First Responder EMS Curriculum for Training Centers in Eurasia

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42. During delivery, if you notice that the umbilical cord is wrapped around the baby’sneck, you should perform which of the following actions?A Do nothing, since this is harmless.B Clamp the umbilical cord in two places, then cut the cord between the clamps.C Place your finger under the cord and gently try to pull it over the baby’s head whiletransporting rapidly to the hospital.D Perform an emergency cesarean section.43. Which action should be performed as soon as possible after a baby is delivered?A Clear the baby’s airway and suction its mouth and nose with bulb suction (or wipe itwith gauze if bulb suction not available).B Record the child’s name, weight, and pulse.C Slap the baby’s feet.D Check for a pulse.44. What is the greatest danger to both mother and baby if trauma occurs duringpregnancy?A Musculoskeletal injuriesB Spinal injuriesC Psychological damageD Growth retardationE Hemorrhage and shock45. When caring for a pediatric patient, it is important to:A Stand up very tall to show them you are big enough to handle the situation.B Yell loudly so they will be sure to listen to you.C Be friendly, non-threatening, and allow them to have a toy and interact with theirparents if it does not compromise their care.D Ignore their crying and do what you need to do.46. All of the following are necessary in the treatment of pediatric seizures, except:A Check the ABCs and maintain an open airway.B Be alert for vomiting.C Place in the recovery position if no cervical-spine trauma is suspected.D Do not give glucose.E Do not even consider child abuse, because abuse and head trauma never results inseizures.47. Which of the following statements is incorrect regarding the heart?A The heart is made up of four chambers: two atria and two ventricles.B The right ventricle pumps oxygen-rich blood to the rest of the body.C The right ventricle pumps oxygen-poor blood to the lungs.D The heart has specialized pacemaker cells.400 First Responder EMS Curriculum/AIHA, July 2002
48. Which of the following is true?A A child’s airway is narrower than an adult’s and more easily obstructed.B An adult’s airway is narrower than a child’s and more easily obstructed.49. Which of the following is true?A A child’s head is proportionately larger than an adult’s, and therefore head injuries arecommon and significant injuries in children.B A child’s head is proportionately smaller than an adult’s, and therefore head injuries arenot common or significant injuries in children.50. Infections, poisoning, hypoglycemia, hypoxia, shock, seizures, and trauma can allcause altered mental status in children. True or false?A TrueB FalseFirst Responder EMS Curriculum/AIHA, July 2002 401
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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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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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Page 409 and 410: APPENDIX DRelief of Foreign-Body Ai
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First Responder EMS Curriculum for Training Centers in Eurasia

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