First Responder EMS Curriculum for Training Centers in Eurasia

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Assistant InstructorThe instructor-to-student ratio should be 1:6 for psychomotor skills practice.Assistant instructors should be knowledgeable in basic life support and airway managementtechniques.ApplicationProcedural (How)Instructor will demonstrate the procedural activities from Chapter 8: Circulation.Contextual (When, Where, Why)Instructor will review contextual information from Chapter 8: Circulation.Student ActivitiesAuditory (Hearing)1. Students will listen to actual cases where cardiac arrest resuscitation efforts weresuccessful and unsuccessful and the reasons for the outcomes.Visual (Seeing)1. Students will watch an instructor team appropriately resuscitate a simulated cardiacarrest patient.2. Students will watch re-enactments of cardiac arrest resuscitation efforts by FirstResponders.Kinesthetic (Doing)1. Students will practice the assessment and emergency medical care of a patient in cardiacarrest.2. Students will practice assessment, airway management, and emergency medical care andtransportation of a mannequin in a simulated cardiac arrest situation.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.EnrichmentWhat is unique in the local area concerning this topic?252 First Responder EMS Curriculum/AIHA, July 2002
Practical Lab: Illness and InjuryObjectives1. Cognitive ObjectivesAt the completion of this lesson, the First Responder student will be able to:1. Demonstrate the cognitive objectives of Chapter 9: Medical Emergencies2. Demonstrate the cognitive objectives of Chapter 10: Bleeding and Soft Tissue Injuries3. Demonstrate the cognitive objectives of Chapter 11: Injuries to Muscles and Bones2. Affective ObjectivesAt the completion of this lesson, the First Responder student will be able to:1. Demonstrate the affective objectives of Chapter 9: Medical Emergencies2. Demonstrate the affective objectives of Chapter 10: Bleeding and Soft Tissue Injuries3. Demonstrate the affective of Chapter 11: Injuries to Muscles and Bones3. Psychomotor ObjectivesAt the completion of this lesson, the First Responder student will be able to:1. Demonstrate the steps in providing emergency medical care to a patient with a generalmedical complaint.2. Demonstrate the steps in providing emergency medical care to a patient with an alteredmental status.3. Demonstrate the steps in providing emergency medical care to a patient with seizures.4. Demonstrate the steps in providing emergency medical care to a patient with anexposure to cold.5. Demonstrate the steps in providing emergency medical care to a patient with anexposure to heat.6. Demonstrate the steps in providing emergency medical care to a patient with abehavioral change.7. Demonstrate the steps in providing emergency medical care to a patient with apsychological crisis.8. Demonstrate direct pressure as a method of emergency medical care for externalbleeding.9. Demonstrate the use of diffuse pressure as a method of emergency medical care forexternal bleeding.10. Demonstrate the use of pressure points as a method of emergency medical care forexternal bleeding.11. Demonstrate the care of the patient exhibiting signs and symptoms of internal bleeding.12. Demonstrate the steps in the emergency medical care of open soft tissue injuries.13. Demonstrate the steps in the emergency medical care of a patient with an open chestwound.14. Demonstrate the steps in the emergency medical care of a patient with open abdominalwounds.15. Demonstrate the steps in the emergency medical care of a patient with an impaledobject.16. Demonstrate the steps in the emergency medical care of a patient with an amputation.First Responder EMS Curriculum/AIHA, July 2002 253
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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
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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 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
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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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