North Carolina ems education Standards: emt curriculum Map



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Soft Tissue Trauma




  • 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:

    • Wounds

      • Avulsions

      • Bite wounds

      • Laceration

      • Puncture Wounds

      • Incisions

    • Burns

      • Electrical

      • Chemical

      • Thermal

      • Radiation

    • Chemicals in the eye and on the skin

    • Crush Syndrome



    • Key Terminology:



    • Abrasion

    • Amputation

    • Avulsion

    • Closed wound

    • Contusion

    • Crush injury

    • Dermis

    • Epidermis

    • Full thickness burn

    • Hematoma

    • Laceration

    • Open wound

    • Partial thickness burn

    • Puncture wound

    • Rule of nines

    • Rule of palm

    • Subcutaneous

    • Superficial burns





    • Objectives:



      • EMS Education Standards

      • Describe the emergency medical care of the patient with:

      • List the functions of dressing and bandaging.

      • Describe the purpose of a bandage.

      • Describe the steps in applying a pressure dressing.

      • Establish the relationship between airway management and the patient with:

        • Chest injury

        • Burns

        • Blunt injuries

        • Penetrating injuries.

      • Describe the effects of improperly applied dressings, splints, and tourniquets.

      • Describe the steps in the emergency medical care of a patient with:

        • An impaled object

        • An amputation

        • A chemical burn

        • An electrical burn

        • Closed soft tissue injury

        • Open soft tissue injury

        • An open chest wound

        • Open abdominal wounds

        • An impaled object

        • Superficial burns

        • Partial thickness burns

        • Full thickness burns

      • Demonstrate the steps in the emergency medical care of an amputated part.



      • Incident of soft tissue injury

      • Anatomy and physiology of soft tissue injury

      • Closed soft tissue injury

      • Open soft tissue injury

      • General assessment

      • Management of soft tissue injury

      • Incidence of burn injury

      • Anatomy and physiology of burns

      • Complications of burn injuries

      • General assessment of burn injuries

      • General management of burn injuries

      • Specific burn injury management considerations

      • Age-related variations



    • 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 a soft tissue injury.

    • Allow student to use simulated burn patient to figure burn percentages.

    • Demonstrate the treatment of the different types of burns.



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

    • Life threats

    • Spine trauma

    • Penetrating neck trauma

    • Laryngeotracheal injuries

    • Facial fractures

    • Skull fractures

    • Foreign bodies in the eyes

    • Dental trauma



    • Key Terminology:



    • Central nervous system

    • Concussion

    • Contusion

    • Cranium

    • Dermatome

    • Hematoma

    • Herniation

    • Laceration

    • Malar

    • Mandible

    • Maxillae

    • Nasal bone

    • Orbits

    • Temporomandibular joint (TMJ)



    • Objectives:



      • DOT Objectives

      • EMS Education Standards

      • State the components of the nervous system.

      • List the functions of the central nervous system.

      • Define the structure of the skeletal system as it relates to the nervous system.

      • Relate mechanism of injury to potential injuries of the head and spine.

      • Describe the implications of not properly caring for potential spine injuries.

      • State the signs and symptoms of a potential spine injury.

      • Describe the method of determining if a responsive patient may have a spine injury.

      • Relate the airway emergency medical care techniques to the patient with a suspected spine injury.

      • Describe how to stabilize the cervical spine.

      • Discuss indications for sizing and using a cervical spine immobilization device.

      • Establish the relationship between airway management and the patient with head and spine injuries.

      • Describe a method for sizing a cervical spine immobilization device.

      • Describe how to log roll a patient with a suspected spine injury.

      • Describe how to secure a patient to a long spine board.

      • List instances when a short spine board should be used.

      • Describe how to immobilize a patient using a short spine board.

      • Describe the indications for the use of rapid extrication.

      • List steps in performing rapid extrication.

      • State the circumstances when a helmet should be left on the patient.

      • Discuss the circumstances when a helmet should be removed.

      • Identify different types of helmets.

      • Describe the unique characteristics of sports helmets.

      • Explain the preferred methods to remove a helmet.

      • Discuss alternative methods for removal of a helmet.

      • Describe how the patient's head is stabilized to remove the helmet.

      • Differentiate how the head is stabilized with a helmet compared to without a helmet.

      • Explain the rationale for immobilization of the entire spine when a cervical spine injury is suspected.

      • Explain the rationale for utilizing immobilization methods apart from the straps on the cots.

      • Explain the rationale for utilizing a short spine immobilization device when moving a patient from the sitting to the supine position.

      • Explain the rationale for utilizing rapid extrication approaches only when they indeed will make the difference between life and death.

      • Defend the reasons for leaving a helmet in place for transport of a patient.

      • Defend the reasons for removal of a helmet prior to transport of a patient.

      • Demonstrate the following:

        • Opening the airway in a patient with suspected spinal cord injury

        • Evaluating a responsive patient with a suspected spinal cord injury

        • Stabilization of the cervical spine

        • The four person log roll for a patient with a suspected spinal cord injury

        • How to log roll a patient with a suspected spinal cord injury using two people

        • Securing a patient to a long spine board

        • Using the short board immobilization technique

        • Procedure for rapid extrication

        • Preferred methods for stabilization of a helmet

        • Helmet removal techniques

        • alternative methods for stabilization of a helmet

        • Completing a prehospital care report for patients with head and spinal injuries.

      • Introduction to trauma of the head, face, neck and spine

      • Review of anatomy and physiology of the head, face, and neck

      • General patient assessment

      • Specific Injuries to head, face, and neck

      • Age-related variations



    • 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 spinal trauma.

    • Demonstrate the different devices to immobilize patients with spinal injuries.

    • Demonstrate the use of dermatomes for assessment of injury.



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




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