Description:

This course is designed to provide training in emergency medical care for those who are apt to be the first persons responding to an emergency incident. Fire, police, civil defense personnel, school bus drivers, day-care providers, utility workers and industrial workers are a few examples of those persons who would benefit from this training. The student will receive both didactic and psychomotor skills training in CPR, patient assessment, fracture management, airway management and trauma management. Successful completion of this course with a minimum grade of "C" will enable the student to sit for the First Responder certification exam administered by the Kansas Board of Emergency Medical Services. 6 hrs. lecture, 6.5 hrs. lab/wk. for 8 wks. (average).

Supplies: Refer to the instructor's course syllabus for details about any supplies that may be required.

Prerequisites: NONE

Textbook(s): For information see - http://bookstore.jccc.net

Course Fees: NONE

Course Objectives:

Upon successful completion of this course the student should be able to:

1. Assess and manage initial care for adult and pediatric patients in respiratory and cardiac arrest.
2. Assess and manage initial care for adult and pediatric patients suffering traumatic injury.
3. Assess and manage initial care for adult and pediatric patients experiencing medical emergencies.
4. Provide emergency childbirth assistance.
5. Select and use methods to immobilize, extricate and move patients.

Content Outline & Competencies:

I. Introduction to First Responder
   A. Define the roles and responsibilities of the First Responder.

II. Overview of the Human Body
   A. Introductory anatomy and physiology
      1. Label major body parts and systems (including regions, organs,
cavities, quadrants, etc)..
      2. Describe the function of major body parts and systems.
   B. Basic medical terminology
      1. Describe anatomical position.
      2. Use correct directional terms when referring to the human body
(medial, lateral, distal, proximal, etc.).

III. Cardiovascular and Respiratory Systems
   A. Parts/functions of the cardiovascular system
      1. List the parts of the cardiovascular system.
      2. Explain the function/interrelationship of the parts of the
cardiovascular system.
      3. Trace the path of blood through the body.
      4. Describe the process by which food and oxygen are delivered to
cells.
      5. Describe the heart's electrical system.
      6. Explain the role of the brain in cardiac function.
   B. Parts/functions of the respiratory system
      1. List the parts of the respiratory system.
      2. Explain the function/interrelationship of the parts of the
respiratory system.
      3. Explain the role of the brain in respiratory function.
   C. Role of cardiovascular and respiratory systems in basic life
support
      1. Describe the interrelationship of the cardiovascular and
respiratory systems in basic life support.
      2. Explain the use of CPR as basic life support.
      3. Correlate techniques used in CPR with structure and function of
the cardiovascular and respiratory systems.
         a. Methods to open the airway
         b. Artificial ventilation
         c. Proper hand positioning
         d. Rates and ratios for CPR sequences
         e. Obstructed airway procedures
         f. Ten step CPR sequence

IV. Patient Assessment: Diagnostic Signs, Assessment Components, Triage
   A. Identification of diagnostic signs
      1. List the diagnostic signs (level of consciousness, respiration,
pulse, blood pressure, skin color, temperature and moisture, pupillary
response, capillary refill).
      2. Describe the normal value, range or condition for each diagnostic
sign.
      3. Describe techniques used to assess each diagnostic sign.
      4. Describe abnormal states for each diagnostic sign.
         a. Respiratory arrest
         b. Cardiac arrest
         c. Other illnesses
         d. Selected injuries
   B. Components of patient assessment
      1. Perform a scene size-up while verbalizing key points.
      2. Perform an initial assessment, verbalizing any steps not readily
observable.
      3. Perform the appropriate focused assessment.
         a.  Trauma
         b.  Medical
      4. Perform a detailed assessment relating findings.
      5. Maintain ongoing assessment of the patient.
      6. Use "SAMPLE" history, "OPQRST" and "DCAP-BTLS" as an
organizational strategy.
   C. Triage
      1. Define triage.
      2. Classify patients according to triage guidelines based on a list
of presenting signs and symptoms.

V. Treatment of Respiratory and Cardiac Arrest
   A. Treatment for adult respiratory and cardiac arrest
      1. Demonstrate one rescuer CPR.
      2. Demonstrate two rescuer CPR.
      3. Demonstrate unconscious foreign body airway obstruction.
      4. Demonstrate conscious foreign body airway obstruction.
      5. Demonstrate rescue breathing.
         a. Without adjuncts
         b. Using oropharyngeal airways
         c. Using masks and supplemental oxygen
      6. Demonstrate recovery position.
      7. Demonstrate FBAO on pregnant or obese.
      8. Demonstrate airway management of a laryngectomy patient.
      9. Demonstrate use of suction equipment to clear the airway.
     10. Demonstrate use of automated defibrillation devices.
     11. Demonstrate jaw thrust maneuver.
     12. Demonstrate cricoid pressure.
   B. Treatment for children in respiratory and cardiac arrest
      1. Demonstrate one rescuer CPR.
      2. Demonstrate two rescuer CPR.
      3. Demonstrate unconscious foreign body airway obstruction.
      4. Demonstrate conscious foreign body airway obstruction.
      5. Demonstrate rescue breathing.
         a. Without adjuncts
         b. Using oropharyngeal airways
         c. Using masks and supplemental oxygen
      6. Demonstrate recovery position.
   C. Treatment for infants in respiratory and cardiac arrest
      1. Demonstrate one rescuer CPR.
      2. Demonstrate unconscious foreign body airway obstruction.
      3. Demonstrate conscious foreign body airway obstruction.
      4. Demonstrate rescue breathing.
         a. Without adjuncts
         b. Using oropharyngeal airways
         c. Using masks and supplemental oxygen
      5. Demonstrate recovery position.

VI. Treatment for Traumatic Injury
   A. Soft tissue and internal injuries
      1. Identify the signs and symptoms of soft tissue injury
         a. Closed injuries.
         b. Open injuries.
         c. Injury to internal organs.
      2. Demonstrate wound care procedures
         a. Bleeding control (internal and external bleeding).
         b. Dressing and bandaging wounds.
         c. Special wound care procedures (scalp, eye, face, nosebleed,
abdomen, genitalia).
      3. Apply treatments for shock
   B. Injuries to extremities
      1. Identify the signs and symptoms of extremity injuries.
      2. Describe the general principles of splinting (immobilization).
      3. Apply the principles of splinting (immobilization).
         a. Upper extremities
         b. Lower extremities
   C. Injuries to the spine, skull and chest
      1. Demonstrate emergency care for head injury.
         a. Identify the signs and symptoms of head injury.
         b. Demonstrate wound care.
         c. Apply immobilization principles.
      2. Demonstrate emergency care for spinal injury.
         a. Identify signs and symptoms of spinal injury.
         b. Select and apply a cervical collar.
         c. Select and apply a short spine board.
         d. Immobilize on a long spine board with strapping techniques.
      3. Demonstrate emergency care for chest injury.
         a. Identify types of chest injuries by signs and symptoms.
         b. Describe emergency care of chest injuries.

VII. Treatment for Medical and Environmental Emergencies
   A. Prevention and treatment of cardiovascular emergencies
      1. Identify signs and symptoms of common cardiovascular
emergencies.
         a. Heart attack
         b. Stroke
         c. Congestive heart failure
         d. Shock
      2. Describe treatment procedures for common cardiovascular
emergencies.
         a. Heart attack
         b. Stroke
         c. Congestive heart failure
         d. Shock
      3. List the risk factors for common cardiovascular emergencies.
      4. Suggest prevention strategies for common cardiovascular
emergencies.
   B. Prevention and treatment of other medical and environmental
emergencies
      1. Identify signs and symptoms of other medical and environmental
emergencies.
         a. Diabetic emergencies
         b. Seizures
         c. Poisoning (ingested, inhaled, absorbed, injected)
         d. Substance abuse
         e. Burns
         f. Heat exhaustion
         g. Heat stroke
         h. Hypothermia
      2. Describe treatment procedures for other medical and environmental
emergencies.
         a. Diabetic emergencies
         b. Seizures
         c. Poisoning (ingested, inhaled, absorbed, injected)
         d. Substance abuse
         e. Burns
         f. Heat exhaustion
         g. Heat stroke
         h. Hypothermia
      3. Suggest prevention strategies for other medical and environmental
emergencies.
         a. Diabetic emergencies
         b. Seizures
         c. Poisoning (ingested, inhaled, absorbed, injected)
         d. Substance abuse
         e. Burns
         f. Heat exhaustion
         g. Heat stroke
         h. Hypothermia
   C. Emergency childbirth assistance
      1. Describe the stages of labor.
      2. Demonstrate procedures to assist delivery.
         a. Normal
         b. Abnormal (breech, prolapsed cord, excessive bleeding,
miscarriage)
      3. Rate newborns using the APGAR scale.
      4. Describe care after delivery.
         a. Newborn
         b. Mother
   D. Special considerations for pediatric patients
      1. Demonstrate examination of a child.
      2. Identify signs and symptoms specific to pediatric emergencies.
         a. High fever
         b. Seizures
         c. Asthma
         d. Croup
         e. Epiglottis
         f. Child abuse
         g. SIDS
         h. Trauma
      3. Demonstrate care for pediatric patient.

VIII. Gaining Access To and Moving Patients
   A. Gaining access to patients
      1. Use simple tools to gain access to patients in or under
vehicles.
      2. Demonstrate extrication techniques.
   B. Moving patients
      1. Determine the need for movement of the patient.
      2. Choose most effective lift and carry procedure for patient and
setting.
      3. Package patients in vehicles, using:
         a. Cervical collar
         b. Short board or KED
         c. Long board
      4. Remove packaged patients from vehicles.

Methods of Evaluation of Competencies:

Evaluation of student mastery of course competencies will be accomplished using the following methods:

Written exams:
Unit/Modular Exams	200-300 points
Final			100-200 points
AHA Exam		40 points
Quizzes/Homework	50-150 points


Practical Exams*  
   Demonstration of all CPR sequences  pass/fail
   Patient Assessment                  pass/fail
   Airway Management                   pass/fail
   Trauma Management                   pass/fail
   Fracture Management                 pass/fail

Criteria for Grade:  
   90-100%  A
   80- 89%  B
   70- 79%  C
   60- 69%  D
    0- 59%  F

* If a student fails any portion of the practical exam, the student will
receive a grade no higher than D.

Attendance:
Due to the State Regulation (KAR 109-11-8), requiring 90% class
attendance, any student who does not meet this requirement will receive a
grade no higher than D.

Caveats:

1. Students entering the healthcare programs should be aware that they will be in contact with other individuals having a variety of health problems in which etiology may or may not be known. This exposure places health program students in the "high risk" category for health problems.
2. Programs have specific precautionary requirements based on the type of exposure and/or clinical agency policies. It is the responsibility of each student to follow the program guidelines for necessary precautions against contracting and transmitting disease. Students experiencing any injury or health risk must report it immediately to the assigned instructor and seek necessary medical treatment. Health care costs are to be assumed by the individual student. In addition to managing all their own health needs and expenses, students are also responsible for meeting all course and clinical objectives.
3. BEMS exam/certification fees (current rate)

Disabilities:

If you are a student with a disability, and if you will be requesting accommodations, it is your responsibility to contact Access Services. Access Services will recommend any appropriate accommodations to your professor and his/her director. The professor and director will identify for you which accommodations will be arranged.

JCCC provides a range of services to allow persons with disabilities to participate in educational programs and activities. If you desire support services, contact the office of Access Services for Students With Disabilities (913) 469-8500, ext. 3521 or TDD (913) 469-3885. The Access Services office is located in the Success Center on the second floor of the Student Center.