emt-basic curriculum module 4

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State of WisconsinEMT-Basic: A Practice BasedApproach to EMS EducationIV.b) Abdominal tenderness and distentionc) Severe pain with radiation for the umbilicus to the backand shouldersd) May have signs of shockC. Abdominal aortic aneyrysm (AAA)1. Weakened, ballooned, and enlarged area of the wall of theabdominal aorta2. Signs and symptomsa) Gradual onset of lower lumbar and abdominal pain.Rupture associated with sudden onset of severe,constant abdominal painb) Pain described as “tearing”, may radiate to lower back,flank and pelvis.c) Nausea and vomiting possibled) Signs of shocke) Pulsating mass may be feltD. Other causes of acute abdomen1. Cholecystitis-inflammation of the gallbladder2. Intestinal obstruction3. Hernia4. Ulcers5. Esophageal varicesEmergency managementA. Initial assessment - ABCs, look for guarded position, be alert forvomiting and aspiration, shock, prioritize patientB. Focused History and Physical Exam - SAMPLE History, O-P-Q-R-S-T,baseline vital signs, gentle palpation of 4 quadrants (leaving mostpainful area for last), assess abdomen for rigidity, tenderness, ormassesC. Keep patient quiet and place in position of comfort, usually flexing thelegs is most comfortable (fetal position)D. Appropriate transportAPPLICATIONProcedural (How)1. Show illustrations of signs and symptoms of an acute abdomen.2. Demonstrate the steps in providing emergency medical care to a patient withan acute abdomen.Contextual (When, Where, Why)1. Acute abdominal pain is a common condition that EMTs will encounter.2. Underlying causes vary greatly and may often signal a very serious medicalcondition.Module 4-104
State of WisconsinEMT-Basic: A Practice BasedApproach to EMS Education3. Be certain to assess for life-threatening conditions, make the patient ascomfortable, administer oxygen and transport.STUDENT ACTIVITIESAuditory (Hear)1. The student should hear simulations involving the assessment, recognitionand emergency medical care of an acute abdomen.Visual (See)1. The student should see audio-visual aids or materials of signs and symptomsof an acute abdomen.2. The student should see a demonstration of the steps in providing emergencymedical care to a patient with an acute abdomen.Kinesthetic (Do)1. The student should practice the steps in providing emergency medical care toa patient with an acute abdomen.2. The student should practice completing a prehospital report for patients withan acute abdomen.INSTRUCTOR ACTIVITIES1. Supervise student practice.2. Reinforce student progress in cognitive, affective, and psychomotor domains.3. Redirect students having difficulty with content (complete remediation forms).EVALUATIONWritten:Practical:Develop evaluation instruments, e.g., quizzes, verbal reviews,handouts, to determine if the students have met the cognitiveand affective objectives of this lesson.Evaluate the actions of the EMT-Basic students during role play,practice or other skill stations to determine their compliance withthe cognitive and affective objectives and their mastery of thepsychomotor objectives of this lesson.REMEDIATIONIdentify students or groups of students who are having difficulty with this subjectcontent. Complete remediation sheet from the instructor's course guide.Module 4-105
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emt-basic curriculum module 4

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