level of consciousness Auscultate lung sounds. Updated: February 15, 2016 BENCHMARKS 27.01 Determine and record the level of consciousness of the injured person. 27.02Assess for an inadequate airway, inadequate respirations, inadequate circulation and profuse bleeding. 27.03 Recognize when immediate correction is necessary. 27.04 Assess patient and determine if the patient has a life threatening condition. 28.01 Establish and maintain an KEY TERMINOLOGY Accessory muscle use Air hunger Airway Apnea Artificial ventilation Asthma Auscultate Bag-valve mask Bronchospasm Contraindication COPD Crackles Cricoid pressure Croup Cyanosis Dead space Dentures Dyspnea Embolus Esophagus Flow-restricted oxygenpowered ventilation device Gag reflex Head tilt/chin lift Humidification ACTIVITIES/ RESOURCES Use barrier devices. Maintain open airway. Hands-on practice with airway models. Practice auscultating lung sounds. Airway adjunct insertion Supplemental oxygen application Use DVDs, videos as appropriate (airway evaluation, lung sounds, etc.) Use textbook resources. ASSESSMENTS Performance Tasks (Skills Sheets) Selected Response Interventions: Re-teach if necessary Peer tutoring ESE strategies ESOL strategies AES Curriculum—HealthCenter Tied to essential questions Data collected through Scantron Defined Testing Window Enrichment: Peer teaching Honors contract Suggested Resources: 6 Lesson 2-2 Practical Lab-airway Lesson 2-3 Evaluation-Airway Updated: February 15, 2016 open airway using both manual and mechanical airway techniques. 28.02 Restore breathing and circulation by means of cardiopulmonary resuscitation. 32.01 Apply knowledge of Anatomy and Physiology to airway management procedures. 32.02 Understand the pathophysiology of respiratory dysfunction. 32.03 Use available mechanical devices to assure the maintenance of an open airway and assist ventilation. 32.04 Demonstrate proficiency in supplemental oxygen therapy including portable Hypoventilation Hypoxia Jaw thrust Larynx Mandible Maxilla Nasal canula Nasal flaring Nasal-pharyngeal airway Non-rebreather mask Occlusion On board oxygen Oro-pharyngeal airway Palpate Pharynx Pocket mask Pursed lip breathing Regulator Resuscitate Retraction Rhonchi Saliva Sputum Stoma Sublingual Tachypnea Tonsils Trachea Tracheostomy Tripod position Uvula Ventilation Wheezing Yankauer Textbook chapters 7, 8, 27 Internet Videos/DVDs 7 oxygen cylinder and oxygen delivery devices. 32.05 Describe and demonstrate airway management utilizing of upper airway suctioning. 38.02 Identify and care for patients experiencing respiratory distress, utilizing patient assessment. Updated: February 15, 2016 8 CURRICULUM MAP Course Title: Emergency Medical Responder 3 UNIT/ORGANIZING PRINCIPLE: Patient Assessment ESSENTIAL QUESTIONS: CONCEPTS /CONTENT (Outcomes) 25.0 Determine and record vital signs of a sick or injured person. 26.0 Use Medical Identification devices 27.0 Conduct a primary assessment of problems that are a threat to life if not corrected immediately. 33.0 Provide secondary assessment 37.0 Provide emergency evacuation and transfer of a sick and/or injured person 39.0 Identify and care for patients 1. 2. 3. 4. PACING: Unit Number: 4 How do I safely lift and/or move a client? How does scene appearance and mechanism of injury determine my assessment? What is the difference between a life threatening injury/illness and a non-life threatening injury/illness? How do I perform a primary and a secondary assessment? LEARNING TARGETS/SKILLS (Performance Tasks) Knowledge: Discuss theory and methods for measuring vital signs. Discuss theory and methods for assessment of clients. Describe the components of SAMPLE Discuss theory and methods for body mechanics and client movement. Describe care for clients in special situations. Describe entrapment situations and extrication. Reasoning: Compare and contrast assessment and care of an accident victim with a specific disorder (identified by a medical identification device) to an accident victim who is otherwise healthy. Differentiate between emergency and non-emergency moves. Based on a given scenario, determine, using ABCs and other assessment methods, whether a situation is lifethreatening or non-life threatening. Skills: Measure and record vital signs. Perform primary and secondary assessment of clients. Demonstrate appropriate body mechanics. Demonstrate methods of emergency and nonemergency moves/lifts. Demonstrate compassionate, empathetic care. Updated: February 15, 2016 Course Number: 8417171 BENCHMARKS KEY TERMINOLOGY 25.01 Determine ABCs and record skin Aniscoria color, temperature Antecubital fossa & moistness. Arm drag AVPU 25.02 Demonstrate Bed roll ability to Blanket drag accurately Body mechanics measure and Capillary refill record vital signs Carry transfer including manual Caterpillar pass blood pressure. Chair carry 26.01 Identify the Clothing drag most commonly Cradle carry used medical Cravat identification Crepitus devices. Crumple zone 26.02 Apply the Diastolic information Direct carry contained on or in Draw sheet the medical Emergency drag identification Emergency move devices to patient Environmental assessment assessment and Exhalation patient care Extremity life ACTIVITIES/ RESOURCES Client Scenarios Demonstrate moving/lifting techniques. Measure and record vital signs Demonstrate patient interview skills. Demonstrate Inspection, Palpation, Percussion, and Auscultation as part of assessment. Demonstrate Medical Patient Assessment. Demonstrate Trauma Patient Assessment. Interventions: Re-teach if necessary Peer tutoring ESE strategies ESOL strategies AES Curriculum—HealthCenter ASSESSMENTS Performance Tasks (Skills Sheets) Selected Response Tied to essential questions Data collected through Scantron Defined Testing Window Enrichment: Peer teaching Honors contract 9 who are in special situations. 41.0 Recognize life-threatening situations. 42.0 Recognize entrapment situations National Curriculum Standards: Module 3, Lesson 3-1 Patient Assessment Lesson 3-2 Practical Lab— Patient Assessment Lesson 3-3 Evaluation— Patient Assessment Updated: February 15, 2016 procedures. 27.01 Determine and record the level of consciousness of the injured person. 27.02 Assess for an inadequate airway, inadequate respirations, inadequate circulation and profuse bleeding 27.03 Recognize when immediate correction is necessary 27.04 Assess patient and determine if the patient has a life threatening condition. 27.05 Use spinal precautions as appropriate 33.01 Conduct a methodical headto-toe physical examination to discover conditions not found during the primary assessment. Firefighter’s carry Firefighter’s drag General impression Grunting Gurgling High index of suspicion Initial assessment Initial report Inspiration Jaundice Pack strap carry Pallor Paradoxical motion Perimeter PERRLA Power grip Power lift Pulse Pupil Rescuer’s assist Risk factors Safety corridor SAMPLE Scoop stretcher Seat carry Size up Sling Snoring Squat lift Sphygmomanometer Staging Stair chair Sternal rub Stridor Sucking chest wound Symptom Systolic Suggested Resources: Textbook—Ch. 10, 11, 12, 13, 17 Internet Videos/DVDs 10 33.02 Interview the sick or injured person to obtain facts relevant to the person’s condition. 33.03 Interview co-workers, witnesses, family members, or other individuals to obtain facts relevant to the person’s condition. 37.01 Describe situations when a person should be evacuated or transferred. 37.02 Use the most appropriate assist, drag or carry (alone or with a partner) to move a sick or injured person from a dangerous location to a safe place. 37.03 maintain safety precautions during evacuation and transfer 39.01 Identify patients who have special needs. Updated: February 15, 2016 Transfer board Triage Unresponsive Wheezing 11 39.03 Care for the injured/ill elderly 39.04 Care for the injured/ill physically disabled. 39.05 Care for the injured/ill developmentally disabled. 41.01 Take steps to minimize the chance of injury or death to all involved when confronted with a potentially lifethreatening situation on the basis of an assessment of a scene. 42.01 Identify accident-related hazards and undertake hazard control measures consistent with the capabilities of the Emergency Medical Responder and available equipment. 42.02 Use available equipment safely Updated: February 15, 2016 12 to gain access to persons who are entrapped. \ Updated: February 15, 2016 13 CURRICULUM MAP Course Title: Emergency Medical Responder 3 UNIT/ORGANIZING PRINCIPLE: Circulation ESSENTIAL QUESTIONS: CONCEPTS /CONTENT (Outcomes) 27.0 Conduct a primary assessment of problems that are a threat to life if not corrected immediately. 28.0 Demonstrate BLS procedures 29.0 Recognize and control bleeding. 30.0 Recognize and control shock. 38.0 Identify and provide initial care for a sick and/or injured patient. National Curriculum Standards: Module 4 4-1 Circulation 1. 2. 3. 4. 5. PACING: Unit Number: 5 How do I recognize internal bleeding? How do I care for a patient in shock? What is the cardiac chain of survival? How do I perform CPR? How do I stop external bleeding? LEARNING TARGETS/SKILLS (Performance Tasks) Knowledge: List the reasons the heart stops beating. Describe theories and methods of CPR. List types of shock. List types of external bleeding. Describe the cardiac chain of survival. Describe causes of internal bleeding. Recognize signs and symptoms of heart attack (angina vs. myocardial infarction) Reasoning: Explain the rationale for the progression of assessment and treatment of the ABCs. Explain reasons for encouraging family presence while performing CPR. Skills: Certification in BLS for Health Care Providers, to include adult, child, infant and AED. Demonstrate methods for controlling external bleeding. Demonstrate methods for treating shock. Product: Research paper (family presence during CPR) Updated: February 15, 2016 Course Number: 8417171 BENCHMARKS 27.01 Determine and record the level of consciousness of the injured person. 27.02 Assess for inadequate airway, inadequate respirations, inadequate circulation, and profuse breathing. 27.03 Recognize when immediate correction is necessary. 27.04 Assess patient and determine if the patient has a life threatening condition. KEY TERMINOLOGY ACS Anaphylactic shock Anaphylaxis Angina Artificial pacemaker Asystole Automated external defibrillator (AED) Automatic implantable cardioverter/ defibrillator Automaticity Bradycardia Capillary refill Cardiac output Cardiogenic shock Chain of survival Compensated shock Coronary arteries Decompensated shock Defibrillation Diaphoretic Dysrhythmia Electrocardiogram (ECG) ACTIVITIES/ RESOURCES CPR certification course Cardiovascular A & P Review Clinical scenarios Research paper Auscultate heart sounds Interventions: Re-teach if necessary Peer tutoring ESE strategies ESOL strategies AES Curriculum—HealthCenter Enrichment: Peer teaching Honors contract ASSESSMENTS Performance Tasks (Skills Sheets) Selected Response Tied to essential questions Data collected through Scantron Defined Testing Window Suggested Resources: Textbook—Ch. 9, 27, 28, 29, Appendix B Internet Videos/DVDs 14 4-2 Practical Lab—circulation 4-3 Evaluation— circulation Updated: February 15, 2016 27.05 Use spinal precautions as appropriate. 28.01 Establish and maintain an open airway using both manual and mechanical airway techniques. 28.02 Restore breathing and circulation by means of cardiopulmonary resuscitation. 28.03 Demonstrate proficiency in the use of an automated external defibrillator. 29.01 Identify items that can be used to control external bleeding and minimize the contamination of open wounds. 29.02 Apply pressure dressings that will control bleeding and minimize the contamination of open wounds. Escape rhythm Evisceration Hemorrhagic shock Hypertension Hypoperfusion Hypothermia Hypovolemia Hypovolemic shock Irreversible shock MAST Motion artifact Neurogenic shock Normal sinus rhythm (NSR) Orthostatic vital signs PASG Perfusion Postural hypotension Premature ventricular complex (PVC) Pulseless electrical activity (PEA) Rhythm Septic shock Shock Stroke volume Sudden cardiac death Tachycardia Unstable angina Uticaria Ventricular fibrillation Ventricular tachycardia 15 29.03 Identify the likelihood of internal bleeding through observations of signs, symptoms, and mechanisms of injury. 29.04 Care for a patient who exhibits the signs and symptoms of internal bleeding. 30.01 Recognize the likelihood that shock may occur or be present on the basis of patient assessment and observation of mechanism of injury. 30.02 Provide anti-shock measures as part of routine patient care. 38.01 Identify and care for patients with a non-traumatic chest pain, utilizing patient assessment. Updated: February 15, 2016 16 CURRICULUM MAP Course Title: Emergency Medical Responder 3 UNIT/ORGANIZING PRINCIPLE: Injury and Illness ESSENTIAL QUESTIONS: CONCEPTS /CONTENT (Outcomes) 27.0 Conduct a Primary Assessment of problems that are a threat to life if not corrected immediately. 31.0 Understand the importance of emergency medications. 34.0 Identify Musculo-Skeletal Injuries 35.0 Demonstrate proper immobilization of cervical/spinal injury. 36.0 Demonstrate proper extremity immobilization as well as other immobilization for other injuries. 1. 2. 3. 4. PACING: Unit Number: 6 How do I care for heat or cold emergencies? How do I provide emergency care to a patient with a medical illness? How do I provide emergency care to a patient with a soft tissue or musculo-skeletal injury? How do I provide emergency care for a poisoning or environmental toxin victim? LEARNING TARGETS/SKILLS (Performance Tasks) Knowledge: Describe signs and symptoms of various medical illnesses/injuries. Describe possible causes of allergic reactions. Describe the rule of nines and Palmer methods of burn assessment. Reasoning: Differentiate between general and specific medical complaints. Explain the rationale for modifying your behavior toward a patient with a behavioral emergency. Skills: Correctly apply splints, bandages, and dressings. Demonstrate spinal immobilization. Demonstrate care for heat and cold injuries. Demonstrate care for bites and stings. Demonstrate proper use of an auto-injector. Role-play assessment of altered mental status. Product: Create a public service announcement about injury and illness prevention/patient education. Updated: February 15, 2016 Course Number: 8417171 BENCHMARKS 27.01 Determine and record the level of consciousness of the injured person. 27.02 Assess for an inadequate airway, inadequate respirations, inadequate circulation and profuse bleeding. 27.03 Recognize when immediate correction is necessary. 27.04 Assess patient and determine if patient has a life threatening condition. 27.05 Use spinal precautions as appropriate. 31.01 Understand KEY TERMINOLOGY AAA Abrasion Allergen Allergic reaction Altered mental status Amputation Appendicitis Auto-Injector Avulsion Black widow spider bite Bowel obstruction Boyle’s law Brown recluse spider bite Cardiac contusion Cervical spine immobilization device Cincinnati prehospital stroke scale Cholecystitis Closed fracture Compartment syndrome Conduction Contusion Convection ACTIVITIES/ RESOURCES Clinical scenarios Immobilization Skills Auto-injector Use Role-play Public service announcement Research pre-hospital, intrahospital and post-hospital survival statistics for specific disease or condition. Interventions: Re-teach if necessary Peer tutoring ESE strategies ESOL strategies AES Curriculum—HealthCenter ASSESSMENTS Performance Tasks (Skills Sheets) Selected Response Tied to essential questions Data collected through Scantron Defined Testing Window Enrichment: Peer teaching Honors contract Suggested Resources: Textbook—Ch. 21, 22, 23, 24, 25, 30, 31, 33, 34, 35 Internet 17 38.0 Identify and Provide initial care for a sick and/or injured patient 39.0 Identify and care for patients who are in special situations. National Curriculum Standards: Module 5 Lesson 5-1 Medical Emergencies Lesson 5-2 Bleeding and Soft Tissue Injuries Lesson 5-3 Injuries to Muscles and Bones Lesson 5-4 Practical Lab: Illness and Injury Lesson 5-5 Evaluation: Illness and Injury Updated: February 15, 2016 the advantages, disadvantages, and techniques of self and peer administration of an intramuscular injection by autoinjector. 31.02 Describe the name, effects, indications, routes of administration, and dosages for specific medications. 34.01 Identify the various types of musculo-skeletal injuries. 34.02 Immobilize and otherwise care for suspected fractures, dislocations, sprains and strains with available supplies and equipment, including commercially available and improvised devices. 35.01 Identify need for spinal immobilization 35.02 Maintain inline immobilization Cravat Crush injury Cushing’s reflex CVA Decompression sickness De-gloving avulsion Diabetes Direct pressure Dislocation Embolism Entrance wound Epilepsy Evaporation Exit wound Expressive aphasia Facial droop Fasciotomy Flail chest Foot drop Fracture Frostbite Full thickness burn Gastroenteritis Generalized seizure GI bleed Guarding Glasgow Coma Scale Heat illnesses Hematoma Hemorrhage Hemothorax Impaled object Inflammation Intracranial pressure Kussmaul’s respiration Laceration MSDS Videos/DVDs 18 of cervical spine. 35.03 Place proper fitting rigid extrication type cervical collar. 35.04 Place patient in supine position on full length spine board. 35.05 Secure patient to immobilization device. 36.01 Identify need for extremity immobilization. 36.02 Assess motor, sensory, and distal circulation in extremities. 36.03 Place proper fitting splint on extremities. 36.04 reassess motor, sensory, and distal circulation in extremities. 38.03 Identify and care for patients experiencing a diabetic emergency, utilizing patient assessment. 38.04 Identify and care for a patient who is experiencing a seizure, utilizing Updated: February 15, 2016 Near drowning Necrotic Occlusive dressing Open fracture Overdose Palmer method Paralysis Paraplegia Paresthesia Partial thickness burn Pneumothorax Post-ictal phase Point tenderness Poison control center Poisoning Pronator drift Puncture Range of motion Receptive aphasia Renal stone Rule of nines Quadriplegia Skull fracture Splints Standing take-down Straddle injury Stridor Stroke Subcutaneous emphysema Subdural hematoma Sucking chest wounds Superficial burn Tension Pneumothorax TIA Tourniquet Traction Venomous snakes 19 patient assessment. 38.05 Identify and care for a patient who has ingested, inhaled, absorbed or been injected with a poisonous substance. 38.06 Identify and care for a patient who is in an altered state of consciousness utilizing patient assessment. 38.07 Identify and care for a patient who is experiencing a stroke, utilizing patient assessment. 38.08 Identify and care for a patient who has a foreign body in the eye, utilizing patient assessment. 38.09 Identify and care for a patient with thermal, chemical, or electrical burns, determining the severity including degree, body surface area, type, and location. 38.10 Identify and Updated: February 15, 2016 20 care for a patient suffering from an environmental emergency including heat cramps, heat exhaustion, heat stroke, and frostbite, utilizing patient assessment. 39.01 Identify patients who have special needs. 39.04 Care for injured/ill physically disabled. 39.05 Care for the injured/ill developmentally disabled. Updated: February 15, 2016 21 CURRICULUM MAP Course Title: Emergency Medical Responder 3 UNIT/ORGANIZING PRINCIPLE: Childbirth, Children and Special PACING: Needs Unit Number: 7 1. How do I recognize child/elder abuse? ESSENTIAL 2. What is the Emergency Medical Responder’s role in emergency childbirth? QUESTIONS: 3. How does the patient’s age and mental status affect emergency assessment? CONCEPTS /CONTENT LEARNING TARGETS/SKILLS BENCHMARKS KEY (Outcomes) (Performance Tasks) TERMINOLOGY 39.0 Identify and 39.01 Identify patients Abortion Knowledge: care for patients Describe mental illnesses that could result in a who have special Addiction who are in special behavioral emergency. needs. Amniotic sac situations List signs and symptoms of a behavioral emergency. 39.02 Care for Anxiety 43.0 Assist with Discuss personal safety during behavioral injured/ill children Apgar emergency emergencies. 39.03 Care for the Arthritis childbirth. Explain body changes during pregnancy injured/ill elderly Asthma Recognize normal/abnormal labor. 39.04 Care for the Behavioral emergency Describe the medical/legal responsibilities to report injured/ill physically Bloody show National child/elder abuse. disabled. Braxton Hicks Curriculum Describe signs that childbirth is imminent. 39.05 Care for the Breech Standards: Describe the stages of labor. injured/ill Cervix Module 6 Lesson 6-1 Describe developmental considerations for the developmentally Child abuse Childbirth assessment of the child and infant. disabled Childbirth Lesson 6-2 Infants Discuss the physical/mental effects of aging 43.01 Evaluate a Croup and children mother to determine Crowning Lesson 6-3 whether deliver is CSF shunt Reasoning: Practical Lab— Discuss the implications of the Apgar score for the imminent Dementia childbirth and newborn. 43.02 Assist with a Depression children Explain how pediatric anatomy alters patient normal delivery Dilation Lesson 6-4— assessment. 43.03 Care for the Eclampsia Evaluation, Infants Explain how elderly anatomy alters patient mother and baby Ectopic pregnancy and children. assessment. 43.04 Identify Effacement abnormal childbirth Elder abuse situations and care for Febrile seizure the mother and baby Fetus Updated: February 15, 2016 Course Number: 8417171 ACTIVITIES/ RESOURCES Clinical scenarios Research Paper Guest speakers Interventions: Re-teach if necessary Peer tutoring ESE strategies ESOL strategies AES Curriculum—HealthCenter Enrichment: Peer teaching Honors contract ASSESSMENTS Performance Tasks (Skills Sheets) Selected Response Tied to essential questions Data collected through Scantron Defined Testing Window Suggested Resources: Textbook—Ch. 32, 36, 37, 38, 39, 40, 41 Internet Videos/DVDs 22 Skills: Refresh Child/Infant CPR skills/theory Assessment of child, infant, special needs patients. Product: Research paper on use of restraints. Research paper on child abuse/elder abuse including emergency responders’ reactions. Updated: February 15, 2016 within the Emergency Medical Responder’s capabilities. Fontanelles Fundus Hallucination Intercostals retraction Labor Mandated reporter Meconium Meningitis Mental illness Miscarriage Molding Neonate Osteoporosis Placenta Placenta previa Placental abruption Polypharmacy Premature delivery Prolapsed umbilical cord Restraints Sexual assault SIDS Stages of labor Sterna retraction Substance abuse Supine hypotensive syndrome Suicide Take down Uterus Vernix Withdrawal 23 CURRICULUM MAP Course Title: Emergency Medical Responder 3 Course Number: 8417171 UNIT/ORGANIZING PRINCIPLE: EMS Operations ESSENTIAL QUESTIONS: CONCEPTS /CONTENT (Outcomes) 23.0 Demonstrate an ability to communicate effectively as part of the EMS team. 37.0 Provide emergency evacuation and transfer of a sick and/or injured person. 40.0 Provide triage to victims of multiple casualty incidents 41.0 Recognize life-threatening situations. National Curriculum Standards: Module 7 Lesson 7-1 EMS operations Lesson 7-2 PACING: Unit Number: 8 1. How do I transfer care according to the chain of command? 2. What is my role in a hazardous materials situation? 3. Why do we use triage? LEARNING TARGETS/SKILLS (Performance Tasks) Knowledge: Describe chain of command Describe the steps in the START system Describe the use of verbal reports in the transfer of care. Discuss proper use of body mechanics for patient transport/evacuation. Describe the differences between biological, chemical and mechanical weapons of destruction. Reasoning: Explain how triage helps organize care in a multiple casualty incident. Explain how the primary assessment system applies to triage. Explain how hazardous materials can affect your approach to a scene. Skills: Apply the START system Perform triage at a mass casualty simulation. Role-play transfer of care report Updated: February 15, 2016 BENCHMARKS 23.01 Demonstrate the proper procedure for the transfer of patient care to other EMS personnel. 23.02 Describe information regarding a patient’s condition and treatment that need to be communicated. 23.03 Communicate the Emergency Medical Responder’s observations and actins to whomever patient care is transferred. 23.04 Describe and apply the principles of communicating with patients in a manner that achieves a positive relationship. 23.05 Recognize simple medical KEY TERMINOLOGY Affidavit Biological agents Briefing Chain of command Charting Chem trec Chemical weapons Cold zone Command post Communication center Communication specialist Confidentiality Decontamination corridor Domestic terrorist Entrapment Hazardous material Hot zone Incident commander LACES Morgue Multiple casualty incident Objective Patient care report Patient refusal form Placard Special incident report ACTIVITIES/ RESOURCES Clinical scenarios Mass casualty simulation Role play Guest speakers Interventions: Re-teach if necessary Peer tutoring ESE strategies ESOL strategies AES Curriculum—HealthCenter Enrichment: Peer teaching Honors contract ASSESSMENTS Performance Tasks (Skills Sheets) Selected Response Tied to essential questions Data collected through Scantron Defined Testing Window Suggested Resources: Textbook—Ch. 18, 19, 20, 44, 46 Internet Videos/DVDs 24 Evaluation EMS operations Updated: February 15, 2016 prefixes/suffixes/comb ining words. 37.01 Describe situations when a person should be evacuated or transferred. 37.02 Use the most appropriate assist, drag, or carry to move a sick or injured person from a dangerous location to a safe place. 37.03 Maintain safety precautions during evacuation and transfer. 40.01 Categorize the victims of multiple casualty incidents according to the severity of injury or illness on the basis of patient assessments. 40.02 Use triage tags or other identification devices available locally to indicate priorities for prehospital emergency care and transportation to medical facilities. 40.03 Work as a member of a team to perform triage at locations of multiple Staging area Staging officer START Subjective Telemetry Terrorism TRACEM Triage Triage tag Verbal report Weapons of mass destruction 25 casualty incidents. 40.04 Work as a member of a team to perform patient assessments at locations of multiple casualty incidents. 40.05 Work as a member of a team to carry out patient care procedures at the locations of multiple casualty incidents. 40.06 Demonstrate knowledge of the operating procedures during a terrorist event or during a natural/man-made disaster. 41.01 Take steps to minimize the chance of injury or death to all involved when confronted with a potentially lifethreatening situation on the basis of an assessment of a scene. Updated: February 15, 2016 26 CURRICULUM MAP Course Title: Emergency Medical Responder 3 Course Number: 8417171 UNIT/ORGANIZING PRINCIPLE: EMS Executive Internship ESSENTIAL QUESTIONS: CONCEPTS /CONTENT (Outcomes) All Emergency Medical Responder Standards and National Curriculum Standards PACING: Unit Number: 9 1. What is the application of academic skills in a clinical setting? LEARNING TARGETS/SKILLS (Performance Tasks) Knowledge: Describe the duties, skills, and personal qualities needs for the EMS profession. Use appropriate medical terminology. Reasoning: Triage patient needs in a clinical setting. Determine the appropriate care for each patient. Skills: Demonstrate in the classroom and clinical settings (as appropriate) the skills needed for the Emergency Medical Responder. Demonstrate appropriate professional behavior, appearance, and attitude in both classroom and clinical settings. Products: Mass Casualty Incident Industry Certification- NREMT Patient presentation of situations encountered during their rotation. BENCHMARKS Instructor may develop benchmarks for the clinical rotations, but all benchmarks must be at the Emergency Medical Responder level and must not go beyond the scope of practice of the Emergency Medical Responder. Invasive procedures are not allowed. KEY TERMINOLOGY Terminology will vary per emergency situation encountered. ACTIVITIES/ RESOURCES Clinical Rotations are required for this course. Students must spend a minimum of one shift per nine weeks in the field. These clinical rotations must be completed during the school day. During clinical rotations students must be supervised at all times by the clinical instructor who is a licensed professional at the clinical site. Resources: Use VCS Emergency Medical Responder Forms including: Clinical Rotation Agreement Clinical Rotation Training Plan Time sheets to be signed by clinical instructor. Clinical Rotation Evaluation Form ASSESSMENTS Evaluation form to be completed by clinical instructor. Use Emergency Medical Responder Clinical Rotation Evaluation Form. Classroom assessments may be performance – based, patient scenarios, and selective and/or extended response. NREMT- written and practical examination Interventions: Re-teach if necessary Updated: February 15, 2016 27 Peer Tutoring ESE Strategies ESOL strategies Enrichment: Tutoring Updated: February 15, 2016 28