North Carolina ems education Standards: emt curriculum Map



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Cardiovascular




  • 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:

    • Aortic aneurysm/dissection

    • Thromboembolism

    • Heart failure

    • Hypertensive emergencies



    • Key Terminology:

    • Acute coronary syndrome (ACS)

    • Acute myocardial infarction (AMI)

    • Agonal breathing

    • Aneurysm

    • Angina pectoris

    • Apnea

    • Cardiopulmonary resuscitation (CPR)

    • Cardiovascular system

    • Congestive heart failure (CHF)

    • Coronary artery disease (CAD)

    • Defibrillation

    • Dyspnea

    • Dysrhythmia

    • Edema

    • Embolism

    • Occlusion

    • Pedal edema

    • Pulmonary edema

    • Sudden death

    • Thrombus



    • Objectives:



      • DOT Objectives

      • 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

      • Physiology

      • Pathophysiology

      • Assessment

      • Management (refer to the current AHA Guidelines)

      • Specific cardiovascular emergencies (refer to the current AHA Guidelines)

      • Pharmacological agents

      • 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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