North Carolina ems education Standards: emt curriculum Map



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Abdominal and Genitourinary 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 including:

    • Evisceration

    • Impaled object



    • Key Terminology:



    • Evisceration



    • Objectives:



      • Describe the anatomy and physiology of the abdomen and the genitourinary system.

      • Describe the difference in hollow and solid organs.

      • Discuss the mechanism of injury associated with abdominal trauma.

      • Discuss the difference between open and closed abdominal injuries and the signs and symptoms.

      • Discuss the difference between low velocity, medium velocity, and high velocity injuries.

      • Discuss the emergency medical care of a patient who has sustained an open abdominal injury, including penetrating injuries and abdominal evisceration, and considerations related to the use of a pneumatic anti-shock garment (PASG) when caring for these patients.

      • Describe the types of traumatic injuries that may be sustained by the organs of the male and female genitourinary system.

      • Discuss assessment of a patient who has experienced a genitourinary injury.

      • Discuss the emergency medical care of a patient who has experienced a genitourinary injury.

      • Explain special considerations related to a patient who has experienced a genitourinary injury caused by sexual assault, including patient treatment, criminal implications, and evidence management.

      • Incidence (mortality &morbidity)

      • Anatomy of the abdominal and genitourinary systems

      • Physiology

      • Specific injuries

      • General assessment

      • General management

      • Age-related variations for pediatric and geriatric assessment and management

      • Special considerations of abdominal trauma





    • 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 abdominal and genitourinary injuries.

    • Demonstrate the use of PASG.



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




    • Orthopedic 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:

    • Open fractures

    • Closed fractures

    • Dislocations

    • Upper and lower extremity orthopedic trauma

    • Sprains/strains

    • Pelvic fractures

    • Amputations/replantation

    • Amputations



    • Key Terminology:



    • Angulated fracture

    • Bones

    • Cartilage

    • Closed extremity injury

    • Comminuted fracture

    • Compartment syndrome

    • Crepitus

    • Dislocation

    • Extremities

    • Fracture

    • Greenstick fracture

    • Joints

    • Ligaments

    • Manual traction

    • Muscles

    • Open extremity injury

    • Sprain

    • Strain

    • Tendons

    • Traction splint



    • Objectives:



      • DOT Objectives

      • EMS Education Standards

      • Describe the function of the musculoskeletal system.

      • Explain the anatomy and physiology of the musculoskeletal system.

      • Describe the different types of musculoskeletal injuries including:

        • Fractures

        • Dislocations

        • Amputations

        • Sprains

        • Strains.

      • Describe the four mechanisms of injury.

      • Differentiate between open and closed fractures.

      • Explain how to assess the severity of an injury.

      • Describe the treatment of a patient experiencing an orthopedic injury.

      • Describe the need of general rules and possible complications of splinting.

      • Explain the reasons for splinting fractures, dislocations, and sprains at the scene verses transporting the patient immediately.

      • Describe the treatment of a patient with an amputation.

      • Incidence

      • Anatomy

      • Physiology

      • Mechanism of injury

      • Complications

      • Descriptions of fractures

      • Dislocations

      • Sprains/strains

      • Pelvic fracture

      • General assessment

      • General management

      • Specific injuries

      • Types of splints

      • Age-related variations for pediatric and geriatric 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 patient with soft tissue injuries.

    • Allow the student to manage an orthopedic injury.



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




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