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SYLLABUS
EMTL-2220
EMT-INTERMEDIATE 1-B
2006
WESTERN NEBRASKA COMMUNITY COLLEGE
DIVISION OF HEALTH OCCUPATIONS

I. CATALOG DESCRIPTION:
EMTL-2220
EMT-Intermediate 1-B
Prerequisite: EMTL-2210 EMT-Intermediate 1-A
This course is a continuation of EMT-Intermediate 1-A. Topics include
intubation, airway management, trauma emergencies, and behavioral
emergencies. Students will utilize concepts and skills learned in EMT-
Intermediate 1-A throughout this course.
(8/75/0/135/0/V)
II.
GENERAL OBJECTIVES:
A. Prepare Emergency Medical Technicians at the Intermediate level to handle
trauma emergencies
B. Complete a thorough primary and secondary assessment and explain the
normal and abnormal findings that could be identified in patients with trauma
emergencies
C. Prepare Emergency Medical Technicians at the Intermediate level to handle
behavioral emergencies
D. Complete a thorough primary and secondary assessment and explain the
normal and abnormal findings that could be identified inpatients with
behavioral emergencies
E. Provide the appropriate support for patients, family, self and other co-workers
in the event of a stressful situation and/or death
III.
INSTRUCTIONAL MATERIALS:
A. Required Text:
1. Shade, B.R., Rothenberg, M., Wertz, E., Jones, S., & Collins, T.; Mosby’s
EMT-Intermediate Textbook; Mosby; Latest Edition
IV.
COURSE OUTLINE:
A. Unit I: Airway Management
B. Unit II: Trauma Emergencies
C. Unit III: Behavioral Emergencies

V. METHODS OF PRESENTATION:
EMT-INTERMEDIATE 1-B
EMTL-2220
A. Lecture
B. Discussion
C. Role-play
D. Simulated practice sessions
E. Video presentations
F. Demonstration
G. Clinical/Field Experiences
VI.
METHODS OF EVALUATION:
A. Exams (Quizzes, Unit Exams, Final)
B. Written Assignments/Presentation
C. Skills Competencies
D. Clinical/Field Experiences
VII.
SPECIFIC OBJECTIVES:
A. Unit I: Airway Management
Upon the completion of this unit, the student will:
Behavioral Objectives
1. Explain the primary objective of airway
maintenance.
2. Identify commonly neglected
prehospital skills related to airway.
3. Identify the anatomy of the upper and
lower airway.
4. Describe the functions of the upper and
lower airway.
5. Explain the difference between adult
and pediatric airway anatomy.
6. Define gag reflex.
7. Explain the relationship between
pulmonary circulation and respiration.
Skills Lab Objective
Perform body substance isolation (BSI)
procedure during basic and advanced
airway management, and ventilation.
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EMT-INTERMEDIATE 1-B
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Behavioral Objectives
Skills Lab Objective
8. List the concentration of gases which
comprise air.
9. Describe the measure of oxygen in the
blood.
10. Describe the measurement of carbon Perform end-tidal CO 2 detection.
dioxide in the blood.
11. Describe peak expiratory flow. Perform peak expiratory flow testing.
12. List factors which cause decreased
oxygen concentration in the blood.
13. List the factors which increase and
decrease carbon dioxide production in the
body.
14. Define atelectasis.
15. Define FiO 2 .
16. Define and differentiate between
hypoxia and hypoxemia.
17. Describe the voluntary and involuntary
regulation of respiration.
18. Describe the modified forms of
respiration.
19. Define normal respiratory rates and
tidal volumes for the adult, child and infant.
20. List factors which affect respiratory
rate and depth.
21. Explain the risk of infection of EMS
providers associated with ventilation.
22. Define pulsus paradoxus.
23. Define and explain the implications of
partial airway obstruction with good and
poor air exchange.
24. Define complete airway obstruction.
25. Describe causes of upper airway
obstruction.
26. Describe causes of respiratory
distress.
27. Describe manual airway maneuvers. Perform manual airway maneuvers
including:
a. Opening the mouth
b. Head-tilt/chin-lift maneuver
c. Jaw-thrust without head-tilt maneuver
d. Modified jaw-thrust maneuver
Perform the above manual airway
maneuvers for pediatric patients
28. Describe the Sellick (cricoid) pressure Perform the Sellick maneuver (cricoid
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Behavioral Objectives
maneuver.
29. Describe complete airway obstruction
maneuvers.
30. Explain the purpose for suctioning the
upper airway.
31. Identify types of suction equipment.
32. Describe the indications for suctioning
the upper airway.
33. Identify types of suction catheters,
including hard or rigid catheters and soft
catheters.
34. Identify techniques of suctioning the
upper airway.
35. Identify special considerations of
suctioning the upper airway.
36. Describe the use of an oral and nasal
airway.
37. Describe the use of an oral and nasal
airway.
38. Identify special considerations of
tracheobronchial suctioning in the
intubated patient.
39. Define gastric suctioning.
40. Describe indications,
contraindications, advantages,
disadvantages, complications, equipment
and technique for inserting a nasogastric
tube and orogastric tube.
41. Identify special considerations of
gastric decompression.
42. Describe the indication,
contraindications, advantages,
complications, and techniques for inserting
an oropharyngeal and nasopharyngeal
airway.
43. Describe the indications,
contraindications, advantages,
disadvantages, complications, and
technique for ventilating a patient by:
a. Mouth-to-mouth
Skills Lab Objective
pressure).
Perform complete airway obstruction
maneuvers, including:
a. Heimlich maneuver
b. Finger sweep
c. chest thrusts
d. Removal with Magill forcepts
Demonstrate suctioning the upper airway
by selecting a suction device.
Perform tracheobronchial suctioning in the
intubated patient by selecting a suction
device, catheter and technique.
Demonstrate insertion of a nasogastric
tube.
Perform gastric decompression by
selecting a suction device, catheter, and
techniques.
Demonstrate insertion of an orogastric
tube.
Demonstrate insertion of a
nasopharyngeal airway.
Demonstrate ventilating a patient by the
following techniques:
a. Mouth-to-mouth
b. Mouth-to-nose
c. Mouth-to-mask
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EMTL-2220
Behavioral Objectives
b. Mouth-to-nose
c. Mouth-to-mask
d. One person bag-valve-mask
e, Two person bag-valve-mask
f. Three person bag-valve-mask
g. Flow-restricted, oxygen-powered
ventilation device
44. Explain the advantage of the two
person method when ventilating with a
bag-valve-mask.
45. Compare the ventilation techniques
used for an adult patient to those used for
pediatric patients.
46. Describe indications,
contraindications, advantages,
disadvantages, complications, and
techniques for ventilating a patient with an
automatic transport ventilator.
47. Explain safety considerations of
oxygen storage and delivery.
48. Identify types of oxygen cylinders and
pressure regulators (including a highpressure
regulator and a therapy
regulator).
49. List the steps for delivering oxygen
from a cylinder and regulator.
50. Describe the use, advantages and
disadvantages of an oxygen humidifier.
51. Describe the indications,
contraindications, advantages,
disadvantages, complications, liter flow
range, and concentration of delivered
oxygen for supplement oxygen devices.
52. Define, identify, and describe a
tracheostomy, stoma, and tracheostomy
tube.
53. Define, identify and describe a
larygectomy.
54. Define how to ventilate a patient with
a stoma, including mouth-to-stoma and
Skills Lab Objective
d. One person bag-valve-mask
e, Two person bag-valve-mask
f. Three person bag-valve-mask
g. Flow-restricted, oxygen-powered
ventilation device
Ventilate a pediatric patient using one and
two person techniques.
Perform ventilation with a bag-valve-mask
with an in-line small-volume nebulizer.
Perform oxygen delivery from a cylinder
and regulator with an oxygen delivery
device.
Perform oxygen delivery with an oxygen
humidifier.
Deliver supplemental oxygen to a
breathing patient using the following
devices:
a, Nasal cannula
b. Simple face mask
c. Partial rebreather mask
d. Non-rebreather mask
e. Venture mask
Perform stoma suctioning.
Perform replacement of a tracheostomy
tube through a stoma.
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Behavioral Objectives
Skills Lab Objective
bag-valve-mask-to-stoma ventilation.
55. Describe the special considerations in
airway management and ventilation for
patients with facial injuries.
56. Describe the special considerations in
airway management and ventilation for the
pediatric patient.
57. Differentiate endotracheal intubation
from other methods of advanced airway
management.
58. Describe the indications,
contraindications, advantages,
disadvantages, and complications of
endotracheal intubation.
59. Describe laryngoscopy for the removal Perform retrieval of foreign bodies from the
of a foreign body airway obstruction. upper airway.
60. Describe the visual landmarks for
direct laryngoscopy.
61. Describe the use of cricoid pressure Intubate the trachea by direct orotracheal
during intubation.
intubation.
62. Describe the indications,
contraindications, advantages,
disadvantages, complications, equipment,
and techniques for using a dual lumen
airway.
63. Describe the methods of assessment Perform assessment to confirm correct
for confirming correct placement of an placement of the endotracheal tube.
endotracheal tube.
64. Describe methods for securing an Adequately secure an endotracheal tube.
endotracheal tube.
65. Describe the indications,
Perform extubation.
contraindications, advantages,
disadvantages, complications, equipment
and technique for extubation.
66. Describe methods of endotracheal Perform endotracheal intubation in the
intubation in the pediatric patient.
pediatric patient.
67. Describe how the laryngeal mask
airway (LMA).
68. Identify patient conditions that indicate
the use of the LMA or similar device.
69. Differentiate the indications and
contraindications where this type of airway
would be utilized versus other airway
management techniques.
70. Discuss the steps for the correct Demonstrate the correct insertion of the
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Behavioral Objectives
insertion of the LMA.
LMA.
EMT-INTERMEDIATE 1-B
EMTL-2220
Skills Lab Objective
B. Unit II: Trauma Emergencies: Hemorrhage and Shock
Upon completion of Unit II, the student will:
Behavioral Objectives
1. Describe the epidmiology, including
morbidity, mortality and prevention
strategies for shock and hemorrhage.
2. Discuss the anatomy and physiology of
the cardiovascular system.
3. Predict shock and hemorrhage based
on mechanical injury.
4. Discuss the various types and degrees
of hemorrhage and shock.
5. Discuss the pathophysiology or
hemorrhage and shock.
6. Discuss the assessment findings
associated with hemorrhage and shock.
7. Identify the need for intervention and
transport of the patient with hemorrhage or
shock.
8. Discuss the treatment plan and
management of hemorrhage and shock.
9. Discuss the management of external
hemorrhage.
10. Differentiate between controlled and
uncontrolled hemorrhage.
11. Differentiate between the
administration rate and amount of IV fluid
in a patient with controlled and
uncontrolled venous hemorrhage.
12. Relate internal hemorrhage to the
pathophysiology of compensated and
decompensated hemorrhage shock.
13. Relate internal hemorrhage to the
assessment findings of compensated and
Skills Lab Objectives
Demonstrate the assessment of a patient
with signs and symptoms of hemorrhagic
shock.
Demonstrate the management of a patient
with signs and symptoms of hemorrhagic
shock.
Demonstrate the assessment of a patient
with signs and symptoms of external
hemorrhage.
Demonstrate the management of a patient
with signs and symptoms of external
hemorrhage.
Demonstrate the assessment of a patient
with signs and symptoms of internal
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Behavioral Objectives
decompensated hemorrhagic shock.
14. Discuss the management of internal
hemorrhage.
15. Define shock based on aerobic and
anerobic metabolism.
16. Describe the incidence, morbidity, and
mortality of shock.
17. Describe the body’s physiologic
response to changes in perfusion.
18. Describe the effects of decreased
perfusion at the capillary level.
19. Discuss the cellular ischemic phase
related to hemorrhagic shock.
20. Discuss the capillary stagnation phase
related to hemorrhagic shock.
21. Discuss the capillary washout phase
related to hemorrhagic shock.
22. Discuss the assessment findings of
hemorrhagic shock.
23. Relate pulse pressure changes to
perfusion status.
24. Relate orthostatic vital sign changes
to perfusion status.
25. Define compensated and
decompensated shock.
26. Discuss pathophysiological changes
associated with compensated shock.
27. Discus the assessment findings
associated with compensated shock.
28. Identify the need for intervention and
transport to the patient with compensated
shock.
29. Discuss the treatment plan and
management of compensated shock.
30. Discuss the pathophysiological
changes associated with decompensated
shock.
31. Discuss the assessment findings
associated with decompensated shock.
32. Identify the need for intervention and
transport of the patient with
Skills Lab Objectives
hemorrhage.
Demonstrate the management of a patient
with signs and symptoms of internal
hemorrhage.
Demonstrate the assessment of a patient
with signs and symptoms of compensated
hemorrhagic shock.
Demonstrate the management of a patient
with signs and symptoms of compensated
hemorrhagic shock.
Demonstrate the assessment of a patient
with signs and symptoms of
decompensated hemorrhagic shock.
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EMT-INTERMEDIATE 1-B
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Behavioral Objectives
decompensated shock.
33. Discuss the treatment plan and
management of the patient with
decompensated shock.
34. Differentiate between compensated
and decompensated shock.
35. Relate external hemorrhage to the
pathophysiology of compensated and
decompensated shock.
36. Relate external hemorrhage to the
assessment findings of compensated and
decompensated hemorrhagic shock.
37. Differentiate between the
normotensive, hypotensive, and
profoundly hypotensive patient.
38. Differentiate between the
administration of fluid in the normotensive,
hypotensive, and profoundly hypotensive
patient.
39. Discuss the physiologic changes
associated with the pneumatic antishock
garments. (PASG).
40. Discuss the indications and
contraindications for the application and
inflation of the PASG.
41. Apply epidemiology to develop
prevention strategies for hemorrhage and
shock.
42. Integrate the pathophysiology
principles to the assessment of a patient
with hemorrhage or shock.
43. Synthesize assessment findings and
patient history information to form a field
impression for the patient with hemorrhage
or shock.
44. Develop, execute, and evaluate a
treatment plan based on the field
impression for the hemorrhage or shock
patient.
Skills Lab Objectives
Demonstrate the management of a patient
with signs and symptoms of
decompensated hemorrhagic shock.
C. Unit II: Trauma Emergencies: Burns
Behavioral Objectives
1. Describe the anatomy and physiology
pertinent to burn injuries.
Skills Lab Objectives
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EMT-INTERMEDIATE 1-B
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Behavioral Objectives
2. Describe the epidemiology, including
incidence, morbidity, mortality, risk factors,
and prevention strategies for the patient
with a burn injury.
3. Describe the pathophysiologic
complications and systemic complications
of a burn injury.
4. Identify and describe types of burn
injuries, including thermal burn, and
inhalation burn, a chemical burn, electrical
burn, and a radiation exposure.
5. Identify and describe the depth
classifications of burn injuries, including
superficial burn, a partial thickness burn, a
full thickness burn, and other depth
classifications described by local
protocols.
6. Identify and describe methods for
determining body surface area
percentages of a burn injury including the
“rule of nines”, the “rule of palms”, and
other methods described by local
protocols.
7. Identify and describe the severity of a
burn including a minor burn, a moderate
burn, a severe burn, and other severity
classifications described by local protocol.
8. Differentiate criteria for determining the
severity of a burn injury between a
pediatric patient and an adult patient.
9. Describe special considerations for a
pediatric patient with a burn injury.
10. Discuss considerations which impact
management and prognosis of the burn
injured patient.
11. Discuss mechanisms of burn injuries.
12. Discuss conditions associated with
burn injuries, including trauma, blast
injuries, airway compromise, respiratory
compromise, and child abuse.
13. Describe the management of a burn
injury, including airway and ventilation,
circulation, pharmacologic, nonpharmacologic,
transport considerations,
psychological support/communication
Skills Lab Objectives
Demonstrate body substance isolation
procedures during assessment and
management of patients with a burn injury.
Perform assessment of a patient with a
burn injury.
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EMT-INTERMEDIATE 1-B
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Behavioral Objectives
strategies, and other management
described by local protocols.
14. Describe the epidemiology of a
thermal burn injury.
15. Describe the specific anatomy and
physiology pertinent to a thermal burn
injury.
16. Describe the pathophysiology of a
thermal burn injury.
17. Identify and describe the depth
classifications of a thermal injury.
18. Identify and describe the severity of a
thermal burn injury.
19. Describe considerations which impact
management and prognosis of the patient
with a thermal burn injury.
20. Discuss mechanisms of burn injury
and considerations associated with a
thermal burn injury.
21. Describe the management of a
thermal burn injury, including airway and
ventilation, circulation, pharmacologic,
non-pharmacologic, transport
considerations, and physiological
support/communication strategies.
22. Describe the epidemiology of an
inhalation burn injury.
23. Describe the specific anatomy and
physiology pertinent to an inhalation burn
injury.
24. Describe the pathophysiology of an
inhalation burn injury.
25. Differentiate between supraglottic and
infraglottic inhalation injuries.
26. Identify and describe the depth
classifications of an inhalation burn injury.
27. Identify and describe the severity of
an inhalation burn injury.
28. Describe considerations which impact
the severity of an inhalation burn injury.
29. Discuss mechanisms of burn injury
and considerations associated with an
inhalation burn injury.
30. Describe the management of an
inhalation burn injury, including airway and
Skills Lab Objectives
Perform management of a thermal burn
injury, including airway and ventilation,
circulation, pharmacologic, nonpharmacologic,
transport considerations,
and physiological support/communication
strategies.
Perform management of an inhalation burn
injury, including airway and ventilation,
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EMT-INTERMEDIATE 1-B
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Behavioral Objectives
Skills Lab Objectives
ventilation, circulation, pharmacologic, circulation, pharmacologic, nonpharmacologic,
transport considerations,
non-pharmacologic, transport
considerations, and psychological
and psychological support/communication
support/communication strategies. strategies.
31. Describe the epidemiology of a
chemical burn and a chemical burn injury
of the eye.
32. Describe the anatomy pertinent to a
chemical injury and a chemical burn injury
of the eye.
33. Describe the pathophysiology of a
chemical burn injury, including types of
chemicals and their burning processes and
a chemical burn injury to the eye.
34. Identify and describe the severity of a
chemical burn injury.
35. Describe considerations which impact
management and prognosis of the patient
with a chemical injury and a chemical burn
injury of the eye.
36. Discuss the mechanisms of burn
injury and conditions associated with a
chemical burn injury.
37. Discuss the management of a Perform management of a chemical burn
chemical burn injury and a chemical burn injury, including airway and ventilation,
injury of the eye, including airway and circulation, pharmacologic, nonpharmacologic,
transport considerations,
ventilation, circulation, pharmacologic,
non-pharmacologic, transport
and psychological support/communication
considerations, and psychological
strategies.
support/communication strategies.
38. Describe the epidemiology of an
electrical burn injury.
39. Describe the specific anatomy
pertinent to an electrical burn injury.
40. Describe the pathophysiology of an
electrical burn injury.
41. Identify and describe the depth
classifications of a chemical burn injury.
42. Describe considerations which impact
management and prognosis of the patient
with an electrical burn injury.
43. Discuss mechanisms of burn injury
and conditions associated with an
electrical burn injury.
44. Describe the management of an Perform management of an electrical burn
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Behavioral Objectives
electrical burn injury, including airway and
ventilation, circulation, pharmacologic,
non-pharmacologic, transport
considerations, and psychological
support/communication strategies.
45. Describe the epidemiology of a
radiation exposure.
46. . Describe the specific anatomy
pertinent to a radiation exposure.
47. Describe the pathophysiology of a
radiation exposure, including the types and
characteristics of ionizing radiation.
48. Identify and describe the depth
classifications of a radiation exposure.
49. Identify and describe the severity of a
radiation exposure.
50. Describe considerations which impact
management and prognosis of the patient
with a radiation exposure.
51. Discuss mechanisms of burn injury
and conditions associated with a radiation
exposure.
52. Describe the management of a
radiation exposure, including airway and
ventilation, circulation, pharmacologic,
non-pharmacologic, transport
considerations, and psychological
support/communication strategies.
53. Discuss conditions associated with a
radiation exposure.
54. Integrate pathophysiology principles to
the assessment of a patient with a thermal
burn injury.
55. Integrate pathophysiology principles to
the assessment of a patient with an
inhalation burn injury.
56. Integrate pathophysiology principles to
the assessment of a patient with a
chemical burn injury.
57. Integrate pathophysiology principles to
the assessment of a patient with an
electrical burn injury.
58. Integrate pathophysiology principles to
the assessment of a patient with a
radiation exposure.
Skills Lab Objectives
injury including airway and ventilation,
circulation, pharmacologic, nonpharmacologic,
transport considerations,
and psychological support/communication
strategies.
Perform management of a radiation
exposure, including airway and ventilation,
circulation, pharmacologic, nonpharmacologic,
transport considerations,
and psychological support/communication
strategies.
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Behavioral Objectives
59. Synthesize patient history information
and assessment findings to form a field
impression for the patient with a thermal
burn injury.
60. Synthesize patient history information
and assessment findings to form a field
impression for the patient with an
inhalation burn injury.
61. Synthesize patient history information
and assessment findings to form a field
impression for the patient with a chemical
burn injury.
62. Synthesize patient history information
and assessment findings to form a field
impression for the patient with an electrical
burn injury.
63. Synthesize patient history information
and assessment findings to form a field
impression for the patient with a radiation
exposure.
64. Develop, execute and evaluate a
management plan based on the field
impression for a patient with a thermal
burn injury.
65. Develop, execute and evaluate a
management plan based on the field
impression for a patient with an inhalation
burn injury.
66. Develop, execute and evaluate a
management plan based on the field
impression for a patient with a chemical
burn injury.
67. Develop, execute and evaluate a
management plan based on the field
impression for a patient with an electrical
burn injury.
68. Develop, execute and evaluate a
management plan based on the field
impression for a patient with a radiation
exposure.
69. Characterize morbidity and mortality
based on the pathophysiology and
assessment findings of a patient with a
burn injury.
Skills Lab Objectives
Assess safety at a burn injury incident.
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D. Unit II: Trauma Emergencies: Thoracic
Behavioral Objectives
1. Describe the incidence, morbidity, and
mortality of thoracic injuries in the trauma
patient.
2. Discuss the anatomy and physiology of
the organs and structures related to
thoracic injuries.
3. Predict thoracic injuries based on
mechanism of injury.
4. Discuss the types of thoracic injuries.
5. Discuss the pathophysiology of thoracic
injuries.
6. Discuss the assessment findings
associated with thoracic injuries.
7. Discuss the management of thoracic
injuries.
8. Identify the need for rapid intervention
and transport of the patient with thoracic
injuries.
9. Discuss the pathophysiology of specific
chest wall injuries, including:
a. Rib fracture
b. Flail segment
c. Sternal fracture
10. Discuss the assessment findings
associated with chest wall injuries.
11. Identify the need for rapid recognition
and transport of the patient with chest wall
injuries.
12. Discuss the management of chest wall
injuries.
13. Discuss the pathophysiology of injury
to the lung including:
a. Simple pneumothorax
b. Open pneumothorax
c. Tension pneumothorax
d. Hemothroax
e. Hemopneumothorax
f. Pulmonary contusion
Skills Lab Objectives
E. Unit II: Trauma Emergencies Trauma Practical Laboratory
Practical Laboratory Skills Objectives
1. Demonstrate the assessment of a patient with signs and symptoms of hemorrhagic
shock.
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EMT-INTERMEDIATE 1-B
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Practical Laboratory Skills Objectives
2. Demonstrate the management of a patient with signs and symptoms of hemorrhagic
shock.
3. Demonstrate the assessment of a patient with signs and symptoms of compensated
shock.
4. Demonstrate the management of a patient with signs and symptoms of compensated
shock.
5. Demonstrate the assessment of a patient with signs and symptoms of
decompensated shock.
6. Demonstrate the management of a patient with signs and symptoms of
decompensated shock.
7. Demonstrate the assessment of a patient with signs and symptoms of external
hemorrhage.
8. Demonstrate the management of a patient with signs and symptoms of external
hemorrhage.
9. Demonstrate the assessment of a patient with signs and symptoms of internal
hemorrhage.
10. Demonstrate the assessment of a patient with signs and symptoms of internal
hemorrhage.
11. Demonstrate the management of a patient with signs and symptoms of internal
hemorrhage.
12. Demonstrate the assessment of a patient with suspected thoracic trauma.
13. Demonstrate the following techniques of management for thoracic injuries:
a. Needle decompression
b. Fracture stabilization
c. Elective intubation
d. ECG monitoring
e. Oxygenation and ventilation
14. Demonstrate a clinical assessment to determine the proper treatment plan for a
patient with a suspected musculoskeletal injury.
15. Demonstrate the proper use of fixation, soft and traction splints for a patient with a
suspected fracture.
16. Demonstrate the assessment and management of a patient with signs and
symptoms of soft tissue injury including:
a. Contusion
b. Hematoma
c. Crushing
d. Abrasion
e. Laceration
f. Avulsion
g. Amputation
h. Impaled object
i. Penetration/puncture
j. Blast
17. Demonstrate a clinical assessment to determine the proper management modality
for a patient with a suspected traumatic spinal injury.
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Practical Laboratory Skills Objectives
18. Demonstrate a clinical assessment to determine the proper management modality
for a patient with a suspected non-traumatic spinal injury.
19. Demonstrate immobilization of the urgent and non-urgent patient with assessment
findings of spinal injury from the following presentations:
a. Supine
b. Prone
c. Semi-prone
d. Sitting
e. Standing
20. Demonstrate preferred method for stabilization of a helmet from a potentially spine
injured patient.
21. Demonstrate helmet removal techniques.
22. Demonstrate alternative methods for stabilization of a helmet from a potentially
spine injured patient.
23. Demonstrate documentation of assessment before spinal immobilization.
24. Demonstrate documentation of assessment during spinal immobilization.
25. Demonstrate documentation of assessment after spinal immobilization.
F. Unit III: Behavioral Emergencies
Upon the completion of this unit, the student will:
Behavioral Objectives
1. Distinguish between normal and
abnormal behavior.
2. Discuss the pathophysiology of
behavioral emergencies.
3. Define the following terms:
a. Active learning
b. Anxiety
c. Behavior
d. Behavioral emergency
e. Body language
f. Confusion
g. Depression
h. Overt behavior
4. Discuss appropriate measures to
ensure the safety of the patient, EMT-
Intermediate, and others.
5. Identify techniques for a physical
assessment in a patient with behavioral
problems.
6. Describe therapeutic interviewing
techniques for gathering information from
a patient with a behavioral emergency.
Skills Lab Objectives
Demonstrate safe techniques for
managing and restraining a violent
behavior.
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EMT-INTERMEDIATE 1-B
EMTL-2220
Behavioral Objectives
7. List factors that may indicate a patient
is at risk for suicide.
8. Describe methods for managing
patients with behavioral emergencies.
9. Describe circumstances in which
relatives, bystanders, and others should
be removed from the scene.
10. Describe medical/legal considerations
from managing a patient with a behavioral
emergency.
11. List situations in which the EMT-
Intermediate is expected to transport a
patient against his will.
12. Describe methods of restraint that
may be necessary in managing a patient
with a behavioral emergency.
13. Formulate a field impression of a
patient with a behavioral emergency based
on the assessment findings.
Skills Lab Objectives
Develop a patient management plan for a
patient with a behavioral emergency based
on the field impression.
VIII. Specific Course Requirements
A. Refer to EMT-Intermediate 1 and 2 Handbook for specific course
requirements and the minimum final grade needed to pass the course and be
eligible to sit for the National Registry Exam.
Note: This syllabus is not a contract between the instructor and student.
The content is subject to change. Students will be given a written copy or
any changes in content, assignments, and grading as they may occur.
IX.
EQUAL ACCESS STATEMENT:
Western Nebraska Community College is committed to providing reasonable
accommodation to persons with disabilities. If you qualify under the Americans with
Disabilities Act (ADA), please notify the Director of Counseling, 308-635-6090, as
soon as possible to begin the process of documentation review and determination of
appropriate accommodation or adaptive strategies.
10-24-06
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