North Carolina ems education Standards: emt curriculum Map



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Bleeding




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



  • TARGET SKILLS:Recognition, pathophysiology, assessment, and management of bleeding.



  • Key Terminology:

    • Arterial bleeding

    • Capillary bleeding

    • Hemorrhage

    • Hemostatic agents

    • Pressure dressing

    • Tourniquet

    • Venous bleeding



    • Objectives:



      • List the structure and function of the circulatory system.

      • Differentiate between arterial, venous, and capillary bleeding.

      • State methods of emergency medical care of external bleeding.

      • Establish the relationship between body substance isolation and bleeding.

      • Establish the relationship between airway management and the trauma patient.

      • Establish the relationship between mechanism of injury and internal bleeding.

      • List the signs of internal bleeding.

      • List the steps in the emergency medical care of the patient with signs and symptoms of internal bleeding.

      • List signs and symptoms of shock (hypoperfusion).

      • State the steps in the emergency medical care of the patient with signs and symptoms of shock (hypoperfusion).

      • Explain the sense of urgency to transport patients that are bleeding and show signs of shock (hypoperfusion).

      • Demonstrate direct pressure as a method of emergency medical care of external bleeding.

      • Demonstrate the use of diffuse pressure as a method of emergency medical care of external bleeding

      • Demonstrate the use of pressure points and tourniquets as a method of emergency medical care of external bleeding.

      • Demonstrate the care of the patient exhibiting signs and symptoms of internal bleeding

      • Demonstrate the care of the patient exhibiting signs and symptoms of shock (hypoperfusion)

      • Demonstrate completing a prehospital care report for patient with bleeding and/or shock (hypoperfusion).



      • Pathophysiology

      • General assessment

      • Management strategies

      • Recognition of need for rapid transportation





    • 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 bleeding.

    • Allow the student to manage an injury that is bleeding.

    • Discuss the use of hemostatic agents.



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


    • Chest Trauma




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



    • TARGET SKILLS:Recognition and management of blunt versus penetrating mechanisms to include:

    • Open chest wound

    • Impaled object

    • Hemothorax

    • Pneumothorax

    • Open

    • Simple

    • Tension

    • Cardiac tamponade

    • Rib fractures

    • Flail chest

    • Commotiocordis



    • Key Terminology:



    • Flail chest

    • Paradoxical motion

    • Pneumothorax

    • Sucking chest wound

    • Tension pneumothorax



    • Objectives:



      • DOT Objectives

      • EMS Education Standards

      • Explain the mechanics of ventilation in relation to chest injuries.

      • Describe the difference between an open and closed chest injury.

      • Describe the signs of chest injury.

      • Differentiate between a pneumothorax (open, simple, and tension) and a hemothorax.

      • Describe the complication of a cardiac tamponade.

      • Describe the complications of rib fractures.

      • Describe the complications of a patient with a flail chest.

      • Explain the complications of a patient with an open pneumothorax (sucking chest wound)

      • Describe the management of a patient with a suspected chest injury, including:

        • Pneumothorax

        • Hemothorax

        • Cardiac tamponade

        • Rib fractures

        • Flail chest

        • Pulmonary contusion

        • Traumatic asphyxia

        • Blunt myocardial injury

        • Commotion cordis

        • Laceration of the great vessels



    • 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 patient with chest trauma.

    • Place bubble wrap under a shirt to allow students to feel simulated subcutaneous air.

    • Simulate an impaled object and allow students to manage injury.



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




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