Summary:Applies fundamental knowledge to provide basic emergency care and transportation based on assessment findings for an acutely ill patient.
TARGET SKILLS:Anatomy, signs, symptoms, and management of:
• Chest pain
• Cardiac arrest
Anatomy, physiology, pathophysiology, assessment and management of:
Acute coronary syndrome (ACS)
Acute myocardial infarction (AMI)
Cardiopulmonary resuscitation (CPR)
Congestive heart failure (CHF)
Coronary artery disease (CAD)
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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.
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 (ACLS)if it is not available in the prehospital setting.
Discuss the various types of automated external defibrillators.
Differentiate between the fully automated and the semi-automated 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 CPRwhen 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
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.
Define the function of all controls on an automated external defibrillator, 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.
Explain the rationale for administering nitroglycerin to a patient with chest pain or discomfort.
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.
Practice completing a prehospital care report for patients with cardiac emergencies.
Anatomy of the cardiovascular system
Management (refer to the current AHA Guidelines)
Specific cardiovascular emergencies (refer to the current AHA Guidelines)
Consider age-related variations in pediatric and geriatric patient’s as they relate assessment and management
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 cardiovascular emergencies.
Use simulation to perform effective cardiopulmonary resuscitation to include lifting and moving the patient.
Use an AED trainer during simulation
Discuss the use of nitroglycerin while using a candy breath spray as a means of simulating administration.
Assessments:Scenario based training pertinent to topic of instruction, quiz, and exam (didactic and skills).
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