North Carolina ems education Standards: emt curriculum Map



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Toxicology




  • 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:

    • Carbon monoxide poisoning

    • Nerve agent poisoning

    • How and when to contact a poison control center



    • Anatomy, physiology, pathophysiology, assessment, and management of:

    • Inhaled poisons

    • Ingested poisons

    • Injected poisons

    • Absorbed poisons

    • Alcohol intoxication and withdrawal



    • Key Terminology:

    • Absorbed poison

    • Activated charcoal

    • Antidote

    • Delirium tremens (DTs)

    • Dilution

    • Downers

    • Hallucinogens

    • Ingested poisons

    • Inhaled poisons

    • Injected poisons

    • Narcotics

    • Poison

    • Toxin

    • Uppers

    • Volatile chemicals

    • Withdrawal





    • Objectives:



      • DOT Objectives

      • EMS Education Standards

      • List various ways that poisons enter the body.

      • List signs/symptoms associated with poisoning.

      • Discuss the emergency medical care for the patient with possible overdose.

      • Describe the steps in the emergency medical care for the patient with suspected poisoning.

      • Establish the relationship between the patient suffering from poisoning or overdose and airway management.

      • State the generic and trade names, indications, contraindications, medication form, dose, administration, actions, side effects, and reassessment strategies for activated charcoal.

      • Recognize the need for medical direction in caring for the patient with poisoning or overdose.

      • Introduction

      • Poison by ingestion

      • Poison by inhalation

      • Poison by injection

      • Poison by absorption

      • Drugs of abuse

      • Poisonings and exposures

      • Medication overdose

      • General treatment modalities for poisonings

      • Consider age-related variations in pediatric and geriatric patient’s as they relate assessment and management

      • Communication and documentation for patients with toxicological emergencies

      • 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 toxicological emergencies.

    • Discuss the use of activated charcoal.

    • Visit a detox center to allow students to talk with patients and see the visual effects of withdrawal.



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


    • Respiratory




    • 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 respiratory emergencies including those that affect the upper and lower airways.



    • Anatomy, physiology, pathophysiology, assessment, and management of:



    • Key Terminology:





    • Objectives:

      • DOT Objectives

      • EMS Education Standards

      • List the structure and function of the respiratory system.

      • State the signs and symptoms of a patient with breathing difficulty.

      • Describe the emergency medical care of the patient with breathing difficulty.

      • Recognize the need for medical direction to assist in the emergency medical care of the patient with breathing difficulty.

      • Describe the emergency medical care of the patient with breathing distress.

      • Establish the relationship between airway management and the patient with breathing difficulty.

      • List signs of adequate air exchange.

      • State the generic name, medication forms, dose, administration, action, indications, and contraindications for the prescribed inhaler.

      • Distinguish between the emergency medical care of the infant, child, and adult patient with breathing difficulty.

      • Differentiate between upper airway obstruction and lower airway disease in the infant and child patient.

      • Defend EMT treatment regimens for various respiratory emergencies.

      • Explain the rationale for administering an inhaler.

      • Demonstrate the emergency medical care for breathing difficulty.

      • Perform the steps in facilitating the use of an inhaler.

      • Anatomy of the respiratory system

      • Normal respiratory effort

      • Assessment findings and symptoms and management for respiratory conditions

      • Specific respiratory conditions—definition, causes, assessment findings and symptoms, complications, and specific prehospital management and transport decisions

      • Metered-dose inhaler and small volume nebulizer

      • Communication and documentation for patients with respiratory emergencies

      • Consider age-related variations in pediatric and geriatric patient’s as they relate assessment and management

      • 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 respiratory emergencies.

    • Students should assist in assembling and using an inhaler



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


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