emt-basic curriculum module 4

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State of WisconsinEMT-Basic: A Practice BasedApproach to EMS Education(2) Medication is not discolored (if able to see)c) Remove safety cap from the auto-injectord) Place tip of auto-injector against the patient's thigh(1) Lateral portion of the thigh.(2) Midway between the waist and the kneee) Push the injector firmly against the thigh until the injectoractivatesf) Hold the injector in place until the medication is injectedg) Record activity and timeh) Dispose of injector in sharps container7. Actionsa) Dilates the bronchiolesb) Constricts blood vessels8. Side effectsa) Increases heart rateb) Pallorc) Dizzinessd) Chest paine) Headachef) Nauseag) Vomitingh) Excitability, anxiousness9. Re-assessment strategiesa) Transportb) Continue focused assessment of airway, breathing andcirculatory status(1) Patient condition continues to worsen(a) Decreasing mental status(b) Increasing breathing difficulty(c) Decreasing blood pressure(d) Obtain medical direction(i) Additional dose of epinephrine(ii) Treat for shock(iii) Prepare to initiate Basic Cardiac Lifesupport measuresCPRAED(2) Patient condition improves. Provide supportivecare(a) Oxygen(b) Treat for shockModule 4-58
State of WisconsinEMT-Basic: A Practice BasedApproach to EMS EducationAPPLICATIONProcedural (How)The instructor will demonstrate the following steps using an epinephrine auto-injectortrainer and appropriate synthetic skin mannequin:1. Obtain medical direction.2. Obtain patient's prescribed auto injector. Ensure:a. Prescription is written for the patient experiencing allergic reactions.b. Medication is not discolored, if visible.3. Remove safety cap from the auto-injector.4. Place tip of auto-injector against the patient's thigh.a. Lateral portion of the thigh.b. Midway between the waist and the knee.5. Push the injector firmly against the thigh until the injector activates.6. Hold the injector in place until the medication is injected.7. Dispose of injector in biohazard container.Contextual (When, Where, Why)1. The EMT-Basic will now be able to assist patients with the administration ofepinephrine auto-injectors. This will make a significant difference in thosepatients exposed to an allergic agent.2. The administration of the epinephrine should be performed as soon aspossible following appropriate identification of the allergic reaction.STUDENT ACTIVITIESAuditory (Hear)1. The student should hear the assessment findings differentiating minor andsevere allergic reactions.2. The student should hear the steps required to appropriately administerepinephrine using an auto-injector.Visual (See)1. The student should see various audio-visual aids or materials showing theassessment findings relative to minor allergic reactions.2. The student should see an actual epinephrine auto-injector.3. The student should see the instructor demonstrate the appropriate steps inusing an auto-injector.4. The student should see various audio-visual aids or materials showing theassessment findings of major allergic reactions and the appropriate use of theauto-injector.Kinesthetic (Do)1. The student should practice the correct way to use an epinephrineauto-injector.2. The student should practice role play treatment of a patient experiencing anallergic reaction.Module 4-59
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