First Responder EMS Curriculum for Training Centers in Eurasia

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– Do not use dry ice.7. Management of Burns1. Comfort, calm, and reassure the patient while awaiting additional emergency medicalservices (EMS) resources.2. Stop the burning process initially with water or saline.3. Remove smoldering clothing and jewelry.• Be aware that some clothing may have melted to the skin.• If you meet resistance when removing the clothing, leave the clothing in place.4. Maintain body substance isolation.5. Continually monitor the airway for evidence of closure.6. Prevent further contamination.7. Cover the burned area with a dry sterile dressing.8. Do not use any type of ointment, lotion, or antiseptic.9. Do not break blisters.8. Emergency Medical Care of Bone or Joint Injuries1. Maintain body substance isolation.2. After controlling life-threatening injuries, allow patient to remain in a position ofcomfort.3. Apply cold pack to area of painful, swollen, deformed extremity to reduce swelling andpain.4. Manually stabilize extremity:• Support above and below an injury.• Cover open wounds with a sterile dressing.• Pad to prevent pressure and discomfort to the patient.• When in doubt, manually stabilize the injury.• Do not intentionally replace the protruding bones.9. Emergency Medical Care of Spinal Injuries1. Maintain body substance isolation.2. Establish and maintain manual stabilization:• Maintain constant manual stabilization.• Release when additional EMS resources have properly secured the patient to abackboard with the head stabilized.3. Perform initial assessment:• Whenever possible, control airway without moving the patient's head.• Whenever possible, perform artificial ventilation without moving the head.4. Assess pulse, motor, and sensation in all extremities.10. Emergency Medical Care of Brain and Skull Injuries1. Maintain body substance isolation.2. Maintain airway/artificial ventilation/oxygenation.3. Perform initial assessment with manual spinal stabilization on scene.4. Closely monitor patient’s mental status for deterioration.5. Control bleeding:284 First Responder EMS Curriculum/AIHA, July 2002
• Apply enough pressure to control the bleeding, without disturbing the underlyingtissue.• Dress and bandage open wound as indicated in the emergency medical care of softtissue injuries.6. Be prepared for changes in patient’s condition.First Responder EMS Curriculum/AIHA, July 2002 285
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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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Infants and ChildrenContents1. Obje
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Suctioning the airway also is an im
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6. Common Problems in Infants and C
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Remember that parents will be in ag
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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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Page 263 and 264: First Responder EMS Curriculum/AIHA
Page 265 and 266: Documentation and Quality Managemen
Page 267 and 268: Identify concrete, specific project
Page 273 and 274: Practical Lab: AirwayObjectives1. C
Page 275: 6. Students will practice insertion
Page 278 and 279: Assistant Instructor:The instructor
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
Page 287: 19. Students will practice manual s
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 302 and 303: one per second, each with the inten
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: Skill Descriptions: Illness and Inj
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
Page 330 and 331: Two-Person CPRSkill Algorithms: Cir
Page 333 and 334: External BleedingSkill Algorithms:
Page 335: Skill Algorithms: Illness and Injur
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Page 341 and 342: Skill Algorithms: Lifting and Movin
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Page 347: Sample Case Scenario - Patient Asse
Page 351 and 352: Sample Case Scenario - Illness and
Page 353: Sample Case Scenario - Childbirth a
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Page 358 and 359: Figure 6. Check for unresponsivenes
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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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