North Carolina ems education Standards: emt curriculum Map



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Abdominal and Gastrointestinal Disorders




  • Summary:Applies fundamental knowledge to provide basic emergency care and transportation based on assessment findings for an acutely ill patient.



  • TARGET SKILLS:Anatomy, presentations, and management of shock associated with abdominal emergencies to include:

    • Gastrointestinal bleeding



    • Key Terminology:

    • Parietal pain

    • Peritoneum

    • Referred pain

    • Retroperitoneal pain

    • Tearing pain

    • Visceral pain



    • Objectives:

      • DOT Objectives

      • Describe the structure and function of the abdominal system.

      • Demonstrate the appropriate treatment(s) of patients with abdominal and gastrointestinal disorders.

      • Define acute abdomen

      • Anatomy of the organs of the abdominopelvic cavity

      • Assessment and symptoms

      • General management for patients with an acute abdomen

      • Specific acute abdominal conditions—definition, causes, assessment findings and symptoms, complications, and specific prehospital management

      • Consider age-related variations for pediatric and geriatric assessment and management

      • Communication and documentation for patients with an abdominal or gastrointestinal condition or emergency

      • Transport decision



    • Activities/Resources:Use of auditory, visual, and kinesthetic aids to facilitate the student learning environment for the topic of instruction.



    • Assessments:Scenario based training pertinent to topic of instruction, quiz, and exam (didactic and skills).


    • Immunology




    • Summary:Applies fundamental knowledge to provide basic emergency care and transportation based on assessment findings for an acutely ill patient.



    • TARGET SKILLS:Recognition and management of shock and difficulty breathing related to anaphylactic reactions. Anatomy, physiology, pathophysiology, assessment, and management of hypersensitivity disorders and/or emergencies to include anaphylactic reactions



    • Key Terminology:

    • Allergen

    • Allergic reaction

    • Anaphylaxis

    • Auto-injector

    • Epinephrine

    • Hives



    • Objectives:



      • DOT Objectives

      • EMS Education Standards

      • 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 autoinjector.

      • 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 requiring immediate medical care, including immediate use of epinephrine auto-injector.

      • Explain the rationale for administering epinephrine using an autoinjector



      • Introduction

      • Basic immune system’s response to allergens

      • Fundamental pathophysiology

      • Assessment findings for allergic reaction

      • Assessment findings for anaphylaxis

      • Management

      • Epinepherine as a treatment for allergic reaction

      • Consider age-related variations for pediatric and geriatric assessment and management

      • Communication and documentation

      • Transport decisions











    • Activities/Resources:Use of auditory, visual, and kinesthetic aids to facilitate the student learning environment for the topic of instruction.

    • Using simulated cases of patient presentations, discuss treatment of patients with hypersensitivity disorders.

    • Demonstrate the use of auto injector and practice with epi-pen trainer.



    • Assessments:Scenario based training pertinent to topic of instruction, quiz, and exam (didactic and skills).


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