Health – 260-02 Emergency Care and First Aid Fall 2004 Instructor: Dr. A. Vonnie Colvin Class Time: 2:00 – 3:15 Tues. & Thurs. Office: 116 Lancer Phone: 395-2452 (Longwood) Email: colvinay@longwood.edu Office Hours: MW 9:00 – 12:00 Tues./Thurs. 9:00 – 12:15 or by appointment Course description: Emergency care procedures necessary to sustain life and maintain life support until the victims of an accident or sudden illness are cared for by more qualified personnel. Knowledge and skill gained will lead to certification in first aid and cardiopulmonary resuscitation. 3 credits, Text: American Red Cross (2001). Emergency Response. Staywell: Boston, MA. American Red Cross (2001). Emergency Response Workbook. Staywell: Boston, MA. Additional Required Supplies: Students must purchase a pocket mask for use with rescue breathing. Course Objectives: Upon completion of this course, students will be able to: 1. Explain how the EMS system works and how the first responder's role in the EMS system differs from a citizen responder's role. 2. Describe steps to assure the well being of the first responder. 3. Identify guidelines to follow to ensure personal safety and the safety of others at an emergency scene. 4. Explain what happens in the body if one or more body systems fail to function. 5. Identify ways in which diseases are transmitted and describe the universal safety precautions to prevent transmission. 6. Describe when to move a victim in an emergency and the appropriate methods of doing so. 7. Explain and demonstrate how to assess a victim's condition. 8. Recognize breathing emergencies, such as choking, and provide proper care. 9. Identify breathing devices and demonstrate how to use them. 10. Recognize the signs and symptoms of a possible heart attack, and describe how to care for someone who is experiencing persistent chest pain and/or other signs and symptoms. 11. Recognize the signs of cardiac arrest, and demonstrate how to provide cardiopulmonary resuscitation (CPR). 12. Identify the major risk factors for cardiovascular disease and injury, and describe how to control them. 13. Recognize life-threatening bleeding conditions, and demonstrate how to control it. 14. Recognize the signs and symptoms of shock, and describe how to minimize its effects. 15. Recognize the signs and symptoms of various soft tissue and musculoskeletal injuries, and demonstrate how to care for them. 16. Recognize the signs and symptoms of medical emergencies; including poisoning, heat and cold emergencies and stroke, and describe both general and specific care for these medical emergencies. 17. Describe common types of medical and trauma emergencies in infants and children and the necessary care for each. 18. Explain the role of the first responder in EMS operations. Grading: Lecture - 50% 1. Midterm Written Exam (Chapters. 1- 7) - 25% 2. Final Exam (Cumulative) - 45% 3. Scenarios - 20% 4. Emergency Action Plan – 10% Lab - 50% 1. Red Cross CPR for the Professional Rescuer exam - 20% 2. Midterm practical (obstructed airway, rescue breathing, CPR) - 20% 3. Red Cross Automated External Defibrillators exam– 20% 4. Final practical (bandaging & splinting) - 20% 5. Student Option – 20% 90-100 – A 80-89 – B 70-79 – C 60-69 – D 59 and below – F Scenarios Exam – this written exam will consist of a situation in which you are the first responder. There will be three victims and you will have to describe the type of care you will provide. Emergency Action Plan and Case Study - Students will write a case study on an environment in which they might find themselves working. For example, a student in teacher education might write a case on being a teacher in a small rural elementary school, without a nurse. From the case study, you will develop an emergency action plan to follow in an emergency. The plan should take into consideration specific procedures to be followed. Chapter 7 from the text will assist the student in developing this plan. The plan is worth 10% of your lecture grade. The plan is due on or before October 14, 2004. Student Option – The student will have an option for obtaining 20% of the lab grade. Complete guidelines for each of these options will be provided during the second week of class. The three options are: 1 – The student will review four articles related to emergency care and first aid. Each review will consist of: a complete citation, a summary of the article, and your reaction to the article. Articles must be from research/educational publications. 2 - The student will assemble a first aid kit. 3 – The student will write three articles (1 ½ - 2 pages in length) about first aid and/or safety. These articles should be informational and appropriate for appearing in a local newspaper.* 4 – You may also propose an alternate activity of your choice. Proposals should be made to the instructor no later than September 30, 2004. Completion of the student option is required on or before November 18, 2004. * These options will be submitted electronically to the instructor. American Red Cross Certifications The student will have the opportunity to earn three certifications from the American Red Cross: CPR for the Professional Rescuer, Emergency Response, and Automated External Defibrillator. Information on each is explained below: CPR for the Professional Rescuer- skills Adult Rescue breathing X CPR X Obstructed airway (conscious victim) X Obstructed airway (Unconscious victim) X Two-rescuer CPR Child X X Infant X X X X X CPR for the Professional Rescuer - written test: The student must obtain at least an 80% on this 50 question exam for certification. This certification is valid for one year. Automated External Defibrillator (AED) Certification: To receive the Red Cross certification in Automated External Defibrillators (AED), the student must receive a grade of 80% or higher on the 25 question exam. In addition, the student must be able to perform the AED skill components as well as all of the Adult CPR/obstructed airway/rescue breathing skills. This card is valid for one year. Emergency Response Certification: To receive Emergency Response certification from the American Red Cross, a grade of 80% or higher must be earned on the final exam. In addition, the student must have successfully completed all of the skills in the CPR phase of the course as well as those devoted to bandaging and splinting. Certification will be valid for three years. Note: The Red Cross requires a $7.00 processing fee for cards. If the student wishes to obtain card (s), he/she must provide a self-addressed envelope and $7.00 to the instructor before the end of the semester. Other Information: 1) Attendance: Students are expected to attend all classes. Students must also assume full responsibility for any loss incurred because of absence. Since failure to attend class may impair the educational process as well as academic performance, university policy allows the instructor to assign a grade of “F” for the course when a student has missed (excused or unexcused) more than 25% of the class sessions. The instructor may also lower a student’s grade by one letter grade if he/she misses 10% of the class sessions due to unexcused absences. Therefore, 3 percentage points will be deducted from the student’s final grade for each absence. Being tardy twice equals being absent. 2) Students are responsible for completing all work on the assigned date. Material that is missed due to an excused absence must be made up within one week unless extreme extenuating circumstances exist. If the instructor is not contacted within that week, the student will not be able to make-up the work. Material that is missed due to an unexcused absence may not be made up. 3) It is the student’s responsibility to provide documentation for all excused absences. This documentation MUST be provided within one week of the absence. Documentation that is provided after the 7-day period will not be honored. 4) You are expected to have read the material prior to class. 5) All cellular phones must be turned off during class time. 6) Athletes MUST submit a travel schedule by September 14, 2004. Accommodations of Special Needs: In accordance with University policy, I make every effort to accommodate unique and special needs of students with respect to speech, hearing, vision, seating, or other disabilities. Please notify Disability Support Services as soon as possible of requested accommodations. Honor Code: The importance of the College community adhering to an Honor Code and to the highest standards of integrity cannot be overstated. Students are deemed honorable unless their conduct proves otherwise. As members of the institution and community, you are expected to live by the Honor Code and pledge all class work. Course schedule: Tuesday 8/31 – Introduction and course over view CH 1 – The First Responder 9/7 – CH 4 – Legal and Ethical Issues CH 5 – Human Body Systems 9/14 – – CH 7 – Assessment Skills – Performing an initial assessment Performing a physical exam and SAMPLE history 9/21 - CH 1-7 Exam Thursday 9/2 CH 2 – The Well-Being of the First Responder CH 3 – Preventing Disease Transmission Skills – Removing gloves 9/9 – CH 6 Lifting and Moving Skills – Walking assist Firefighters carry Pack strap carry Two person seat carry Clothes drag 9/16 – CH 7 – Continued Skills – Blood pressure assessment 9/23 CH 8 - Breathing Emergencies Skills – Rescue breathing – adult, child, infant 9/28 – – CH 8 - Breathing Emergencies 9/30 5 CH 8 – Breathing Emergencies (cont.) (cont.) Skills – Obstructed airway – unconscious Skills – Obstructed airway – conscious victim – adult, child, & infant victim – adult, child, & infant 10/5- CH 9 – Breathing Devices 10/7 –CH 10 – Cardiac Emergencies Skills – Suctioning Skills – CPR for Adults, Children, & Inserting oral airway Infants Inserting nasal airway Using a resuscitation mask for rescue breathing Using a bag valve mask for resuscitation Using a BVM for rescue breathing – two rescuer 10/12 – CH 10 – Cardiac Emergencies 10/14 – Mid-term Skills Test Continued Emergency Action Plan due 10/19 – Fall break – no class 10/21 – CH 10 – Cardiac Emergencies (cont.) Skills – Two rescuer CPR 10/26 - Written Red Cross Exam – CPR for the Professional Rescuer 10/28 –AED Training and Exam 11/2 CH 11 – Bleeding & Shock 11/4 – CH 12 – Specific Injuries Skills – Care for major open woundarm Care for major open wound – leg 11/9 – CH 13 – Muscle & Bone Injuries Skills – Rigid splints Sling & binder Anatomical splints Soft splints 11/16 – Final Practical 11/11– Complete CH 13 CH 14 – Injuries to the Head, Neck, & Back Skills – Bandaging eye (embedded object) Immobilizing head, neck, or back 11/18 – CH 15 – Medical & Behavioral Emergencies Student options due 11/23 – CH 16 - Poisoning 11/30 – CH 17 – Childbirth 12/7 – CH 18 – Infants & Children 11/25 – Thanksgiving – no class 12/2 – Scenarios Exam 12/9 – CH 19 – EMS Support & Operations Final Exam – Wednesday, Dec. 15 at 11:30 Bibliography: American Red Cross (2001). First Aid Responding to Emergencies (3rd ed.). San Bruno, CA: Stay Well Publishers. Karren, K., Hafen, B., Limmer, D. & Mistovich, J. J. (2004). First aid for colleges and universities (8th ed.). San Francisco: Pearson/Benjamin Cummings.