emt-basic curriculum module 4

State of WisconsinPrimary Instructor:Assistant Instructor:EMT-Basic: A Practice BasedApproach to EMS EducationPERSONNELOne EMT-Basic instructor familiar with childbirth who haseither delivered a child in the out-of-hospital setting orhas seen or assisted with a vaginal delivery within thehospital.The instructor-to-student ratio should be 1:6 forpsychomotor skill practice. Individuals used as assistantinstructors should be knowledgeable inobstetric/gynecological emergencies.PRESENTATIONDeclarative (What)I. Reproductive anatomy and physiologyA. Fetus - developing unborn babyB. Uterus - organ in which a fetus grows, responsible for labor andexpulsion of infantC. Birth Canal - vagina and lower part of the uterusD. Placenta - fetal organ through which fetus exchanges nourishment andwaste products during pregnancyE. Umbilical cord - cord which is an extension of the placenta throughwhich fetus receives nourishment while in the uterusF. Amniotic sac (bag of water) - the sac that surrounds the fetus insidethe uterusG. Vagina - lower part of the birth canalH. Perineum - skin area between vagina and anus, commonly torn duringdeliverI. Crowning - the bulging-out of the vagina which is opening as the fetus'head or presenting part presses against itJ. "Bloody Show" - mucus and blood that may come out of the vagina aslabor beginsK. Labor - the time and process (defined in 3 or 4 stages) beginning withthe first uterine muscle contraction until delivery of the placenta1. Delivery is imminent2. Crowning3. In the process of deliveringL. Presenting Part - the part of the infant/fetus that comes first - usuallythe headM. Abortion - miscarriage - delivery of products of conception early inpregnancyII. Contents of a childbirth delivery kitA. Surgical scissorsB. Hemostats or cord clampsC. Umbilical tape or sterilized cordModule 4-93