First Responder EMS Curriculum for Training Centers in Eurasia

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medical director functions to ensure that pre-hospital EMS providers are trained to acompetency level consistent with their level of training. The medical director providesoversight, advice, and further medical direction to pre-hospital providers in the field whennecessary. Two types of medical oversight may be used. (1) Direct medical controlinvolves direct communication between the physician and pre-hospital providers at thescene. This communication may be via radio, telephone, or actual contact with a physicianon scene. (2) Indirect medical control includes everything that is not direct medical control,including both prospective and retrospective design and evaluation of the EMS system.Medical oversight involves system design, standardized protocol development, continuingeducation, and quality control management. The First Responder is considered anextension of the medical director’s authority in the field.11. Application of Content Materiala. Procedural (How)None identified for this lessonb. Contextual (When, Where, Why)The students will use the information provided in this lesson to understand the workingrelationship between the First Responder and other personnel within the EMS system.The students will gain sufficient knowledge and skills to function as First Respondersand to understand the limitations of this level of training. The students will understandthe process of gaining and maintaining certification, as well as the local and nationallegislative changes affecting the profession. An understanding of the EMS system, andthe roles and responsibilities of the First Responder within the system, will create thefoundation for all future education and training. It is essential for the instructor topresent a positive, helpful attitude to ensure a positive, helpful attitude from thestudents.12. Student Activitiesa. Auditory (Hearing)1. Students will hear specifically what they can expect to receive from the trainingprogram.2. Students will hear the specific expectations of the training program.3. Students will hear actual state and local legislation relative to EMS practice andcertification.b. Visual (Seeing)1. Students will view audiovisual materials explaining the components of thehealthcare system, First Responder level of care, First Responder’s roles andresponsibilities, professional attributes, and certification requirements.2. Students will receive a copy of the cognitive, affective, and psychomotor objectivesfor the entire curriculum.3. Students will receive the final skill evaluation instruments.c. Kinesthetic (Doing)1. Students will complete the necessary course paperwork.2. Students will practice situations in which First Responders portray professionalattributes.4First Responder EMS Curriculum/AIHA, July 2002
3. Students will indicate if they will require assistance during the course orcertification process.Instructor Activities• Facilitate discussion and supervise practice.• Reinforce student progress in cognitive, affective, and psychomotor areas.• Redirect students having difficulty with course content.EvaluationWrittenDevelop evaluation instruments (e.g., quizzes, oral reviews, and handouts) to determine if thestudents have met the cognitive and affective objectives of this lesson.PracticalEvaluate the actions of the First Responder students during role play, practice, or other skillsstations to determine their compliance with the cognitive, affective, and psychomotor objectivesof this lesson.First Responder EMS Curriculum/AIHA, July 2002 5
Page 3: PrefaceIn the region of Central and
Page 8 and 9: Practical Lab MaterialsAirway .....
Page 11 and 12: Guidelines for Conducting the First
Page 13 and 14: sheets supplied in this guide will
Page 15 and 16: should have attended a workshop tha
Page 17 and 18: Job Description: First ResponderThe
Page 19: c. Additional Skills1. Use of the t
Page 22 and 23: as possible. After students have pr
Page 25 and 26: Guidelines for Case-Based Practical
Page 27 and 28: General Lecturing GuidelinesChapter
Page 29: discussing the different methods of
Page 32 and 33: survival. First Responders include
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Page 41 and 42: Well-Being of the First ResponderCo
Page 43 and 44: and family. Do not become defensive
Page 45 and 46: 1. Eye protection. Safety glasses m
Page 51 and 52: Legal and Ethical IssuesContents1.
Page 53 and 54: a. Expressed ConsentExpressed conse
Page 55 and 56: 14. DocumentationProviding written
Page 61 and 62: The Human Body: A Systems ApproachC
Page 63 and 64: that the pharynx performs the dual
Page 65: c. Kinesthetic (Doing)1. Students w
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Page 75 and 76: Lifting and Moving PatientsContents
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First Responder EMS Curriculum/AIHA
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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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74 First Responder EMS Curriculum/A
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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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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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