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COURSE SYLLABUS

EMS 235 EMT-P Trauma Emergencies

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4.8 UNIT TERMINAL OBJECTIVE

4-8 At the completion of this unit, the paramedic student will be able to integrate pathophysiologic principles and the assessment findings to formulate a field impression and implement the treatment plan for the patient with suspected abdominal trauma.

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

4-8.1 Describe the epidemiology, including the morbidity/mortality and prevention strategies for a patient with abdominal trauma. (C-1)

4-8.2 Describe the anatomy and physiology of organs and structures related to abdominal injuries. (C-1)

4-8.3 Predict abdominal injuries based on blunt and penetrating mechanisms of injury. (C-2)

4-8.4 Describe open and closed abdominal injuries. (C-1)

4-8.5 Explain the pathophysiology of abdominal injuries. (C-1)

4-8.6 Describe the assessment findings associated with abdominal injuries. (C-1)

4-8.7 Identify the need for rapid intervention and transport of the patient with abdominal injuries based on assessment findings. (C-1)

4-8.8 Describe the management of abdominal injuries. (C-1)

4-8.9 Integrate the pathophysiological principles to the assessment of a patient with abdominal injury. (C-3)

4-8.10 Differentiate between abdominal injuries based on the assessment and history. (C-3)

4-8.11 Formulate a field impression for patients with abdominal trauma based on the assessment findings. (C-3)

4-8.12 Develop a patient management plan for patients with abdominal trauma based on the field impression. (C-3)

4-8.13 Describe the epidemiology, including the morbidity/ mortality and prevention strategies for solid organ injuries. (C-1)

4-8.14 Explain the pathophysiology of solid organ injuries. (C-1)

4-8.15 Describe the assessment findings associated with solid organ injuries. (C-1)

4-8.16 Describe the treatment plan and management of solid organ injuries. (C-1)

4-8.17 Describe the epidemiology, including the morbidity/ mortality and prevention strategies for hollow organ injuries. (C-1)

4-8.18 Explain the pathophysiology of hollow organ injuries. (C-1)

4-8.19 Describe the assessment findings associated with hollow organ injuries. (C-1)

4-8.20 Describe the treatment plan and management of hollow organ injuries. (C-1)

4-8.21 Describe the epidemiology, including the morbidity/ mortality and prevention strategies for abdominal vascular injuries. (C-1)

4-8.22 Explain the pathophysiology of abdominal vascular injuries. (C-1)

4-8.23 Describe the assessment findings associated with abdominal vascular injuries. (C-1)

4-8.24 Describe the treatment plan and management of abdominal vascular injuries. (C-1)

4-8.25 Describe the epidemiology, including the morbidity/ mortality and prevention strategies for pelvic fractures. (C-1)

4-8.26 Explain the pathophysiology of pelvic fractures. (C-1)

4-8.27 Describe the assessment findings associated with pelvic fractures. (C-1)

4-8.28 Describe the treatment plan and management of pelvic fractures. (C-1)

4-8.29 Describe the epidemiology, including the morbidity/ mortality and prevention strategies for other related abdominal injuries. (C-1)

4-8.30 Explain the pathophysiology of other related abdominal injuries. (C-1)

4-8.31 Describe the assessment findings associated with other related abdominal injuries. (C-1)

4-8.32 Describe the treatment plan and management of other related abdominal injuries. (C-1)

4-8.33 Apply the epidemiologic principles to develop prevention strategies for abdominal injuries. (C-2)

4-8.34 Integrate the pathophysiological principles to the assessment of a patient with abdominal injuries. (C-3)

4-8.35 Differentiate between abdominal injuries based on the assessment and history. (C-3)

4-8.36 Formulate a field impression based upon the assessment findings for a patient with abdominal injuries. (C-3)

4-8.37 Develop a patient management plan for a patient with abdominal injuries, based upon field impression. (C-3)

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

4-8.38 Advocate the use of a thorough assessment to determine a differential diagnosis and treatment plan for abdominal trauma. (A-3)

4-8.39 Advocate the use of a thorough scene survey to determine the forces involved in abdominal trauma. (A-3)

4-8.40 Value the implications of failing to properly diagnose abdominal trauma and initiate timely interventions to patients with abdominal trauma. (A-2)

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

4-8.41 Demonstrate a clinical assessment to determine the proper treatment plan for a patient with suspected abdominal trauma. (P-1)

4-8.42 Demonstrate the proper use of PASG in a patient with suspected abdominal trauma. (P-1)

4-8.43 Demonstrate the proper use of PASG in a patient with suspected pelvic fracture. (P-1)

4.9 UNIT TERMINAL OBJECTIVE

4-9 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 the treatment plan for the patient with a musculoskeletal injury.

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

4-9.1 Describe the incidence, morbidity, and mortality of musculoskeletal injuries. (C-1)

4-9.2 Discuss the anatomy and physiology of the musculoskeletal system. (C-1)

4-9.3 Predict injuries based on the mechanism of injury, including: (C-3)

a. Direct

b. Indirect

c. Pathologic

4-9.4 Discuss the types of musculoskeletal injuries: (C-1)

a. Fracture (open and closed)

b. Dislocation/ fracture

c. Sprain

d. Strain

4-9.5 Discuss the pathophysiology of musculoskeletal injuries. (C-1)

4-9.6 Discuss the assessment findings associated with musculoskeletal injuries. (C-1)

4-9.7 List the six "P"s of musculoskeletal injury assessment. (C-1)

4-9.8 List the primary signs and symptoms of extremity trauma. (C-1)

4-9.9 List other signs and symptoms that can indicate less obvious extremity injury. (C-1)

4-9.10 Discuss the need for assessment of pulses, motor and sensation before and after splinting. (C-1)

4-9.11 Identify the need for rapid intervention and transport when dealing with musculoskeletal injuries. (C-1)

4-9.12 Discuss the management of musculoskeletal injuries. (C-1)

4-9.13 Discuss the general guidelines for splinting. (C-1)

4-9.14 Explain the benefits of cold application for musculoskeletal injury. (C-1)

4-9.15 Explain the benefits of heat application for musculoskeletal injury. (C-1)

4-9.16 Describe age associated changes in the bones. (C-1)

4-9.17 Discuss the pathophysiology of open and closed fractures. (C-1)

4-9.18 Discuss the relationship between volume of hemorrhage and open or closed fractures. (C-3)

4-9.19 Discuss the assessment findings associated with fractures. (C-1)

4-9.20 Discuss the management of fractures. (C-1)

4-9.21 Discuss the usefulness of the pneumatic anti-shock garment (PASG) in the management of fractures. (C-1)

4-9.22 Describe the special considerations involved in femur fracture management. (C-1)

4-9.23 Discuss the pathophysiology of dislocations. (C-1)

4-9.24 Discuss the assessment findings of dislocations. (C-1)

4-9.25 Discuss the out-of-hospital management of dislocation/ fractures, including splinting and realignment. (C-1)

4-9.26 Explain the importance of manipulating a knee dislocation/ fracture with an absent distal pulse. (C-1)

4-9.27 Describe the procedure for reduction of a shoulder, finger or ankle dislocation/ fracture. (C-1)

4-9.28 Discuss the pathophysiology of sprains. (C-1)

4-9.29 Discuss the assessment findings of sprains. (C-1)

4-9.30 Discuss the management of sprains. (C-1)

4-9.31 Discuss the pathophysiology of strains. (C-1)

4-9.32 Discuss the assessment findings of strains. (C-1)

4-9.33 Discuss the management of strains. (C-1)

4-9.34 Discuss the pathophysiology of a tendon injury. (C-1)

4-9.35 Discuss the assessment findings of tendon injury. (C-1)

4-9.36 Discuss the management of a tendon injury. (C-1)

4-9.37 Integrate the pathophysiological principles to the assessment of a patient with a musculoskeletal injury. (C-3)

4-9.38 Differentiate between musculoskeletal injuries based on the assessment findings and history. (C-3)

4-9.39 Formulate a field impression of a musculoskeletal injury based on the assessment findings. (C-3)

4-9.40 Develop a patient management plan for the musculoskeletal injury based on the field impression. (C-3)

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

4-9.41 Advocate the use of a thorough assessment to determine a working diagnosis and treatment plan for musculoskeletal injuries. (A-3)

4-9.42 Advocate for the use of pain management in the treatment of musculoskeletal injuries. (A-3)

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

4-9.43 Demonstrate a clinical assessment to determine the proper treatment plan for a patient with a suspected musculoskeletal injury. (P-1)

4-9.44 Demonstrate the proper use of fixation, soft and traction splints for a patient with a suspected fracture. (P-1)