First Responder EMS Curriculum for Training Centers in Eurasia

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172 First Responder EMS Curriculum/AIHA, July 2002
Injuries to Muscles and BonesContents1. Objectivesa. Cognitiveb. Affectivec. Psychomotor2. Introduction3. Review of the Musculoskeletal System4. Injuries to Bones and Jointsa. Signs and Symptomsb. Management5. Injuries to the Spinea. Signs and Symptomsb. Assessing the Potential Spine-Injured patientc. Management6. Injuries to the Brain and Skulla. Management7. Special Considerationsa. Multiple Traumab. Abdominal/Genitourinary Trauma8. Application of Content Materiala. Procedural (How)b. Contextual (When, Where, Why)9. Student Activitiesa. Auditory (Hearing)b. Visual (Seeing)c. Kinesthetic (Doing)1. Objectivesa. Cognitive ObjectivesAt the completion of this lesson, the First Responder student will be able to:1. Describe the function of the musculoskeletal system.2. Differentiate between an open and a closed painful, swollen, deformed extremity.3. List the emergency medical care for a patient with a painful, swollen, deformedextremity.4. Relate mechanism of injury to potential injuries of the head and spine.5. State the signs and symptoms of a potential spine injury.6. Describe the method of determining if a responsive patient may have a spine injury.7. List the signs and symptoms of injury to the head.8. Describe the emergency medical care for injuries to the head.b. Affective ObjectivesAt the completion of this lesson, the First Responder student will be able to:1. Explain the rationale for the feeling patients have who need immobilization of apainful, swollen, deformed extremity.2. Demonstrate a caring attitude toward the patient with a musculoskeletal injury whorequests emergency medical services.3. Place the interests of the patient with a musculoskeletal injury as the foremostconsideration when making any and all patient care decisions.4. Communicate with empathy to patients with a musculoskeletal injury, as well aswith 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 the emergency medical care of a patient with a painful, swollen,deformed extremity.First Responder EMS Curriculum/AIHA, July 2002 173
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PrefaceIn the region of Central and
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Practical Lab MaterialsAirway .....
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Guidelines for Conducting the First
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sheets supplied in this guide will
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should have attended a workshop tha
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Job Description: First ResponderThe
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c. Additional Skills1. Use of the t
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as possible. After students have pr
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Guidelines for Case-Based Practical
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General Lecturing GuidelinesChapter
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discussing the different methods of
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survival. First Responders include
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medical director functions to ensur
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First Responder EMS Curriculum/AIHA
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Well-Being of the First ResponderCo
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and family. Do not become defensive
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1. Eye protection. Safety glasses m
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Legal and Ethical IssuesContents1.
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a. Expressed ConsentExpressed conse
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14. DocumentationProviding written
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The Human Body: A Systems ApproachC
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that the pharynx performs the dual
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c. Kinesthetic (Doing)1. Students w
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38 First Responder EMS Curriculum/A
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Lifting and Moving PatientsContents
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If the patient is on the floor or g
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7. Application of Content Materiala
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14. Describe how to clear a foreign
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Precautions1. Finger must not press
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. Finger SweepsThis method involves
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4. Place your other fingers along t
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. Management of the Obstructed Airw
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5. Students will practice ventilati
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19. Explain what additional questio
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can be determined by questioning th
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Determine estimated time of arrival
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E - Events Leading to the Injury or
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c. Kinesthetic (Doing)1. Students w
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100 First Responder EMS Curriculum/
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CirculationContents1. Objectivesa.
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Veins are the vessels that carry bl
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Step 5:Step 6:Step 7:Step 8:Step 9:
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Steps of Infant CPRStep 1: Assess r
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a. Use of the Semiautomatic Externa
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PracticalEvaluate the actions of th
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Page 153 and 154: Medical EmergenciesContents1. Objec
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Page 161 and 162: Signs and SymptomsSigns and symptom
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Page 186 and 187: 2. Attend to the feelings of the pa
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Page 190 and 191: Sharp, pointed objects cause penetr
Page 192 and 193: c. Chemical BurnsChemical burns fro
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Page 204 and 205: 2. Demonstrate opening the airway i
Page 206 and 207: 3. Try to pad the extremity to prev
Page 208 and 209: soft tissue injuries. Remember, the
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Page 222 and 223: 2. IntroductionChildbirth can occur
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Page 235 and 236: Infants and ChildrenContents1. Obje
Page 237 and 238: Suctioning the airway also is an im
Page 239 and 240: 6. Common Problems in Infants and C
Page 241 and 242: Remember that parents will be in ag
Page 243 and 244: Vigorous shaking of a baby may show
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3. DispatchDispatch is the communic
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in the absence of airway problems,
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Documentation and Quality Managemen
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Identify concrete, specific project
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Practical Lab: AirwayObjectives1. C
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6. Students will practice insertion
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Assistant Instructor:The instructor
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Practical Lab: CirculationObjective
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Practical Lab: Illness and InjuryOb
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Instructor will demonstrate the pro
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19. Students will practice manual s
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Assistant InstructorThe instructor-
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Practical Lab: Lifting and Moving P
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EvaluationPracticalEvaluate the act
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4. Insert it posteriorly. Bevel sho
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• 20 breaths per minute for child
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one per second, each with the inten
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Skill Descriptions: Patient Assessm
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Skill Descriptions: CirculationNote
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4. To determine whether the victim
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• Place the two fingers of one ha
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Skill Descriptions: Illness and Inj
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• Apply enough pressure to contro
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12. As the feet are delivered, gras
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2. The rescuer at the head places o
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Skill Algorithms: AirwayForeign Bod
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Trauma PatientSkill Algorithms: Pat
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Skill Algorithms: Patient Assessmen
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Two-Person CPRSkill Algorithms: Cir
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External BleedingSkill Algorithms:
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Skill Algorithms: Illness and Injur
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Skill Algorithms: Childbirth and Ch
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Skill Algorithms: Lifting and Movin
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Skill Algorithms: Lifting and Movin
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Sample Case Scenario - Patient Asse
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Sample Case Scenario - Illness and
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Sample Case Scenario - Childbirth a
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• Demonstrate the extremity lift.
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Figure 6. Check for unresponsivenes
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Head Tilt-Chin Lift ManeuverTo acco
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help. Monitor the victim, particula
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necessary to open the victim's mout
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In the second technique (lateral te
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is important to note that this smal
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CirculationAssessment: No Pulse Che
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these arteries even when hypotensio
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the nipples. This method has been u
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Current evidence indicates that the
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assess the victim's responsiveness
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arrhythmias should be instructed to
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jaw lift, for use in unresponsive v
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Figure 29. Mouth-to-mouth breathing
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Types of Ventilation Bags (Manual R
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Gastric Inflation. Increasing inspi
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. Specificity (ability to correctly
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After provision of approximately 20
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Chest Compression in the Infant (<
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ventilation after every fifth compr
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Coordination of Compressions and Re
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necessary to maintain optimal venti
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5. Keep foreign objects (i.e., marb
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Figure 38. Subdiaphragmaticabdomina
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tongue. Then use a hooking action t
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APPENDIX DRelief of Foreign-Body Ai
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Figure 41. Infant back blows to rel
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4. Repeat steps 1 through 3 until t
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6. It may be necessary for the Firs
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18. The correct rate to deliver che
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30. What is the greatest danger to
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First Responder Post-Course Test1.
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12. Which of the following statemen
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24. Components of an ongoing assess
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36. An adult patient sustains burns
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48. Which of the following is true?
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First Responder Extra Test Question
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11. Negligence is the deviation fro
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Answer KeyFirst Responder Extra Tes
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First Responder EMS Curriculum for Training Centers in Eurasia

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