North Carolina ems education Standards: emt curriculum Map



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Special Patient Populations

  • Obstetrics


  • Summary:Applies a fundamental knowledge of growth, development, and aging and assessment findings to provide basic emergency care and transportation for a patient with special needs.



  • TARGET SKILLS:Recognition and management of normal delivery and vagina bleeding in the pregnant patient to include:

    • Nuchal cord

    • Prolapsed cord

    • Breech delivery

    • Third trimester bleeding to include:

    • Spontaneous abortion/miscarriage

    • Ectopic pregnancy

    • Preeclampsia/Eclampsia



    • Key Terminology:



    • Abortion

    • Abruption placenta

    • Afterbirth

    • Braxton-hicks contractions

    • Breech presentation

    • Cephalic presentation

    • Crowning

    • Eclampsia

    • Ectopic pregnancy

    • Fallopian tubes (oviducts)

    • Labor

    • Limb presentation

    • Meconium staining

    • Multiple birth

    • Neonate

    • Placenta

    • Placenta previa

    • Preeclampsia

    • Premature infant

    • Prolapsed umbilical cord

    • Supine hypotensive syndrome





    • Objectives:

      • DOT Objectives

      • Identify the following structures:

        • Uterus

        • Vagina

        • Fetus

        • Placenta

        • Umbilical cord

        • Amniotic sac

        • Perineum

      • Identify and explain the use of the contents of an obstetrics kit.

      • Identify predelivery emergencies.

      • State indications of an imminent delivery.

      • Differentiate the emergency medical care provided to a patient with predelivery emergencies from a normal delivery.

      • State the steps in the predelivery preparation of the mother.

      • Establish the relationship between body substance isolation and childbirth.

      • State the steps to assist in the delivery.

      • Describe care of the baby as the head appears.

      • Describe how and when to cut the umbilical cord.

      • Discuss the steps in the delivery of the placenta.

      • List the steps in the emergency medical care of the mother post-delivery.

      • Summarize neonatal resuscitation procedures.

      • Describe the procedures for the following abnormal deliveries:

      • Differentiate the special considerations for multiple births.

      • Describe special considerations of meconium.

      • Describe special considerations of a premature baby.

      • Discuss the emergency medical care of a patient with a gynecological emergency.

      • Explain the rationale for understanding the implications of treating two patients (mother and baby).

      • Demonstrate the steps to assist in the normal cephalic delivery.

      • Demonstrate necessary care procedures of the fetus as the head appears.

      • Demonstrate infant neonatal procedures.

      • Demonstrate post-delivery care of infant.

      • Demonstrate how and when to cut the umbilical cord.

      • Attend to the steps in the delivery of the placenta.

      • Demonstrate the post-delivery care of the mother.

      • Demonstrate the procedures for the following abnormal deliveries:

        • Breech birth

        • Prolapsed cord

        • Limb presentation

      • Demonstrate the steps in the emergency medical care of the mother with excessive bleeding.

      • Demonstrate completing a prehospital care report for patients with obstetrical/gynecological emergencies.



      • Introduction

      • Anatomy and physiology review of the female reproductive system

      • Physiology of pregnancy

      • General system physiology, assessment, and management of the pregnant patient

      • Complications of pregnancy

      • High-risk pregnancy to include:

        • Pathophysiology

        • Assessment

        • Complications

        • Management

      • Complications of labor to include:

        • Pathophysiology

        • Assessment

        • Complications

        • Management

      • Complications of delivery to include:

        • Pathophysiology

        • Assessment

        • Complications

        • Management

      • Postpartum complications to include:

        • Pathophysiology

        • Assessment

        • Complications

        • Management





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

    • Childbirth video, scenario based training pertinent to topic of instruction.



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


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