EMS5602 EMERGENCY MEDICAL TECHNICIAN II (EMT 2)

6 Credit Hours

Student Level:

This course is open to students on the college level in the freshman or sophomore year.

Catalog Description:

EMS5602 - Emergency Medical Technician II (6 hrs)

The Emergency Medical Technician 1 (EMT 1) and EMT 2 courses are designed to be taken consecutively to provide students with an academic and working knowledge to become Kansas certified EMTs and to provide basic life support patient care. It provides the basic concepts of emergency care, which are needed to function as an EMT. Students must successfully complete the EMT 1 and EMT 2 courses in consecutive semesters to be eligible for state board certification. This class will be helpful for other health care fields and is a prerequisite for the Paramedic course.

Course Classification:

2 credit Lecture/4 credit Lab

Prerequisites:

Successful completion of EMS5601 Emergency Medical Technician 1 (EMT 1) with a “C” in the immediate preceding semester.

Controlling Purpose:

Learner Outcomes:

Upon completion of this course, the student will develop competencies in the language of emergency medical care. The student will be able to perform a patient assessment and deliver basic patient care based on the findings. Students will be able to deliver basic life support care procedures, including CPR, immobilization, extrication, automated external defibrillation (AED), assist with medication administration, basic airway care and wound care.

Unit Outcomes for Criterion Based Evaluation:

The following defines the minimum core content not including the final examination period. Instructors may add other content as time allows.

UNIT 1: Medical Emergencies

Outcomes: The student will gain an understanding and ability to provide basic life support to patients who have suffered a medical emergency. The student will demonstrate the ability to:

Identify which medications will be carried on the unit.
State the medications carried on the unit by the generic name.
Identify the medications with which the EMT may assist the patient with administering.
State the medications the EMT can assist the patient with by the generic name.
Discuss the forms in which the medications may be found.
Explain the rationale for the administration of medications.
Demonstrate general steps for assisting patient with self administration of medications.
Read the labels and inspect each type of medication.
Demonstrate the emergency medical care for breathing difficulty.
Demonstrate proper use and interpretation of Pulse Oximetry
Perform the steps in facilitating the use of an inhaler.
Perform the steps in delivering nebulized breathing treatments
Demonstrate the assessment and emergency medical care of a patient experiencing chest pain/discomfort.
Demonstrate the application and operation of the automated external defibrillator.
Demonstrate the maintenance of an automated external defibrillator.
Demonstrate the assessment and documentation of patient response to the automated external defibrillator.
Demonstrate the skills necessary to complete the Automated Defibrillator: Operator’s Shift Checklist.
Perform the steps in facilitating the use of nitroglycerin for chest pain or discomfort.
Demonstrate the assessment and documentation of patient response to nitroglycerin.
Perform the steps in administration of aspirin for chest pain or discomfort.
Demonstrate the assessment and documentation of a patient response to aspirin.
Complete a prehospital care report for patients with cardiac emergencies.
Demonstrate the steps in the emergency medical care for the patient taking diabetic medicine with an altered mental status and a history of diabetes.
Demonstrate proper use and interpretation of glucometer.
Demonstrate the steps in the administration of oral glucose.
Demonstrate the assessment and documentation of patient response to oral glucose.
Demonstrate how to complete a prehospital care report for patients with diabetic emergencies.
List the structure and function of the respiratory system.
State the signs and symptoms of a patient with breathing difficulty.
Describe the emergency medical care of the patient with breathing difficulty.
Recognize the need for medical direction to assist in the emergency medical care of the patient with breathing difficulty.
Describe the emergency medical care of the patient with breathing distress.
Establish the relationship between airway management and the patient with breathing difficulty.
List signs of adequate air exchange.
State the generic name, medication forms, dose, administration, action, indications and contraindications for the prescribed inhaler.
Distinguish between the emergency medical care of the infant, child and adult patient with breathing difficulty.
Differentiate between upper airway obstruction and lower airway disease in the infant and child patient.
Defend EMT treatment regimens for various respiratory emergencies.
Explain the rationale for administering an inhaler.
Explain the rationale for utilizing nebulized breathing treatment.
Describe the structure and function of the cardiovascular system.
Describe the emergency medical care of the patient experiencing chest pain/discomfort.
List the indications for automated external defibrillation (AED).
List the contraindications for automated external defibrillation.
Define the role of EMT in the emergency cardiac care system.
Explain the impact of age and weight on defibrillation.
Discuss the position of comfort for patients with various cardiac emergencies.
Establish the relationship between airway management and the patient with cardiovascular compromise.
Predict the relationship between the patient experiencing cardiovascular compromise and basic life support.
Discuss the fundamentals of early defibrillation.
Explain the rationale for early defibrillation.
Explain that not all chest pain patients result in cardiac arrest and do not need to be attached to an automated external defibrillator.
Explain the importance of prehospital ACLS intervention if it is available.
Explain the importance of urgent transport to a facility with Advanced Cardiac Life Support if it is not available in the prehospital setting.
Discuss the various types of automated external defibrillators.
Differentiate between the fully automated and the semiautomated defibrillator.
Discuss the procedures that must be taken into consideration for standard operations of the various types of automated external defibrillators.
State the reasons for assuring that the patient is pulseless and apneic when using the automated external defibrillator.
Discuss the circumstances which may result in inappropriate shocks.
Explain the considerations for interruption of CPR, when using the automated external defibrillator.
Discuss the advantages and disadvantages of automated external defibrillators.
Summarize the speed of operation of automated external defibrillation.
Discuss the use of remote defibrillation through adhesive pads.
Discuss the special considerations for rhythm monitoring.
List the steps in the operation of the automated external defibrillator.
Discuss the standard of care that should be used to provide care to a patient with persistent ventricular fibrillation and no available ACLS.
Discuss the standard of care that should be used to provide care to a patient with recurrent ventricular fibrillation and no available ACLS.
Differentiate between the single rescuer and multi‑rescuer care with an automated external defibrillator.
Explain the reason for pulses not being checked between shocks with an automated external defibrillator.
Discuss the importance of coordinating ACLS trained providers with personnel using automated external defibrillators.
Discuss the importance of post-resuscitation care.
List the components of post-resuscitation care.
Explain the importance of frequent practice with the automated external defibrillator.
Discuss the need to complete the Automated Defibrillator: Operator’s Shift Checklist.
Discuss the role of the American Heart Association (AHA) in the use of automated external defibrillation.
Explain the role medical direction plays in the use of automated external defibrillation.
State the reasons why a case review should be completed following the use of the automated external defibrillator.
Discuss the components that should be included in a case review.
Discuss the goal of quality improvement in automated external defibrillation.
Define the function of all controls on an automated external defibrillator, and describe event documentation and battery defibrillator maintenance.
Defend the reasons for obtaining initial training in automated external defibrillation and the importance of continuing education.
Defend the reason for maintenance of automated external defibrillators.
Recognize the need for medical direction of protocols to assist in the emergency medical care of the patient with chest pain.
List the indications for the use of nitroglycerin.
State the contraindications and side effects for the use of nitroglycerin.
Explain the rationale for administering nitroglycerin to a patient with chest pain or discomfort.
List the indications for the use of aspirin.
State contraindications and side effects for the use of aspirin.
Explain the rationale of administering aspirin to a patient with chest pain.
Identify the patient taking diabetic medications with altered mental status and the implications of a diabetes history.
State the steps in the emergency medical care of the patient taking diabetic medicine with an altered mental status and a history of diabetes.
Identify need for utilization of blood glucometer.
Establish the relationship between airway management and the patient with altered mental status.
State the generic and trade names, medication forms, dose, administration, action, and contraindications for oral glucose.
Evaluate the need for medical direction in the emergency medical care of the diabetic patient.
Explain the rationale for administering oral glucose.
Recognize the patient experiencing an allergic reaction.
Describe the emergency medical care of the patient with an allergic reaction.
Establish the relationship between the patient with an allergic reaction and airway management.
Describe the mechanisms of allergic response and the implications for airway management.
State the generic and trade names, medication forms, dose, administration, action, and contraindications for the epinephrine auto-injector.
Evaluate the need for medical direction in the emergency medical care of the patient with an allergic reaction.
Differentiate between the general category of those patients having an allergic reaction and those patients having an allergic reaction and requiring immediate medical care, including immediate use of epinephrine auto-injector.
Explain the rationale for administering epinephrine using an auto-injector.
Demonstrate the emergency medical care of the patient experiencing an allergic reaction.
Demonstrate the use of epinephrine auto-injector.
Demonstrate the assessment and documentation of patient response to an epinephrine injection.
Demonstrate proper disposal of equipment.
Demonstrate completing a prehospital care report for patients with allergic emergencies.
Demonstrate the steps in the emergency medical care for the patient with possible overdose.
Demonstrate the steps in the emergency medical care for the patient with suspected poisoning.
Perform the necessary steps required to provide a patient with activated charcoal.
Demonstrate the assessment and documentation of patient response.
Demonstrate proper disposal of administration of activated charcoal equipment.
Demonstrate completing a prehospital care report for patients with a poisoning/overdose emergency.
List various ways that poisons enter the body.
List signs/symptoms associated with poisoning.
Discuss the emergency medical care for the patient with possible overdose.
Describe the steps in the emergency medical care for the patient with suspected poisoning.
Establish the relationship between the patient suffering from poisoning or overdose and airway management.
State the generic and trade names, indications, contraindications, medication form, dose, administration, actions, side effects and re-assessment strategies for activated charcoal.
Recognize the need for medical direction in caring for the patient with poisoning or overdose.
Explain the rationale for administering activated charcoal.
Explain the rationale for contacting medical direction early in the prehospital management of the poisoning or overdose patient.
Describe the various ways that the body loses heat.
List the signs and symptoms of exposure to cold.
Explain the steps in providing emergency medical care to a patient exposed to cold.
List the signs and symptoms of exposure to heat.
Explain the steps in providing emergency care to a patient exposed to heat.
Recognize the signs and symptoms of water-related emergencies.
Describe the complications of near drowning.
Discuss the emergency medical care of bites and stings.
Demonstrate the assessment and emergency medical care of a patient with exposure to cold.
Demonstrate the assessment and emergency medical care of a patient with exposure to heat.
Demonstrate the assessment and emergency medical care of a near drowning patient.
Demonstrate completing a prehospital care report for patients with environmental emergencies.
Demonstrate the assessment and emergency medical care of the patient experiencing a behavioral emergency.
Demonstrate various techniques to safely restrain a patient with a behavioral problem.
Define behavioral emergencies.
Discuss the general factors that may cause an alteration in a patient’s behavior.
State the various reasons for psychological crises.
Discuss the characteristics of an individual’s behavior which suggests that the patient is at risk for suicide.
Discuss special medical/legal considerations for managing behavioral emergencies.
Discuss the special considerations for assessing a patient with behavioral problems.
Discuss the general principles of an individual’s behavior which suggests that he is at risk for violence.
Discuss methods to calm behavioral emergency patients.
Explain the rationale for learning how to modify your behavior toward the patient with a behavioral emergency.
Identify the following structures: Uterus, vagina, fetus, placenta, umbilical cord, amniotic sac, perineum.
Identify and explain the use of the contents of an obstetrics kit.
Identify predelivery emergencies.
State indications of an imminent delivery.
Differentiate the emergency medical care provided to a patient with predelivery emergencies from a normal delivery.
State the steps in the predelivery preparation of the mother.
Establish the relationship between body substance isolation and childbirth.
State the steps to assist in the delivery.
Describe care of the baby as the head appears.
Describe how and when to cut the umbilical cord.
Discuss the steps in the delivery of the placenta.
List the steps in the emergency medical care of the mother post-delivery.
Summarize neonatal resuscitation procedures.
Describe the procedures for the following abnormal deliveries: Breech birth, prolapsed cord, limb presentation.
Differentiate the special considerations for multiple births.
Describe special considerations of meconium.
Describe special considerations of a premature baby.
Explain the rationale for understanding the implications of treating two patients (mother and baby).
Demonstrate the steps to assist in the normal cephalic delivery.
Demonstrate necessary care procedures of the fetus as the head appears.
Demonstrate infant neonatal procedures.
Demonstrate post delivery care of infant.
Demonstrate how and when to cut the umbilical cord.
Attend to the steps in the delivery of the placenta.
Demonstrate the post-delivery care of the mother.
Demonstrate the procedures for the following abnormal deliveries: vaginal bleeding, breech birth, prolapsed cord, limb presentation.
Demonstrate the steps in the emergency medical care of the mother with excessive bleeding.
Demonstrate completing a prehospital care report for patients with obstetrical/gynecological emergencies.

UNIT 2: Traumatic Emergencies

Outcomes: The student will gain an understanding and ability to provide basic life support to patients who have suffered a traumatic event. The student will demonstrate the ability to:

List the structure and function of the circulatory system.
Differentiate between arterial, venous and capillary bleeding.
State methods of emergency medical care of external bleeding.
Establish the relationship between body substance isolation and bleeding.
Establish the relationship between airway management and the trauma patient.
Establish the relationship between mechanism of injury and internal bleeding.
List the signs of internal bleeding.
List the steps in the emergency medical care of the patient with signs and symptoms of internal bleeding.
List signs and symptoms of shock (hypoperfusion).
State the steps in the emergency medical care of the patient with signs and symptoms of shock (hypoperfusion).
Explain the sense of urgency to transport patients that are bleeding and show signs of shock (hypoperfusion).
Demonstrate direct pressure as a method of emergency medical care of external bleeding.
Demonstrate the use of diffuse pressure as a method of emergency medical care of external bleeding.
Demonstrate the use of pressure points and tourniquets as a method of emergency medical care of external bleeding.
Demonstrate the care of the patient exhibiting signs and symptoms of internal bleeding.
Demonstrate the care of the patient exhibiting signs and symptoms of shock (hypoperfusion).
Demonstrate completing a prehospital care report for patient with bleeding and/or shock (hypoperfusion).
State the major functions of the skin.
List the layers of the skin.
Establish the relationship between body substance isolation (BSI) and soft tissue injuries.
List the types of closed soft tissue injuries.
Describe the emergency medical care of the patient with a closed soft tissue injury.
State the types of open soft tissue injuries.
Describe the emergency medical care of the patient with an open soft tissue injury.
Discuss the emergency medical care considerations for a patient with a penetrating chest injury.
State the emergency medical care considerations for a patient with an open wound to the abdomen.
Differentiate the care of an open wound to the chest from an open wound to the abdomen.
List the classifications of burns.
Define superficial burn.
List the characteristics of a superficial burn.
Define partial thickness burn.
List the characteristics of a partial thickness burn.
Define full thickness burn.
List the characteristics of a full thickness burn.
Describe the emergency medical care of the patient with a superficial burn.
Describe the emergency medical care of the patient with a partial thickness burn.
Describe the emergency medical care of the patient with a full thickness burn.
List the functions of dressing and bandaging.
Describe the purpose of a bandage.
Describe the steps in applying a pressure dressing.
Establish the relationship between airway management and the patient with chest injury, burns, blunt and penetrating injuries.
Describe the effects of improperly applied dressings, splints and tourniquets.
Describe the emergency medical care of a patient with an impaled object.
Describe the emergency medical care of a patient with an amputation.
Describe the emergency care for a chemical burn.
Describe the emergency care for an electrical burn.
Demonstrate the steps in the emergency medical care of closed soft tissue injuries.
Demonstrate the steps in the emergency medical care of open soft tissue injuries.
Demonstrate the steps in the emergency medical care of a patient with an open chest wound.
Demonstrate the steps in the emergency medical care of a patient with open abdominal wounds.
Demonstrate the steps in the emergency medical care of a patient with an impaled object.
Demonstrate the steps in the emergency medical care of a patient with an amputation.
Demonstrate the steps in the emergency medical care of an amputated part.
Demonstrate the steps in the emergency medical care of a patient with superficial burns.
Demonstrate the steps in the emergency medical care of a patient with partial thickness burns.
Demonstrate the steps in the emergency medical care of a patient with full thickness burns.
Demonstrate the steps in the emergency medical care of a patient with a chemical burn.
Demonstrate completing a prehospital care report for patients with soft tissue injuries.
Describe the function of the muscular system.
Describe the function of the skeletal system.
List the major bones or bone groupings of the spinal column; the thorax; the upper extremities; the lower extremities.
Differentiate between an open and a closed painful, swollen, deformed extremity.
State the reasons for splinting.
List the general rules of splinting.
List the complications of splinting.
List the emergency medical care for a patient with a painful, swollen, deformed extremity.
Explain the rationale for splinting at the scene versus load and go.
Explain the rationale for immobilization of the painful, swollen, deformed extremity.
Demonstrate the emergency medical care of a patient with a painful, swollen, deformed extremity.
Demonstrate completing a prehospital care report for patients with musculoskeletal injuries.
State the components of the nervous system.
List the functions of the central nervous system.
Define the structure of the skeletal system as it relates to the nervous system.
Relate mechanism of injury to potential injuries of the head and spine.
Describe the implications of not properly caring for potential spine injuries.
State the signs and symptoms of a potential spine injury.
Describe the method of determining if a responsive patient may have a spine injury.
Relate the airway emergency medical care techniques to the patient with a suspected spine injury.
Describe how to stabilize the cervical spine.
Discuss indications for sizing and using a cervical spine immobilization device.
Establish the relationship between airway management and the patient with head and spine injuries.
Describe a method for sizing a cervical spine immobilization device.
Describe how to log roll a patient with a suspected spine injury.
Describe how to secure a patient to a long spine board.
List instances when a short spine board should be used.
Describe how to immobilize a patient using a short spine board.
Describe the indications for the use of rapid extrication.
List steps in performing rapid extrication.
State the circumstances when a helmet should be left on the patient.
Discuss the circumstances when a helmet should be removed.
Identify different types of helmets.
Describe the unique characteristics of sports helmets.
Explain the preferred methods to remove a helmet.
Discuss alternative methods for removal of a helmet.
Describe how the patient’s head is stabilized to remove the helmet.
Differentiate how the head is stabilized with a helmet compared to without a helmet.
Explain the rationale for immobilization of the entire spine when a cervical spine injury is suspected.
Explain the rationale for utilizing immobilization methods apart from the straps on the cots.
Explain the rationale for utilizing a short spine immobilization device when moving a patient from the sitting to the supine position.
Explain the rationale for utilizing rapid extrication approaches only when they indeed will make the difference between life and death.
Defend the reasons for leaving a helmet in place for transport of a patient.
Defend the reasons for removal of a helmet prior to transport of a patient.
Demonstrate opening the airway in a patient with suspected spinal cord injury.
Demonstrate evaluating a responsive patient with a suspected spinal cord injury.
Demonstrate stabilization of the cervical spine.
Demonstrate the four person log roll for a patient with a suspected spinal cord injury.
Demonstrate how to log roll a patient with a suspected spinal cord injury using two people.
Demonstrate securing a patient to a long spine board.
Demonstrate using the short board immobilization technique.
Demonstrate procedure for rapid extrication.
Demonstrate preferred methods for stabilization of a helmet.
Demonstrate helmet removal techniques.
Demonstrate alternative methods for stabilization of a helmet.
Demonstrate completing a prehospital care report for patients with head and spinal injuries.

UNIT 3: Infant and Children Care

Outcomes: The student will gain an understanding and ability to provide basic life support to infants and children who require emergency care. The student will demonstrate the ability to:

Identify the developmental considerations for the following age groups:
- infants
- toddlers
- pre-school
- school age
- adolescent
The student will demonstrate the ability to:
Describe differences in anatomy and physiology of the infant, child and adult patient.
Differentiate the response of the ill or injured infant or child (age specific) from that of an adult.
Indicate various causes of respiratory emergencies.
Differentiate between respiratory distress and respiratory failure.
List the steps in the management of foreign body airway obstruction.
Summarize emergency medical care strategies for respiratory distress and respiratory failure.
Identify the signs and symptoms of shock (hypoperfusion) in the infant and child patient.
Describe the methods of determining end organ perfusion in the infant and child patient.
State the usual cause of cardiac arrest in infants and children versus adults.
List the common causes of seizures in the infant and child patient.
Describe the management of seizures in the infant and child patient.
Differentiate between the injury patterns in adults, infants, and children.
Discuss the field management of the infant and child trauma patient.
Summarize the indicators of possible child abuse and neglect.
Describe the medical legal responsibilities in suspected child abuse.
Recognize need for EMT debriefing following a difficult infant or child transport.
Explain the rationale for having knowledge and skills appropriate for dealing with the infant and child patient.
Attend to the feelings of the family when dealing with an ill or injured infant or child.
Understand the provider’s own response (emotional) to caring for infants or children.
The student will be able to:
Demonstrate the techniques of foreign body airway obstruction removal in the infant.
Demonstrate the techniques of foreign body airway obstruction removal in the child.
Demonstrate the assessment of the infant and child.
Demonstrate bag-valve-mask artificial ventilations for the infant.
Demonstrate bag-valve-mask artificial ventilations for the child.
Demonstrate oxygen delivery for the infant and child.

Projects Required:

As assigned. A project may be required and will be explained by the instructor.

Textbook:

Contact Bookstore for current textbook.

Major Pieces of Machinery and Equipment Involved:

Eye protection, gowns, gloves, masks and forms for reporting exposures.
Anatomy models.
Stethoscopes (dual and single head), blood pressure cuffs (adult, infant and child) and penlights.
Wheeled stretcher, stair chair, scoop stretcher, flexible stretcher, ambulance, long and short backboards and bed.
Pocket mask, bag-valve-mask, flow restricted, oxygen-powered ventilation device, oral airways, nasal airways, King airways, Combitube airways, LMA airways, suction units, suction catheters, oxygen tank, regulator, nonrebreather mask, nasal cannula, tongue blade and lubricant.
Handheld inhaler suitable for training purposes and various spacer devices.
CPR manikins, artificial ventilation manikins, automated external defibrillator, NTG training bottle and defibrillation manikin.
Epinephrine auto-injector, epinephrine auto-injector trainer and synthetic skin mannequin for injection.
Activated charcoal and suction equipment.
Childbirth kit and OB mannequin.
Sterile dressings, bandages, splints, triangular bandage, stick or rod, air splints, triage tags and blankets.
Universal dressings, occlusive dressings, 4 x 4 gauze pads, self adherent bandages, roller bandages, burn sheets and sterile water or saline.
Long spine boards, short spine immobilization devices, cervical immobilization devices, helmet, head immobilization devices, blanket rolls and two inch tape.

Attendance Policy:

Students should adhere to the attendance policy outlined by the instructor in the course syllabus.

Grading Policy:

The grading policy will be outlined by the instructor in the course syllabus.

Maximum class size:

Based on classroom occupancy

Course Timeframe:

The U.S. Department of Education, Higher Learning Commission and the Kansas Board of Regents define credit hour and have specific regulations that the college must follow when developing, teaching and assessing the educational aspects of the college. A credit hour is an amount of work represented in intended learning outcomes and verified by evidence of student achievement that is an institutionally-established equivalency that reasonably approximates not less than one hour of classroom or direct faculty instruction and a minimum of two hours of out-of-class student work for approximately fifteen weeks for one semester hour of credit or an equivalent amount of work over a different amount of time. The number of semester hours of credit allowed for each distance education or blended hybrid courses shall be assigned by the college based on the amount of time needed to achieve the same course outcomes in a purely face-to-face format.

Refer to the following policies:

402.00 Academic Code of Conduct

263.00 Student Appeal of Course Grades

403.00 Student Code of Conduct

Disability Services Program:

Cowley College, in recognition of state and federal laws, will accommodate a student with a documented disability. If a student has a disability which may impact work in this class and which requires accommodations, contact the Disability Services Coordinator.

DISCLAIMER: THIS INFORMATION IS SUBJECT TO CHANGE. FOR THE OFFICIAL COURSE PROCEDURE CONTACT ACADEMIC AFFAIRS.