First Responder EMS Curriculum for Training Centers in Eurasia

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Assistant Instructor:The instructor-to-student ratio should be 1:6 for psychomotor skills practice.Assistant instructors should be knowledgeable in airway techniques and management.ApplicationProcedural (How)Instructor will demonstrate the procedural activities from Chapter 7: Patient Assessment.Contextual (When, Where, Why)Instructor will review contextual information from Chapter 7: Patient Assessment.Student ActivitiesAuditory (Hearing)1. Students will listen to simulations of various safe and unsafe scenes.2. Students will listen to recordings of various patient situations to listen for cluesconcerning the general impression.3. Students will listen to normal and abnormal airway noises.4. Students will listen to breathing.5. Students will listen to information input from a responsive simulated patient or fromothers regarding signs and symptoms for patients who are unresponsive.6. Students will listen for the presence of breath sounds on fellow students.Visual (Seeing)1. Students will watch simulations of various safe and unsafe scenes.2. Students will view audiovisual aids or materials about various injuries.3. Students will watch the inspection and palpation of programmed patients (fellowstudents) for various injuries and patterns of injury.4. Students will look at landmarks for palpation and inspection.Kinesthetic (Doing)1. Students will role play the actions to take at various safe and unsafe scenes.2. Students will practice establishing mental status on programmed patients (fellowstudents) with various altered mental statuses.3. Students will practice airway-opening techniques on mannequins and on each other.4. Students will practice assessing breathing.5. Students will practice assessing pulses.6. Students will practice assessing for major bleeding.7. Students will practice recording assessment findings.8. Students will practice inspecting and palpating.248 First Responder EMS Curriculum/AIHA, July 2002
Instructor Activities• Supervise student practice.• Reinforce student progress in cognitive, affective, and psychomotor domains.• Redirect students having difficulty with content. (Complete remediation forms.)EvaluationPracticalEvaluate the actions of the First Responder students during role play, practice, or other skillsstations to determine their compliance with the cognitive and affective objectives and theirmastery of the psychomotor objectives of this lesson.RemediationIdentify students or groups of students who are having difficulty with this subject content.First Responder EMS Curriculum/AIHA, July 2002 249
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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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Medical EmergenciesContents1. Objec
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5. Demonstrate the steps in providi
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additional emergency medical person
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this internal temperature, adverse
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Signs and SymptomsSigns and symptom
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3. Ask questions in a calm, reassur
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EvaluationWrittenDevelop evaluation
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2. Attend to the feelings of the pa
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transmission of disease to yourself
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Sharp, pointed objects cause penetr
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c. Chemical BurnsChemical burns fro
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6. Partial-thickness burns7. Full-t
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2. Demonstrate opening the airway i
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3. Try to pad the extremity to prev
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soft tissue injuries. Remember, the
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2. IntroductionChildbirth can occur
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a. Delivery ProceduresWhen assistin
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5. Student Activitiesa. Auditory (H
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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
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Page 256 and 257: 3. DispatchDispatch is the communic
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Page 265 and 266: Documentation and Quality Managemen
Page 267 and 268: Identify concrete, specific project
Page 273 and 274: Practical Lab: AirwayObjectives1. C
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Page 281 and 282: Practical Lab: CirculationObjective
Page 283 and 284: Practical Lab: Illness and InjuryOb
Page 285 and 286: Instructor will demonstrate the pro
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Page 290 and 291: Assistant InstructorThe instructor-
Page 293 and 294: Practical Lab: Lifting and Moving P
Page 295: EvaluationPracticalEvaluate the act
Page 298 and 299: 4. Insert it posteriorly. Bevel sho
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Page 305 and 306: Skill Descriptions: Patient Assessm
Page 307 and 308: Skill Descriptions: CirculationNote
Page 309 and 310: 4. To determine whether the victim
Page 311 and 312: • Place the two fingers of one ha
Page 313 and 314: Skill Descriptions: Illness and Inj
Page 315: • Apply enough pressure to contro
Page 318 and 319: 12. As the feet are delivered, gras
Page 320 and 321: 2. The rescuer at the head places o
Page 322 and 323: Skill Algorithms: AirwayForeign Bod
Page 325 and 326: Trauma PatientSkill Algorithms: Pat
Page 327: 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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