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COURSE SYLLABUS

EMS 233 EMT-P Medical Emergencies

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5.7 UNIT TERMINAL OBJECTIVE

5-7 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with a renal or urologic problem.

COGNITIVE OBJECTIVES

At the conclusion of this unit, the paramedic student will be able to :

5-7.1 Describe the incidence, morbidity, mortality, and risk factors predisposing to urological emergencies. (C-1)

5-7.2 Discuss the anatomy and physiology of the organs and structures related to urogenital diseases. (C-1)

5-7.3 Define referred pain and visceral pain as it relates to urology. (C-1)

5-7.4 Describe the questioning technique and specific questions the paramedic should utilize when gathering a focused history in a patient with abdominal pain. (C-1)

5-7.5 Describe the technique for performing a comprehensive physical examination of a patient complaining of abdominal pain. (C-1)

5-7.6 Define acute renal failure. (C-1)

5-7.7 Discuss the pathophysiology of acute renal failure. (C-1)

5-7.8 Recognize the signs and symptoms related to acute renal failure. (C-1)

5-7.9 Describe the management for acute renal failure. (C-1)

5-7.10 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with acute renal failure. (C-3)

5-7.11 Define chronic renal failure. (C-1)

5-7.12 Discuss the pathophysiology of chronic renal failure. (C-1)

5-7.13 Recognize the signs and symptoms related to chronic renal failure. (C-1)

5-7.14 Describe the management for chronic renal failure. (C-1)

5-7.15 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with chronic renal failure. (C-3)

5-7.16 Define renal dialysis. (C-1)

5-7.17 Discuss the common complication of renal dialysis. (C-1)

5-7.18 Define renal calculi. (C-1)

5-7.19 Discuss the pathophysiology of renal calculi. (C-1)

5-7.20 Recognize the signs and symptoms related to renal calculi. (C-1)

5-7.21 Describe the management for renal calculi. (C-1)

5-7.22 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with renal calculi. (C-3)

5-7.23 Define urinary tract infection. (C-1)

5-7.24 Discuss the pathophysiology of urinary tract infection. (C-1)

5-7.25 Recognize the signs and symptoms related to urinary tract infection. (C-1)

5-7.26 Describe the management for a urinary tract infection. (C-1)

5-7.27 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with a urinary tract infection. (C-3)

5-7.28 Apply the epidemiology to develop prevention strategies for urological emergencies. (C-2)

5-7.29 Integrate pathophysiological principles to the assessment of a patient with abdominal pain. (C-3)

5-7.30 Synthesize assessment findings and patient history information to accurately differentiate between pain of a urogenital emergency and that of other origins. (C-3)

5-7.31 Develop, execute, and evaluate a treatment plan based on the field impression made in the assessment. (C-3)

5.8 UNIT TERMINAL OBJECTIVE

5-8 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with a toxic exposure.

COGNITIVE OBJECTIVES

At the completion of this unit, the paramedic student will be able to:

5-8.1 Describe the incidence, morbidity and mortality of toxic emergencies. (C-1)

5-8.2 Identify the risk factors most predisposing to toxic emergencies. (C-1)

5-8.3 Discuss the anatomy and physiology of the organs and structures related to toxic emergencies. (C-1)

5-8.4 Describe the routes of entry of toxic substances into the body. (C-1)

5-8.5 Discuss the role of the Poison Control Center in the United States. (C-1)

5-8.6 List the toxic substances that are specific to your region. (C-1)

5-8.7 Discuss the pathophysiology of the entry of toxic substances into the body. (C-1)

5-8.8 Discuss the assessment findings associated with various toxidromes. (C-1)

5-8.9 Identify the need for rapid intervention and transport of the patient with a toxic substance emergency. (C-1)

5-8.10 Discuss the management of toxic substances. (C-1)

5-8.11 Define poisoning by ingestion. (C-1)

5-8.12 List the most common poisonings by ingestion. (C-1)

5-8.13 Describe the pathophysiology of poisoning by ingestion. (C-1)

5-8.14 Recognize the signs and symptoms related to the most common poisonings by ingestion. (C-1)

5-8.15 Correlate the abnormal findings in assessment with the clinical significance in the patient with the most common poisonings by ingestion. (C-1)

5-8.16 Differentiate among the various treatments and pharmacological interventions in the management of the most common poisonings by ingestion. (C-3)

5-8.17 Discuss the factors affecting the decision to induce vomiting in a patient with ingested poison. (C-1)

5-8.18 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with the most common poisonings by ingestion. (C-3)

5-8.19 Define poisoning by inhalation. (C-1)

5-8.20 List the most common poisonings by inhalation. (C-1)

5-8.21 Describe the pathophysiology of poisoning by inhalation. (C-1)

5-8.22 Recognize the signs and symptoms related to the most common poisonings by inhalation. (C-1)

5-8.23 Correlate the abnormal findings in assessment with the clinical significance in patients with the most common poisonings by inhalation. (C-1)

5-8.24 Differentiate among the various treatments and pharmacological interventions in the management of the most common poisonings by inhalation. (C-3)

5-8.25 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with the most common poisonings by inhalation. (C-3)

5-8.26 Define poisoning by injection. (C-1)

5-8.27 List the most common poisonings by injection. (C-1)

5-8.28 Describe the pathophysiology of poisoning by injection. (C-1)

5-8.29 Recognize the signs and symptoms related to the most common poisonings by injection. (C-1)

5-8.30 Correlate the abnormal findings in assessment with the clinical significance in the patient with the most common poisonings by injection. (C-3)

5-8.31 Differentiate among the various treatments and pharmacological interventions in the management of the most common poisonings by injection. (C-3)

5-8.32 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with the most common poisonings by injection. (C-3)

5-8.33 Define poisoning by surface absorption. (C-1)

5-8.34 List the most common poisonings by surface absorption. (C-1)

5-8.35 Describe the pathophysiology of poisoning by surface absorption. (C-1)

5-8.36 Recognize the signs and symptoms related to the most common poisonings by surface absorption. (C-1)

5-8.37 Correlate the abnormal findings in assessment with the clinical significance in patients with the most common poisonings by surface absorption. (C-3)

5-8.38 Differentiate among the various treatments and pharmacological interventions in the management of the most common poisonings by surface absorption. (C-3)

5-8.39 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for patients with the most common poisonings by surface absorption. (C-3)

5-8.40 Define poisoning by overdose. (C-1)

5-8.41 List the most common poisonings by overdose. (C-1)

5-8.42 Describe the pathophysiology of poisoning by overdose. (C-1)

5-8.43 Recognize the signs and symptoms related to the most common poisonings by overdose. (C-1)

5-8.44 Correlate the abnormal findings in assessment with the clinical significance in patients with the most common poisonings by overdose. (C-3)

5-8.45 Differentiate among the various treatments and pharmacological interventions in the management of the most common poisonings by overdose. (C-3)

5-8.46 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for patients with the most common poisonings by overdose. (C-3)

5-8.47 Define drug abuse. (C-1)

5-8.48 Discuss the incidence of drug abuse in the United States. (C-1)

5-8.49 Define the following terms: (C-1)

a. Substance or drug abuse
b. Substance or drug dependence
c. Tolerance
d. Withdrawal
e. Addiction

5-8.50 List the most commonly abused drugs (both by chemical name and street names). (C-1)

5-8.51 Describe the pathophysiology of commonly used drugs. (C-1)

5-8.52 Recognize the signs and symptoms related to the most commonly abused drugs. (C-1)

5-8.53 Correlate the abnormal findings in assessment with the clinical significance in patients using the most commonly abused drugs. (C-3)

5-8.54 Differentiate among the various treatments and pharmacological interventions in the management of the most commonly abused drugs. (C-3)

5-8.55 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for patients using the most commonly abused drugs. (C-3)

5-8.56 List the clinical uses, street names, pharmacology, assessment finding and management for patient who have taken the following drugs or been exposed to the following substances: (C-1)

  • Cocaine
  • Marijuana and cannabis compounds
  • Amphetamines and amphetamine-like drugs
  • Barbiturates
  • Sedative-hypnotics
  • Cyanide
  • Narcotics/ opiates
  • Cardiac medications
  • Caustics
  • Common household substances
  • Drugs abused for sexual purposes/ sexual gratification
  • Carbon monoxide
  • Alcohols
  • Hydrocarbons
  • Psychiatric medications
  • Newer anti-depressants and serotonin syndromes
  • Lithium
  • MAO inhibitors
  • Non-prescription pain medications

(1) Nonsteroidal anitinflammatory agents
(2) Salicylates
(3) Acetaminophen

  • Theophylline
  • Metals
  • Plants and mushrooms

5-8.57 Discuss common causative agents, pharmacology, assessment findings and management for a patient with food poisoning. (C-1)

5-8.58 Discuss common offending organisms, pharmacology, assessment findings and management for a patient with a bite or sting. (C-1)

5-8.59 Integrate pathophysiological principles of the patient with a toxic substance exposure. (C-1)

5-8.60 Differentiate between toxic substance emergencies based on assessment findings. (C-3)

5-8.61 Correlate abnormal findings in the assessment with the clinical significance in the patient exposed to a toxic substance. (C-3)

5-8.62 Develop a patient management plan based on field impression in the patient exposed to a toxic substance. (C-3)