emt-basic curriculum module 4

State of WisconsinEMT-Basic: A Practice BasedApproach to EMS Education4-2.18 Demonstrate the emergency medical care for a patient in respiratorydistress. (P-2)4-2.19 Perform the steps in assisting a patient with the use of their metereddose inhaler. (P-2)4-2.20 Perform the steps in administering a nebulizer treatment, via hand-heldand mask, to a patient in respiratory distress. (P-2)4-2.21 Create a management plan to properly evaluate and treat an adultpatient in respiratory distress. (P-3)4-2.22 Create a management plan to properly evaluate and treat a pediatricpatient in respiratory distress. (P-3)PREPARATIONMotivation:Over 200,000 persons die from respiratory emergencieseach year.One large city reported 12% of their ambulance runswere respiratory emergencies. This represented threetimes the calls for heart attacks.A child with severe respiratory distress will deteriorateinto respiratory failure and circulatory collapse, eventuallyresulting in respiratory arrest. The use of oxygen canblock this progression and may even reverse it to somedegree. When possible, deliver humidified oxygen andallow the child to remain in the parent's lap. A morecomfortable, secure child will require less oxygen. Havethe parent accompany the child in the ambulance. Thereis no contraindication to high concentration oxygen in theinfant or child patient.Prerequisites:AV Equipment:EMS Equipment:BLS, Preparatory, Airway and Patient Assessment.MATERIALSUtilize various audio-visual materials relating torespiratory emergencies. The continuous design anddevelopment of new audio-visual materials relating toEMS requires careful review to determine which bestmeet the needs of the program. Materials should beedited to assure meeting the objectives of the curriculum.Metered-dose and hand-held nebulizers suitable fortraining purposes and various spacer devices.Module 4-10