KINS 4130/6130 Athletic Training Emergency Care: ATEC
Instructor: Ron Courson, ATC, PT, NREMT-I, CSCS
rcourson@sports.uga.edu
(706) 542-9060
Required Text:
 Prehospital Emergency Care & Workbook Package, 9th Edition; Publisher: Brady
ISBN-10: 0-13-502809-4 ISBN-13: 978-0-13-502809-4
 students should purchase a 4” 3-ring binder for additional course materials provided by instructor
Course Description: ATEC teaches the basics of emergency care focused on sports injuries. It is a comprehensive
course for the athletic trainer who must initially evaluate and stabilize an athlete in a trauma situation. The course
teaches rapid assessment, resuscitation, packaging and transportation of injured athletes.
Course Objectives: Upon completion of this course, the student should be able to:
 Understand the potential for emergency situations to occur in athletics
 Identify the components of a functioning EMS system
 Know what is required of athletic trainers, physicians, and emergency medical technicians – roles and
responsibilities, relationships with pre-hospital and hospital personnel, personal safety, and training standards
 Know risk management issues related to athletics and be able to develop an emergency plan
 Be able to select and utilize various types of emergency equipment.
 Be able to perform athletic trauma assessment of various athletic emergencies.
 Be able to identify emergency medical situations and be able to apply appropriate first aid measures.
 Demonstrate knowledge in bloodborne pathogen precautions in emergency care.
General Course Information: KINS 4130-6130 will be taught in Butts-Mehre Hall (Rms. 128 lab and 132 lecture),
utilizing a lecture/laboratory format. The course will be taught on Tuesdays (8:00 – 9:15 am) and Thursdays (8:00 –
10:45 am) The student should dress appropriately for laboratory activities. There may be occasions when the
student may miss class due to clinical experiences (i.e. traveling with an athletic team). It is the responsibility of the
student to notify the instructor in advance and arrange to make up any missed coursework/assignments. The student
should additionally note that there are two occasions (Tuesday, April 2, 2013 and Tuesday, April 23, 2013) when
KINS 4130-6130 will meet in the evening at 7:00 pm in lieu of the regularly scheduled class time in order to
accommodate the physician schedules.
Testing: There will be randomized pop quizzes throughout the course. The pop quiz grades will be compiled and
counted as an exam grade. There will be 2 examinations plus a comprehensive final exam to test cognitive
knowledge. Further, there will be multiple pass-fail laboratory skill check-offs and graded oral/practical exams.
There will be two professional journal article reviews on an emergency medical topic (instructor will provide
additional information regarding selection of professional journal articles).
Grading Scale:
A=93% or better
A-=90%-93%
B+=87%-90%
B=83%-87%
B-=80%-83%
C+=77%-80%
C=73%-77%
C-=70%-73%
D+=67%-70%
D=63%-67%
D-=60%-63%
F=<60
Attendance Policy: Each student is expected to be present and on time for all class and laboratory sessions. You
must make up all missed work. Unexcused missed tests (class or lab) will not be made up unless prior permission
was obtained from one of the instructors.
Emergency Medical Technician Course: You have the option to participate in a concurrent emergency medical
technician (EMT) course as a part of KINS 4130/6130 Athletic Training Emergency Care. The course will be taught
by Glenn Henry, NREMT-P, program chair for Emergency Medical Technician and Paramedic Technology at
Athens Technical College. Successful passage of the EMT course allows the student to take the National Registry
of Emergency Medical Technicians national certification examination. The only costs associated with the course are
1) the text, Prehospital Emergency Care & Workbook Package, 9th Edition and 2) the NREMT examination fee.
The EMT course will meet each Tuesday evening from 6:00 – 10:00 pm, beginning January 15th, during the spring
semester and one Saturday a month. The remainder of the course will be completed in May. A schedule for the
EMT course is included with the syllabus.
Academic Honesty: The University of Georgia and the Athletic Training Education program seeks to promote and
ensure academic honesty and personal integrity among students and members of the University community.
Academic honesty means performing all academic work without cheating, lying, tampering, stealing or receiving
assistance from any other person or using any source of information that is not common knowledge. You should
read and become familiar with A Culture of Honesty publication which defines the policies, procedures and
sanctions for academic honesty. These procedures will be strictly enforced by your instructor.
Athletic Training Educational Competencies: Upon completion of this course, the student will demonstrate
clinical proficiency in the following content areas as outlined in the NATA Athletic Training Educational
Competencies (5th edition) Acute Care of Injuries and Illnesses:
Planning
AC-1.
Explain the legal, moral, and ethical parameters that define the athletic trainer's scope of acute and
emergency care.
AC-2.
Differentiate the roles and responsibilities of the athletic trainer from other pre-hospital care and
hospital-based providers, including emergency medical technicians/paramedics, nurses, physician
assistants, and physicians.
AC-3.
Describe the hospital trauma level system and its role in the transportation decision-making process.
Examination
AC-4.
Demonstrate the ability to perform scene, primary, and secondary surveys.
AC-5.
Obtain a medical history appropriate for the patient’s ability to respond.
AC-6.
When appropriate, obtain and monitor signs of basic body functions including pulse, blood pressure,
respiration, pulse oximetry, pain, and core temperature. Relate changes in vital signs to the patient’s
status.
AC-7.
Differentiate between normal and abnormal physical findings (eg, pulse, blood pressure, heart and
lung sounds, oxygen saturation, pain, core temperature) and the associated pathophysiology.
Immediate Emergent Management
AC-8.
Explain the indications, guidelines, proper techniques, and necessary supplies for removing
equipment and clothing in order to access the airway, evaluate and/or stabilize an athlete’s injured
body part.
AC-9.
Differentiate the types of airway adjuncts (oropharygneal airways [OPA], nasopharyngeal airways
[NPA] and supraglottic airways [King LT-D or Combitube]) and their use in maintaining a patent
airway in adult respiratory and/or cardiac arrest.
AC-10.
Establish and maintain an airway, including the use of oro- and nasopharygneal airways, and neutral
spine alignment in an athlete with a suspected spine injury who may be wearing shoulder pads, a
helmet with and without a face guard, or other protective equipment.
AC-11.
Determine when suction for airway maintenance is indicated and use according to accepted practice
protocols.
AC-12.
Identify cases when rescue breathing, CPR, and/or AED use is indicated according to current
accepted practice protocols.
AC-13.
Utilize an automated external defibrillator (AED) according to current accepted practice protocols.
AC-14.
Perform one- and two- person CPR on an infant, child and adult.
AC-15.
Utilize a bag valve and pocket mask on a child and adult using supplemental oxygen.
AC-16.
Explain the indications, application, and treatment parameters for supplemental oxygen
administration for emergency situations.
AC-17.
Administer supplemental oxygen with adjuncts (eg, non-rebreather mask, nasal cannula).
AC-18.
Assess oxygen saturation using a pulse oximeter and interpret the results to guide decision making.
AC-19.
Explain the proper procedures for managing external hemorrhage (eg, direct pressure, pressure points,
tourniquets) and the rationale for use of each.
AC-20.
Select and use the appropriate procedure for managing external hemorrhage.
AC-21.
Explain aseptic or sterile techniques, approved sanitation methods, and universal precautions used in
the cleaning, closure, and dressing of wounds.
AC-22.
Select and use appropriate procedures for the cleaning, closure, and dressing of wounds, identifying
when referral is necessary.
AC-23.
Use cervical stabilization devices and techniques that are appropriate to the circumstances of an
injury.
AC-24.
Demonstrate proper positioning and immobilization of a patient with a suspected spinal cord injury.
AC-25.
Perform patient transfer techniques for suspected head and spine injuries utilizing supine log roll,
prone log roll with push, prone log roll with pull, and lift-and-slide techniques.
AC-26.
Select the appropriate spine board, including long board or short board, and use appropriate
immobilization techniques based on the circumstance of the patient’s injury.
AC-27.
Explain the role of core body temperature in differentiating between exertional heat stroke,
hyponatremia, and head injury.
AC-28.
Differentiate the different methods for assessing core body temperature.
AC-29.
Assess core body temperature using a rectal probe.
AC-30.
Explain the role of rapid full body cooling in the emergency management of exertional heat stroke.
AC-31.
Assist the patient in the use of a nebulizer treatment for an asthmatic attack.
AC-32.
Determine when use of a metered-dose inhaler is warranted based on a patient’s condition.
AC-33.
Instruct a patient in the use of a meter-dosed inhaler in the presence of asthma-related bronchospasm.
AC-34.
Explain the importance of monitoring a patient following a head injury, including the role of
obtaining clearance from a physician before further patient participation.
AC-35.
Demonstrate the use of an auto-injectable epinephrine in the management of allergic anaphylaxis.
Decide when auto-injectable epinephrine use is warranted based on a patient’s condition.
AC-36.
Identify the signs, symptoms, interventions and, when appropriate, the return-to-participation criteria
for:
AC-36a. sudden cardiac arrest
AC-36b. brain injury including concussion, subdural and epidural hematomas, second impact
syndrome and skull fracture
AC-36c.
cervical, thoracic, and lumbar spine trauma
AC-36d. heat illness including heat cramps, heat exhaustion, exertional heat stroke, and
hyponatremia
AC-36e.
exertional sickling associated with sickle cell trait
AC-36f.
rhabdomyolysis
AC-36g. internal hemorrhage
AC-36h. diabetic emergencies including hypoglycemia and ketoacidosis
AC-36i.
asthma attacks
AC-36j.
systemic allergic reaction, including anaphylactic shock
AC-36k.
AC-36l.
AC-36m.
AC-36n.
AC-36o.
epileptic and non-epileptic seizures
shock
hypothermia, frostbite
toxic drug overdoses
local allergic reaction
Immediate Musculoskeletal Management
AC-37.
Select and apply appropriate splinting material to stabilize an injured body area.
AC-38.
Apply appropriate immediate treatment to protect the injured area and minimize the effects of
hypoxic and enzymatic injury.
AC-39.
Select and implement the appropriate ambulatory aid based on the patient’s injury and activity and
participation restrictions.
Transportation
AC-40.
Determine the proper transportation technique based on the patient’s condition and findings of the
immediate examination.
AC-41.
Identify the criteria used in the decision-making process to transport the injured patient for further
medical examination.
AC-42.
Select and use the appropriate short-distance transportation methods, such as the log roll or lift and
slide, for an injured patient in different situations.
Education
AC-43.
Instruct the patient in home care and self-treatment plans for acute conditions.
KINS 4130-6130 “Athletic Training Emergency Care”: Spring Semester 2013
Week
1
2
3
4
5
6
7
8
9
11
12
13
14
Prehospital Emergency Care 9th edition reading assignments
Tuesday 8:00 – 9:15 am
Thursday 8:00 – 9:15 am
LAB Thursday 9:15 – 10:45 am
1/8 Introduction;SyllabusReview 1/10 Emergency Preparation
UGAA Emergency Plan Courson
Emergency Situations in
Courson
NATA PS Emergency Planning in
Athletics Courson
Athletics
1/15 Mechanisms of Injury
1/17 Catastrophic Injury
EMS System; EMT Education
Courson
Management: Kent Falb,ATC
Glenn Henry, NREMT-P 1, 2, 3
1/22 Vital Signs Assessment
1/24 Vital Signs Laboratory
Athletic Trauma Survey: ATS
Vital Signs Trending
Auscultation Laboratory
Courson 12, 13
Courson 11
Courson
1/29 Athletic Trauma Survey
1/31 ATS Laboratory
ATS Skill Evaluation
Courson
Courson
Courson
2/5 Bleeding/Shock
2/7 Basic Life Support Review
Cardiac Conditions
Courson 15, 28
AED Courson
Fred Reifsteck, MD
NATA PS Sudden Death
2/12 12 Lead EKG Lecture/Lab
2/14 Management of SCA
AED Laboratory Courson
Glenn Henry, NREMT-P
Courson NATA CS SCA
Written Exam 1: (take home:
covers material 1/8-2/14)
2/19 Basic Airway Management/ 2/21 AED Skill Eval Staff
AED Skill Eval Staff
Oxygen Therapy Courson
Airway Management/
Airway Management/
10 , 16
Oxygen Therapy Lab Courson Oxygen Therapy Lab Courson
2/26 Advanced Airway Mgmt.
2/28 Advanced Airway
Airway Management/ Oxygen
Courson Appendix 2
Management Lab Courson
Therapy Skill Evaluation Staff
3/5 Management of Head and
3/7 Management of Head and
Spinal Immobilization Lab Staff
Spine Injuries Courson
Spine Injuries Kim Walpert,MD Courson; Professional Journal
31, 32 NATA PS
NATA“Heads Up”video & PS Article Review One due
Concussion and CS C-Spine
Head-Down Contact/Spearing
Spring Break: March 11-15
3/19 Helmet/Facemask Removal
Spinal Immobilization Lab
3/26 Spinal Immobilization Lab:
Water Rescue (Ramsey Ctr)
UGA lifeguard staff
4/2 7 pm Dental Emergencies
Glenn Alex, DMD
Athletic Injuries to Eye
Brent Crymes, MD
4/9 Abdominal Trauma
Glenn Henry, NREMT-P 35
15
4/16 Orthopedic Trauma Lab
Courson
16
4/23 7 pm Athletic Injuries to
Face and Throat
Stan Satterfield, DMD
3/21 Spinal Immobilization Lab:
KED Courson
3/28 Spinal Immobilization
Skill Evaluation Staff
Spinal Immobilization Lab:
Gymnastics Pit Courson/Randa
Spinal Immobilization
Skill Evaluation Staff
4/4 Gen. Med. Emergencies
Sickle Cell Trait Courson
PEFR, Metered Dose Inhalers,
Epi-Pen Administration; D-stick,
Glucometer Courson
Orthopedic Trauma: LE
Kelly Ward, PA-C, ATC 30
Fred Reifsteck, MD
19, 20, 21; NATA PS Asthma,
Diabetes and CS Sickle Cell
4/11 Orthopedic Trauma: UE
Kelly Ward, PA-C, ATC 30
Professional Journal
Article Review Two due
4/18 Orthopedic Trauma Skill
Eval Courson
Written Exam 2: take home
covers material 2/19 - 4/16
4/25 Environmental Emergencies
Courson 24 ; NATA PS
Lightning Safety, EHI and
Environ. Cold Emergencies
5/2 Final Exam: Comprehensive
8:00 – 11:00 am
Thoracic Trauma
Glenn Henry, NREMT-P 34
Vascular Emergencies
David Sailors, MD
IV Hydration Lab
Intraosseous Infusion
Courson Appendix 1