emt-basic curriculum module 4

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State of WisconsinEMT-Basic: A Practice BasedApproach to EMS Education4-4.19 List other causes of altered levels of consciousness besides diabeticemergencies. (C-1)4-4.20 Discuss causes, signs and symptoms and management of seizures.(C-1)4-4.21 Discuss causes, signs and symptoms and management of cerebralvascular accidents (CVA). (C-1)4-4.22 Discuss assessment and management of a geriatric patient exhibitingsigns and symptoms of neurological emergencies including dementia.(C-1)AFFECTIVE OBJECTIVES4-4.23 Explain the rationale for obtaining a blood glucose reading in patientswith altered levels of consciousness. (A-3)4-4.24 Explain the rationale for administering oral glucose. (A-3)4-4.25 Explain the rationale for administering glucagon. (A-3)4-4.26 Explain the importance of understanding why some geriatric patientsmay exhibit inappropriate behavior due to an underlying medicalcondition such as stroke, dementia, or delirium. (A-3)PSYCHOMOTOR OBJECTIVES4-4.27 Demonstrate the steps in the emergency medical care, including amanagement plan, assessment and treatment, for the patient takingdiabetic medicine with an altered mental status and a history ofdiabetes. (P-1,2)4-4.28 Demonstrate the steps in obtaining a blood glucose reading. (P-2)4-4.29 Demonstrate the steps in the administration of oral glucose. (P-1,2)4-4.30 Demonstrate the assessment and documentation of patient responseto oral glucose. (P-1,2)4-4.31 Demonstrate the proper technique in reconstituting glucagon andpreparing for its administration. (P-2)4-4.32 Demonstrate the steps in administering an IM injection of glucagon to adiabetic patient. (P-2)4-4.33 Demonstrate the assessment and documentation of patient responseto glucagon. (P-2)4-4.34 Demonstrate the proper disposal of sharps.4-4.35 Demonstrate creating a management plan for a patient exhibiting signsand symptoms of seizure. (P-2)4-4.36 Demonstrate creating a management plan for a patient exhibiting signsand symptoms of stroke. (P-2)4-4.37 Demonstrate creating a management plan for a patient exhibiting signsand symptoms of dementia. (P-2)4-4.38 Demonstrate how to complete a prehospital care report for patientswith diabetic emergencies. (P-2)Module 4-42
State of WisconsinEMT-Basic: A Practice BasedApproach to EMS EducationPREPARATIONMotivation:Prerequisites:AV Equipment:EMS Equipment:Primary Instructor:Assistant Instructor:Neurological emergencies, resulting in an altered level ofconsciousness, include diabetes, seizure, stroke anddementia. Diabetes is a prevalent disease in Americansociety with estimates between 2-5% of the totalpopulation having either diagnosed or undiagnoseddiabetes mellitus. Strokes can causes devastatingchanges in a patient’s quality of life. Current AHAresearch recommends rapid management by prehospitalcaregivers for patient’s exhibiting signs and symptoms ofstroke. Dementia and delirium are debilitating diseasesof the brain that effect geriatric patients.BLS, Preparatory, Airway and Patient Assessment.MATERIALSUtilize various audio-visual materials relating to diabeticemergencies. The continuous design and developmentof new audio-visual materials relating to EMS requirescareful review to determine which best meet the needs ofthe program. Materials should be edited to assuremeeting the objectives of the <strong>curriculum</strong>.Exam gloves, stethoscope (6:1), blood pressure cuff(6:1), penlight, tube of glucose, suitable glucosesubstitute, vials of normal saline, syringes, gloves, sharpscontainers, injection practice devices, 2x2 gauze pads,bandaids, glucometers, test strips, and lancets.PERSONNELOne EMT-Basic instructor knowledgeable in treatment ofdiabetic emergencies.The instructor-to-student ratio should be 1:6 forpsychomotor skill practice. Individuals used as assistantinstructors should be knowledgeable in diabeticemergencies.PRESENTATIONDeclarative (What)I. Diabetes MellitusA. Defined1. Autoimmune disorderModule 4-43
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emt-basic curriculum module 4

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