EMERGENCY MEDICAL TECHNICIAN-BASIC EMS 110Credit Hours: 7.00 IAI Core: Semester: Summer Days: M, W, Th Section: 001 Lab Hours: 2.00 Lecture Hours: 6.00 IAI Majors: PCS: 1.2 Course Begins: 6/1/2015 Course Ends: 8/6/2015 Times: 8:00 AM – 11:50 AM Room: E202 Instructor: Scott Wessel E-mail: [email protected] Phone: (815) 790-5848 Office Hours: By Appointment Office Location: E205 Other Contact Information: Website (optional): Required Course: Textbook(s): Emergency Care (12th Ed.) ISBN: 0132824418 Associated Workbook ISBN: 0132375346 [Must be new, may not be rented] Supplies: Wrist watch, Stethoscope, Approved clinical uniform. Course Description: Emergency Medical Technician - Basic is an in-depth study of the identification and treatment of people with illness and traumatic injuries. It is intended for those who are involved with fire/rescue agencies or private ambulance services or those who wish to pursue a career in emergency medicine in a prehospital setting. Training is conducted in cooperation with the Illinois Department of Public Health Division of Emergency Medical Services and Highway Safety, in accordance with the U.S. Department of Transportation's EMT-Basic National Standard Curriculum. The training promotes an assessment-based approach to identifying illness or injury and developing an appropriate plan of treatment within the limitations of basic life support practices, including the use of prehospital patient care and rescue equipment. Instruction includes classroom lecture, practical skill demonstration in a lab setting, and 30 hours of direct patient care in a hospital emergency department. On completion of the course, students are eligible to take the Illinois EMT licensure exam. Licensure is required for employment as an EMT-B. Salaries vary greatly from volunteer/paid-per-call compensation to full-time employment. Course Note: Uniform requirements for clinical work are dark slacks (no jeans), dark shoes, and light blue polo shirt with a collar, stethoscope and watch with a second hand. Students must be 18 years old and provide evidence of a high school diploma or GED to take the state exam. Course Prerequisite: Documentation of current CPR for Healthcare Providers. EMS 105 or NAE 100 with a grade of C or higher, or permission of Centegra Department of EMS. If not on rescue squad, must provide proof of your own medical insurance for the clinical work. Section Notes: Course Objectives: Upon completion of this course, the student will be able to: 1. List the possible emotional reactions that the EMT-B may experience when faced with trauma, illness, death and dying Page 1 of 11 2. Discuss the EMT-B role in communicating with the patient and family in the situation which involves trauma, illness, death and dying. 3. Define CISD 4. Recognize the indications for CISD 5. Describe the importance of scene safety 6. -Define body substance isolation 7. Identify the various types of personal protective equipment 8. -Define the EMT-Basic scope of practice 9. Define medical control in EMS practice 10. Discuss the importance of advanced directives in providing emergency care 11. Define: abandonment; negligence and battery 12. Discuss the role of the EMT-Basic in working with law enforcement in a potential crime scene 13. Discuss the role of the EMT-Basic in maintaining patient confidentiality in providing prehospital emergency care-Identify the various types of personal protective equipment 14. Describe the anatomy and function of the following body systems: Respiratory, Circulatory, Musculoskeletal, Nervous, and Endocrine 15. Identify the components of vital signs 16. Differentiate between sign and symptom 17. Discuss the importance of good body mechanics in moving and lifting of patients and equipment 18. Describe the steps involved in maintaining a patient airway for both patients with medical illness and traumatic injury 19. Define the components of an oxygen delivery system 20. Discuss the importance of forming a general impression of the patient with the initial assessment. 21. Discuss the components of the detailed physical exam. 22. Describe trending of assessment findings 23. List the proper methods of initiating and terminating a radio call. 24. Describe what information is required in each section of the patient written report 25. Identify the medications approved for administration by the EMT-Basic 26. Discuss the indication, action, side effects and contraindications to the medications approved for administration by the EMT Basic 27. Describe the emergency medical care of the patient with respiratory distress 28. Describe the emergency medical care of the patient with chest pain 29. Identify the indications for use of an AED 30. Describe the emergency care of the patient who presents with an altered mental status 31. Describe the process of childbirth 32. Differentiate the emergency medical care provided with predelivery complications from a normal delivery 33. Discuss the elements of caring for the newborn during the delivery process 34. List the contents of the OB delivery kit 35. List the signs and symptoms of shock 36. State the elements of emergency care for the patient with signs and symptoms of shock 37. Identify the signs and symptoms of a patient with a musculoskeletal injury 38. Discuss the clinical signs of burn injuries to the skin, which may result from thermal or chemical exposure 39. Describe the anatomical/physiological difference between the adult and pediatric population 40. Describe the legal aspects of operating an emergency vehicle 41. Identify the required equipment for a BLS response vehicle 42. Summarize the components of triage in a mass casualty incident 43. Discuss the local mass casualty response plan 44. Demonstrate the use of appropriate personal protective equipment 45. Demonstrate the assessment of vital signs using appropriate technique Revised 5/1/2015 Page 2 of 11 46. Perform a patient interview and obtain a patient history 47. Demonstrate appropriate techniques for moving and lifting using a variety of patient carrying devices 48. Demonstrate the appropriate techniques for maintaining a patent airway through proper positioning and use of airway adjunct devices 49. Demonstrate the appropriate technique for the delivery of oxygen via nasal cannula, nonrebreather mask and bag valve mask device. 50. Demonstrate the ability to prioritize patients 51. Demonstrate the skills involved in performing a detailed physical exam. 52. Perform a simulated patient report via radio transmission. 53. Complete a written prehospital patient care report 54. Demonstrate the general steps in assisting the patient with the self-administration of medications 55. Demonstrate the appropriate BLS interventions in managing the care of a patient with a medical emergency 56. Demonstrate the appropriate BLS interventions in managing the care of a patient with traumatic injuries 57. Demonstrate the use of an AED in conjunction with performing CPR 58. Demonstrate the steps to assist with a normal cephalic delivery 59. Demonstrate appropriate technique for wound care, splinting and bandaging 60. Participate in an exercise involving removal of a trauma victim from a motor vehicle 61. Participate in an exercise involving a mass casualty response, and the EMT B role in triage and treatment of victims 62. Explain the importance of scene safety in providing prehospital patient care 63. Explain the rationale for properly lifting and moving patients 64. Explain the rationale for serving as an advocate for the patient in accessing emergency care 65. Explain the patient’s right to privacy in the context of accessing prehospital emergency care 66. Explain the importance of incorporating positive lifestyle behaviors for the overall well-being of the EMT-Basic 67. Explain the rational for basic life support ventilation and oxygen administration as a priority over most other basic life support skills. 68. Explain the value of performing an initial assessment 69. Explain the value of performing an ongoing assessment. 70. Explain the rationale for patient care documentation via both verbal and written report 71. Explain the rationale for assisting a patient with self-administration of medications 72. Explain the implications of dealing with two patients in prehospital management of childbirth 73. Explain the rationale for having knowledge and silks appropriate to meeting the special needs of the pediatric patient 74. Explain the importance of communicating with parent/caregivers in providing pediatric emergency care. 75. Explain the rationale for having your EMS unit prepared to respond at all times Course Outline: I. Introduction to EMS A. Role of the EMT-Basic B. EMS Systems C. EMS Law D. Patient Rights E. EMS Safety Practices II. The Human Body A. Human Anatomy Revised 5/1/2015 Page 3 of 11 B. Body Systems and Functions C. Patient Assessment III. IV. V. VI. VII. VIII. IX. X. XI. Cardiopulmonary Resuscitation A. Patient Assessment-ABC’s B. Rescue Breathing C. Barrier Devices and BVM D. Chest Compressions- Professional Rescuer E. Foreign Body Airway Obstruction F. AED Patient Assessment A. Scene Size Up B. Initial and Focused Assessment C. Detailed Assessment D. Ongoing Assessment E. Vital Sign Assessment Trauma Assessment A. Bleeding B. Soft Tissue Injuries C. Burn Injuries D. Shock States E. Extremity Injuries F. Head, Neck and Spine Injuries Trauma Management A. Wound care and bandaging B. Splinting of extremity injuries C. Shock Management D. Spinal Immobilization Medical Emergencies A. Respiratory Distress B. Cardiac Emergencies C. Neurological Emergencies D. Diabetic Emergencies Medical Emergency Management A. Administration of Patient Assisted Medications B. Indications and Use of the AED Environmental Emergencies A. Poisonings B. Bites and Stings Childbirth A. Female Reproductive System B. Physiology of Pregnancy C. Emergency Childbirth D. Complications of Childbirth Infants and Children A. Care of the Newborn B. Growth and Development in Children Revised 5/1/2015 Page 4 of 11 C. Pediatric Patient Assessment D. Common Medical Emergencies E. Common Traumatic Injuries XII. XIII. Ambulance Operations A. Moving and Lifting Patients B. Emergency Vehicle Operations C. The Anatomy of an EMS Call Gaining Access A. Motor Vehicle Accident Response B. Motor Vehicle Extrication C. Multiple Patient Incidents D. Triage Principles Assignments and Grading Criteria Grading Scale: 93% and up A 84%-92.99% B 75%-83.99% C – MINIMUM PASSING SCORE – 67% - 74.99% D >67% F Course Requirements: Students must meet several benchmarks in order to meet the passing requirements of the course. Students must maintain an average exam score of 75% or greater, must pass Exam 2 with a score of 75% or greater, must pass the Final Exam with a score of 75% or greater and must earn an overall passing grade of 75% or greater in the course. Additionally, students must pass a series of psychomotor examinations in which students are evaluated and tested in their ability to perform skills pertinent to an Emergency Medical Technician. Included within the psychomotor requirements is completion of 30 properly documented clinical hours of patient contact, assessment and care. Failure to meet any of the benchmarks above will result in the student receiving a grade of “F” for the course and ineligibility to sit for any licensing exam. Policies Attendance policy: Attendance is mandatory. The student must contact the instructor for all absences, excused or unexcused. Failure to contact the instructor prior to the absence will result in an unexcused absence and no make-up work will be accepted/permitted. Students who miss more than 3 class sessions may be dropped from the course and given a grade of “F”. Tardiness is not acceptable and will account for ½ class unexcused absence. Late work/make-up policy: Late work is not accepted. Make-up work will be accepted for excused absences only and must be turned in the class immediately following the absence. Revised 5/1/2015 Page 5 of 11 Weekly Course Schedule Date Topic Assignment 6/1/2015 Welcome and Orientation Introduction to Emergency Care The Well-being of the EMT Medical, Legal and Ethical Issues Read Ch 1-2, 4-6 Workbook Ch 1-2, 4 Orientation Quiz 6/3/2015 Quiz: Ch 1-2, 4 {Workbooks Due} Medical Terminology, Anatomy and Physiology Principles of Pathophysiology Read Ch 3, 7, 12, 38 Workbook Ch 5-6 NIMS ICS-100 (Canvas) 6/4/2015 Quiz: Ch 5-6 {Workbooks Due} Lifting and Moving Patients Life Span Development Vital Signs and Monitoring Devices Ambulance Operations Review Ch 1-7, 12, 38 Workbook Ch 3, 7, 12, 38 Life Span Chart 6/8/2015 Exam 1 [Ch 1-7, 12, 38] {Workbooks Due} Airway Management Read Ch 8-9, Appendix B Workbook Ch 8-9 Ch 8 & 9 Street Scenes (Textbook) Respiration and Artificial Ventilation 6/10/2015 Skills Lab - Airway, Vital Signs, Lifting/Moving, CPR Quiz: AHA CPR Exam Review Ch 8-9 Review Ch 8-9, Appendix B Terminolgy Quiz (Canvas) 6/11/2015 Quiz: Ch 8-9 {Workbooks Due} Skills Lab - Airway Testing Exam 2 Review Review Ch 8-9, Appendix B Discussion Board (Canvas) 6/15/2015 Exam 2 [Ch 8-9, Appendix B] Scene Size-Up Primary Assessment Clinical Orientation Read Ch 10-11, 13-15 Workbook Ch 10-11 Terminology Quiz (Canvas) **Clinical Documents Due** 6/17/2015 Assessment of the Trauma Patient Assessment of the Medical Patient Reassessment Read Ch 16-17, Appendix C Workbook Ch 13-15 Topic Assignment Skills Lab - Assessment Workbook Ch 16-17 Date 6/18/2015 Revised 5/1/2015 Page 6 of 11 Critical Thinking and Decision Making Communication and Documentation Research and EMS Review Ch 10-17, App C Review Ch 10-17, App C 6/22/2015 Quiz: Ch 10-15 {Workbooks Due} Skills Lab - Assessment Review Ch 10-17 6/24/2015 Exam 3 [Ch 10-17] Hazmat Presentation Read Ch 18-19 NIMS ICS-700 (Canvas) Terminology Quiz (Canvas) **NIMS ICS-100 Due** 6/25/2015 General Pharmacology Respiratory Emergencies Read Ch 20 Workbook Ch 18-19 6/29/2015 Quiz: Ch 18-19 {Workbooks Due} Cardiac Emergencies Read Ch 21-22 Workbook Ch 20 7/1/2015 Quiz: Ch 20 {Workbooks Due} Skills Lab - ALS Assist Diabetic Emergencies and Altered Mental Status Allergic Reactions Read Ch 23-25 Workbook Ch 21-22 7/2/2015 Poisoning and Overdose Emergencies Abdominal Emergencies Behavioral and Psychiatric Emergencies Read Ch 26, 33 Workbook Ch 23-25 **15 Hours Clinical Due** 7/6/2015 Hematologic and Renal Emergencies Environmental Emergencies Skills Lab - Medical Emergency Management Review Ch 18-26, 33 Workbook Ch 26, 33 7/8/2015 Skills Lab - Medical Emergency Management Exam 4 Review Review Ch 18-26, 33 7/9/2015 Exam 4 [Ch 18-26, 33] {Workbooks Due} Bleeding and Shock Read Ch 27-29 Workbook Ch 27 Terminology Quiz (Canvas) 7/13/2015 Soft-Tissue Trauma Chest and Abdominal Trauma Trauma Skills Breakout Lab Read Ch 30-32 Workbook Ch 28-29 Revised 5/1/2015 Page 7 of 11 Date Topic Assignment 7/15/2015 Quiz: Ch 27-29 {Workbooks Due} Musculoskeletal Trauma Trauma to the Head, Neck and Spine Multisystem Trauma Traum Skills Breakout Lab Read Ch 39-40 Workbook Ch 30-32 7/16/2015 Skills Lab - Trauma Emergency Management Mass Casualty / Triage Highway Safety and Vehicle Extrication Review Ch 27-32 Workbook Ch 39-40 **NIMS ICS-700 Due** 7/20/2015 Skills Lab - Trauma Emergency Management Exam 5 Review Review Ch 27-32 7/22/2015 Exam 5 [Ch 27-32] {Workbooks Due} Pediatric Emergencies Geriatric Emergencies Peds Assessment Breakout Lab Read Ch 34-36 Workbook Ch 35-36 7/23/2015 Obstetric and Gynecological Emergencies Skills Lab - OB / Peds Read Ch 37 Workbook Ch 34 7/27/2015 Quiz: Ch 34-36 {Workbooks Due} Emergencies for Patients with Special Challenges Exam 6 Review Review Ch 34-40 Workbook Ch 37 7/29/2015 Exam 6 [Ch 34-40] {Workbooks Due} Disease/Disability Case Study Presentations **30 Hours Clinical Due** 7/30/2015 Final Exam Review Review Ch 1-41 8/3/2015 Skills Lab - Final Skills Practice Final Exam Review Review Ch 1-41 8/5/2015 Skills Lab - Final Skills Testing Review Ch 1-41 8/6/2015 Final Exam Review Ch 1-41 Revised 5/1/2015 Page 8 of 11 Withdrawals: The last day to drop this course is [Insert date according to www.mchenry.edu/academiccalendar.asp ]. Failure to attend class does not constitute official withdrawal. If students are considering a withdrawal, they should consult directly with the instructor and an academic advisor. Students may withdraw from a class through the Registration Office, either in person or by fax: (815) 455-3766. In their request, students should include their name, student ID number, course prefix, number and section, course title, instructor, reason for withdrawing, and their signature. Withdrawal from a course will not be accepted over the telephone. Please refer to the following link for other important college dates: www.mchenry.edu/academiccalendar.asp General Education Goals: 1. Critical Thinking: To identify, define, analyze, synthesize, interpret, and evaluate ideas. 2. Information Literacy: To locate, evaluate, and use resources effectively. 3. Effective Communication: To develop, articulate, and convey meaning. 4. Ethical Awareness: To identify and make responsible choices in a diverse world. 5. Technological Literacy: To use tools skillfully. Assessment: Some student work may be collected for the purpose of assessment, including student competency in the general education goals, the program, or the course. Effective Fall 2014: Student E-Portfolio: The instructor of the course will designate at least one graded assignment for possible inclusion in the student E-portfolio. Students applying for an AA, AS, AFA, AES, or AGE degree must document their learning outcomes with a graded assignment for each of the five general education goals by the time of graduation. These five assignments and a cover letter will be in the student E-portfolio in Canvas. Academic Support for Special Populations Students McHenry County College offers support services for students with special needs. It is the student's responsibility to meet with the Special Needs Coordinator and provide current documentation regarding his/her disability and receive information about the accommodations that are available. In addition, as a student enrolled in a career or technical education program at McHenry County College, you may be eligible for services and assistance under the Carl D. Perkins III Grant. Grant funds are used, in part, to assist students who are at risk of not succeeding in their educational pursuits. The traits that often prevent students from succeeding are: economic disadvantage, academic disadvantage, disability/disabilities, single parent, displaced homemaker, nontraditional, and limited Revised 5/1/2015 Page 9 of 11 English proficiency (LEP). The definitions of each trait are available in the Special Needs Office. Students with one or more of these traits are referred to as Perkins Special Populations Students. If you would like to know if you are eligible for services at anytime during the semester, please do not hesitate to contact the Special Needs Coordinator. The office is Room A260, and phone number is (815) 455-8676. Academic Integrity As an educational community, McHenry County College values the pursuit of academic excellence and integrity. In accordance with this philosophy and Chapter 10, Act 5 of the 1994 Illinois Community College Act, academic dishonesty in any form, including cheating, plagiarism, and all other acts of academic theft, is considered intolerable. Appropriate sanctions, up to and including suspension from the College will be imposed by authorized College personnel. Copyright Policy MCC will maintain current procedures and guidelines to ensure that all staff and students comply with applicable copyright laws and other intellectual property protection laws. The College will encourage staff and students to engage in the development of intellectual property and facilitate ownership protections with respect to such development of intellectual property. The College expects that staff and students will act responsibly and ethically in a manner consistent with all copyright laws and College copyright procedures and guidelines. This policy authorizes the College to adopt and maintain such procedures and guidelines necessary to ensure compliance with copyright laws and to facilitate ownership protection with respect to the development of intellectual property. Student Code of Conduct and the Judicial Process Consistent with the MCC mission is an expectation that students will govern themselves in terms of appropriate behavior with emphasis on self-respect and respect for others. It is the practice of the College to respect the properly exercised rights of its students. The College recognizes a student’s rights within the institution to freedom of speech, inquiry and assembly; to the peaceful pursuit of education; and to the reasonable use of services and facilities at MCC. MCC has adopted a Student Code of Conduct and judicial process to maintain a learning environment of respect, civility, safety, and integrity for all members of the MCC community. Whenever possible, sanctions for violations of the Student Code of Conduct may be educational in nature. However, violations affecting the health and safety of members of the MCC community are deemed to be the most serious. Therefore, acts of violence, threats or dangerous behavior are most likely to result in a suspension from the College. Violations of the academic dishonesty policy may also result in suspension or expulsion from the institution and/or reduced or failing grade. Children on Campus For the safety of children on campus, children (i.e., less than 16 years of age) are not permitted on campus unattended by a parent/guardian, except when they are attending classes offered by MCC for children. The College requires that no children be allowed into a classroom/laboratory environment, including the Testing Center, Learning Center and computer labs, solely for the purpose of a parent/guardian to provide direct supervision of his/her child. Teaching Schedule The scheduling of the activities and teaching strategies on this syllabus, but not the objectives or content, may be altered at any time at the discretion of the instructor. Revised 5/1/2015 Page 10 of 11 Resources The following are useful resources available to you as a student at McHenry County College: Advising and Transfer Center: Phone (815) 479-7565; Office A257 www.mchenry.edu/atc Library: Phone (815) 455-8533; Office A212 www.mchenry.edu/library Counseling: Phone (815) 455-8765; Office A257 www.mchenry.edu/counseling Special Needs: Phone (815) 455-8676; Office A260 www.mchenry.edu/specialneeds Financial Aid: Phone (815) 455-8761; Office A262 www.mchenry.edu/financialaid Tutoring and Study Skills (Sage Learning Center): Phone (815) 455-8579; Office A247 www.mchenry.edu/sage Revised 5/1/2015 Page 11 of 11
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