emt-basic curriculum module 4

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State of WisconsinEMT-Basic: A Practice BasedApproach to EMS EducationVI.VII.b) Place mother on oxygenc) Place mother in head down position with pelvis elevatedC. Limb presentation - occurs when a limb of the infant protrudes from thebirth canal. Is more commonly a foot when infant is in breechpresentation.1. Immediate rapid transportation upon recognition2. Place mother on oxygen3. Place mother in head down position with pelvis elevatedD. Shoulder dystocia – occurs when the infant’s shoulders get stuck in thebirth canal but the head has delivered.1. Immediate rapid transport2. Place mother on oxygen3. Support infant’s airway4. Keep pressure off the umbilical cordE. Multiple births1. Be prepared for more than one resuscitation2. Call for assistanceF. Meconium - amniotic fluid that is greenish or brownish-yellow ratherthan clear; an indication of possible fetal distress during labor1. Do not stimulate before suctioning oropharynx2. Suction3. Maintain airway4. Transport as soon as possibleG. Premature1. Always at risk for hypothermia2. Usually requires resuscitation, should be done unless physicallyimpossibleGynecological emergenciesA. Vaginal bleeding1. Body substance isolation2. AirwayB. Trauma - external genitalia - treat as other bleeding soft tissue injuries;never pack vagina, provide oxygen and on-going patient assessmentAlleged sexual assault - criminal assault situations require initial and on-goingassessment/management and psychological care. Emergency medical care:1. Body substance isolation2. Airway management3. Portray a non-judgmental attitude4. Reassure patient of their safety5. Crime scene protectiona) Minimize contamination of crime sceneb) Attempt to preserve evidencec) Minimize number of rescue personnel entering the scened) Minimize “chain of evidence”e) Enlist law enforcement assistance for evidence collection6. Evidence preservation – discourage patient from:Module 4-98
State of WisconsinEMT-Basic: A Practice BasedApproach to EMS Educationa) Bathingb) Voiding or defecatingc) Cleaning woundsd) Drinking fluids or brushing teeth. If patient insists onbrushing teeth, have them chew on gauze first andpreserve by placing in a paper bag.e) Changing clothes. If patient absolutely insists onchanging clothes, have them stand on a clean or sterilesheet to undress. Save sheet and patient’s clothing in apaper bag.7. Examine genitalia only if profuse bleeding present8. Use same gender EMT-Basic for care when possible9. Follow crime reporting requirementsAPPLICATIONProcedural (How)1. Demonstrate the steps to assist in the normal delivery.2. Demonstrate necessary care procedures of the fetus as the head appears.3. Demonstrate neonatal resuscitation procedures.4. Demonstrate how and when to cut the umbilical cord.5. Discuss the steps in delivery of the placenta.6. Demonstrate the post-delivery care of mothers and neonates.7. Demonstrate the procedures for the following abnormal deliveries: Breechbirth, prolapsed cord, limb presentation.8. Demonstrate the steps in emergency medical care of the mother withexcessive bleeding.9. Demonstrate the steps in the emergency care of the female patient withgynecological disorders.Contextual (When, Where, Why)1. Care of patients with prehospital conditions involving reproductive organs arenot common.2. This private condition to the patient requires the most professional, safe andeffective care by the EMT-Basic.3. Knowledge and skills practice in the laboratory setting, particularly for out-ofhospitalchildbirth, help the student maintain professionalism, understandthese uncommon emergency care situations and support the patient as theyseek definitive care in the receiving facility.STUDENT ACTIVITIESAuditory (Hear)1. The student should hear a video tape of a mother in the final stages of laborwhich provides samples of mother's actions during this painful process.Module 4-99
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emt-basic curriculum module 4

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