First Responder EMS Curriculum for Training Centers in Eurasia

2. Attend to the feelings of the patient with a soft tissue injury or bleeding.3. Demonstrate a caring attitude toward patients with a soft tissue injury or bleedingwho request emergency medical services.4. Place the interests of the patient with a soft tissue injury as the foremostconsideration when making any and all patient care decisions.5. Communicate with empathy to patients with a soft tissue injury or bleeding, as wellas with family members and friends of the patient.c. Psychomotor ObjectivesAt the completion of this lesson, the First Responder student will be able to:1. Demonstrate direct pressure as a method of emergency medical care for externalbleeding.2. Demonstrate the use of diffuse pressure as a method of emergency medical care forexternal bleeding.3. Demonstrate the use of pressure points as a method of emergency medical care forexternal bleeding.4. Demonstrate the care of the patient exhibiting signs and symptoms of internalbleeding.5. Demonstrate the steps in the emergency medical care of open soft tissue injuries.6. Demonstrate the steps in the emergency medical care of a patient with an open chestwound.7. Demonstrate the steps in the emergency medical care of a patient with an openabdominal wound.8. Demonstrate the steps in the emergency medical care of a patient with an impaledobject.9. Demonstrate the steps in the emergency medical care of a patient with anamputation.10. Demonstrate the steps in the emergency medical care of an amputated part.2. IntroductionTrauma is the leading cause of death in the United States in persons between the ages of 1and 44 years. Trauma is prevalent throughout all regions of the world. Traumatic injuriesoccur as a result of many different scenarios, such as automobile accidents,workplace/industrial injuries, direct physical altercations, the use of weapons (knifes,guns), athletic activities, and physical abuse. Traumatic injuries and bleeding are some ofthe most dramatic situations that the First Responder will encounter. The early control ofmajor bleeding has great life-saving potential.Soft tissue injuries are common and often dramatic, but rarely life threatening. These softtissue injuries range from minor abrasions to serious, full-thickness burns. The FirstResponder must become familiar with the emergency medical care of soft tissue injuries.Emphasis will be placed on methods to control bleeding, prevent further injury, and reducecontamination and subsequent infection or tissue death.3. BleedingA patient who is bleeding often presents in a dramatic fashion. Unlike other medical ortraumatic injuries or complaints, which may not have as obvious external signs, bleeding isreadily visible and often startling. It is important to approach bleeding patients in a156 First Responder EMS Curriculum/AIHA, July 2002