North Carolina ems education Standards: emt curriculum Map



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Nervous System 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:



    • Key Terminology:



    • Intracranial pressure (ICP)

    • Foramen magnum

    • Neurogenic shock

    • Peripheral nervous system

    • Spinous process

    • Vertebrae



    • Objectives:



      • 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.

      • Define traumatic brain injury (TBI) and explain the difference between a primary (direct) injury and secondary (indirect) injury, providing examples of possible mechanisms of injury.

      • Describe the signs and symptoms associated with increased intracranial pressure (ICP), concussion, contusion, and injuries caused by medical conditions.

      • List the mechanisms of injury that cause a high index of suspicion for the possibility of a head injury or spinal injury.

      • Describe the assessment of a patient with a suspected nervous system trauma.

      • Describe the treatment of a patient with a suspected nervous system injury.

      • Discuss the transport of the nervous system injury patient to the most appropriate facility.



      • Incidence (mortality &morbidity)

      • Anatomy and physiology of the brain and spine

      • General assessment considerations for the brain trauma patients

      • Age-related variations for the pediatric and geriatric assessment and management of brain trauma

      • Spinal cord injuries

      • Age-related variations for the pediatric and geriatric assessment and management of spinal injury













    • Activities/Resources:Use of auditory, visual, and kinesthetic aids to facilitate the student learning environment for the topic of instruction.



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


    • Special Considerations in 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 trauma in:

    • Pregnant patient

    • Pediatric patient

    • Geriatric patient

    • Cognitively impaired patient



    • Key Terminology:

    • Backboard tilt

    • Pediatric Assessment Triangle (PAT)



    • Objectives:



      • DOT Objectives

      • EMS Education Standards

      • Recognition and management of trauma in the:

        • Pregnant Patient

        • Pediatric Patient’

        • Geriatric Patient

        • Cognitively Impaired Patient

      • Pathophysiology, assessment, and management of the trauma in the:

        • Pregnant Patient

        • Pediatric Patient’

        • Geriatric Patient

        • Cognitively Impaired Patient







    • 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 a patient with different needs during traumatic events.

    • Using equipment,demonstratehow students should perform these tasks.



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




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