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HSCI 0050 - Introduction to Advanced Life Support

http://catalog.sierracollege.edu/course-outlines/hsci-0050/

Catalog Description DESCRIPTION IS HERE: Prerequisite: Completion of HSCI 2 with grade of "C" or better, or a similar state certified EMT course; must be currently certified as an EMT in the state of California or certified through the National Registry of Emergency Medical Technicians (NREMT) Advisory: Completion of HSCI 3 and BIOL 55 with grades of "C" or better Hours: 80 (60 lecture, 20 laboratory) Description: Introduction to the advanced knowledge and critical thinking skills necessary to prepare for a paramedic program, advanced emergency medical technician (AEMT) training, registered nursing (RN), physician assistant (PA), and other allied health training programs. Assessment based course focuses on advanced life support (ALS) interventions; electrocardiogram (EKG) recognition and interpretation; pharmacology; advanced airway management; intravenous and intraosseous fluid and drug infusion; basic anatomy, physiology and principles of pathophysiology; introduction to local, state and national ALS protocols. Practical skills labs focus on improving patient assessment techniques, managing realistic case study scenarios, and introduction to AEMT, paramedic skills, protocols, and interventions. Course format is interactive and simulates the intense pace and discipline required of AEMT, paramedic and other allied health vocational training. Mandated student participation, passing of written exams and practical skills assessments required for completion. Course is approved for eighty (80) hours of instructor based continuing education (CE) by the National Registry of Emergency Medical Technicians (NREMT) and as a California state EMS CE Provider. (CSU) Units 3.5 Lecture-Discussion 60 Laboratory 20 By Arrangement Contact Hours 80 Outside of Class Hours Course Student Learning Outcomes Assess and identify the adult, child, and infant patient in acute respiratory failure and demonstrate the appropriate advanced intervention using endotracheal intubation airway management. Demonstrate the proper technique and sequence for administering intravenous and intraosseous catheterization and fluid therapy in the hypovolemic patient. Explain the requirement for communicating transfer of care and proper written documentation of any patient receiving advanced life support procedures. Identify the different EKG rhythms and underlying cardiac physiology, and explain the advanced intervention of the symptomatic patient. Describe the paramedic training curriculum, certification requirements and how the paramedic level differentiates from the EMT and Advanced EMT scope of practice. Course Content Outline I. Overview Paramedic Training Programs A. Licensing and Certification Requirements B. Clinical Education and Training C. Field Training II. Basic Anatomy and Physiology A. Musculoskeletal System B. Cardiovascular System C. Respiratory System D. Nervous System E. Cellular Anatomy and Function III. Communications A. Radio Reporting B. Scene Management / Communication Techniques C. Documentation / Patient Care Reports IV. Patient Assessment A. Initial Patient Assessment B. Focused History Physical Examination C. Prioritization and Management D. Diagnostic Signs and Vitals E. Ongoing Assessment V. Introduction to Advanced Airway Management A. Basic Airway Anatomy B. Airway Assessment C. Airway Adjuncts / NPA OPA D. Endotracheal Intubation E. Nasotracheal Intubation F. Direct Laryngoscopy / Magill Forceps G. Continuous Positive Airway Pressure VI. Introduction to IV Fluid Therapy A. Intravenous Solutions B. Fluids and Electrolytes C. IV Techniques / Indications VII. Introduction Pre-Hospital Pharmacology A. Classifications B. Actions C. Indications D. Contraindications E. Dosages (per-protocol) F. Side Effects G. Computing Dosages / Metric System H. Administration of Drugs I. Administration of OTC Medications VIII. Cardiovascular Emergencies A. Pre-Hospital Patient Assessment B. Signs and Symptoms C. Aortic Aneurysms D. Cardiogenic shock E. Congestive Heart Failure F. Coronary Artery Disease G. Acute Myocardial Infarction H. Angina Pectoris IX. Introduction to Basic EKG Interpretations A. Anatomy and Physiology B. Cardiovascular System C. Cardiac Output / Perfusion D. Cardiac Conduction System E. Electrophysiology F. Normal Sinus Rhythm X. Introduction to Basic EKG Rhythm Recognition A. Artifact B. Atrial Fibrillation C. Atrial Flutter D. First, Second, Third Degree Blocks E. Idioventricular F. Junctional Rhythms G. Electrical Mechanical Dissociation H. Premature Ventricular Contractions I. Sinus Arrhythmia J. Sinus Bradycardia K. Sinus Tachycardia L. Ventricular Tachycardia M. Ventricular Fibrillation XI. Introduction to Advanced Cardiac Life Support A. Review Basic Cardiac Life Support B. Advanced Cardiac Life Support C. Regional and National Cardiac Protocols XII. Introduction to Advanced Trauma Life Support A. Pathophysiology of Trauma / Review of Shock B. Assessment of the Trauma Patient C. Basic Trauma Stabilization D. Tourniquets and Hemostatic Dressings E. Optional Trauma & Medical Paramedic Skills XIII. Introduction to Pediatric Emergencies A. Assessment B. Advanced Airway Management C. Drug Doses and Administration D. Advanced Life Support (PALS) XIV. Airway Management Applications A. Airway Assessment / Auscultation B. Basic Airway Adjuncts C. Bag / Value System D. Endotracheal Intubation E. Nasotracheal Intubation F. Combitube XV. IV and IO Therapy Application A. Preparation B. Sterile Techniques C. Peripheral IV Insertion D. Intraosseous IO XVI. Drug Preparation A. On Scene Techniques B. IV/IO Therapy Drug Administration C. Nebulized Inhalation D. Subcutaneous Injection E. Intramuscular Injection F. Nasal Spray XVII. Cardiac Life Support Applications A. Regional and National Cardiac Protocols B. Cardiac ACLS Scenarios in Pre-Hospital Setting Course Objectives Course Objectives Lecture Objectives: 1. Describe how the paramedic scope of practice differentiates from other levels of pre-hospital care as defined in Title 22 of the California Health and Safety Code. 2. Describe the paramedic training curriculum and the certification requirements as defined in Title 22 of the California Health and Safety Code. 3. Identify the basic principles of human anatomy, physiology and pathophysiology and the application to protocols and skills within the paramedic scope of practice. 4. Explain criteria for pre-hospital communication required for the transfer of patient care including verbal face-to-face, med net radio and mobile/cellular communication. 5. Explain the written documentation that conveys the essential elements of patient assessment, scene management, ALS and BLS interventions, and reassessment. 6. Explain the principle patient assessment techniques required for the delivery of advanced life support (ALS) and basic life support (BLS) interventions for the adult, child, and infant patient. 7. Describe advanced airway management and respiratory support through the utilization of advanced airway adjuncts and techniques for the adult, child, and infant patient in acute respiratory failure. 8. Describe proper techniques and protocols for intravenous (IV) and intraosseous (IO) catheterization and fluid therapy utilized in a pre-hospital care environment for the adult, child, and infant patient. 9. Identify all pharmacology approved for the paramedic scope of practice and correctly describe the dosage, classification, action, indication, contraindication, and side effects of each drug. 10. Explain the pathophysiology of cardiovascular and respiratory emergencies, the associated signs and symptoms, and the required paramedic intervention of a symptomatic adult, child, and infant patient. 11. Explain the pathophysiology of shock, medical and traumatic emergencies, the associated signs and symptoms, and the required paramedic interventions of a symptomatic adult, child, and infant patient. 12. Explain the pathophysiology, signs and symptoms of a hemodynamically compromised patient, and the required paramedic intervention for the adult, pediatric and infant patient. Laboratory Objectives: Given practical skills applications and simulated scenarios, students will: 1. Demonstrate proper communication techniques and format required for the transfer of patient care including verbal face-to-face, med net radio and mobile/cellular communication. 2. Demonstrate the proper techniques of a primary and secondary assessment on a medical patient and the ability to determine the correct advanced life support intervention on the adult, child, and infant patient. 3. Demonstrate the proper techniques of a primary and secondary assessment on a trauma patient and the ability to determine the correct advanced life support intervention on the adult, child, and infant patient. 4. On a training manikin, demonstrate proper airway and respiratory support through the utilization of advanced airway adjuncts for the adult, child and pediatric patients in acute respiratory failure. 5. Demonstrate the proper techniques for intravenous (IV) catheterization and fluid therapy utilized in a pre-hospital care environment on the adult, child, and infant patient. 6. Demonstrate the proper techniques for intraosseous (IO) catheterization and fluid therapy utilized in a pre-hospital care environment on the adult, child, and infant patient. 7. In a simulated scenario, correctly administer the appropriate medication per protocol, and correctly identify the correct dosage, indication, contraindication, route and side effects of each drug. 8. In a simulated scenario, correctly recognize the associated signs and symptoms of a patient in acute respiratory failure and demonstrate the appropriate advanced airway interventions. 9. Demonstrate ability to rapidly identify and interpret multiple EKG arrhythmias, and explain the underlying physiology of each rhythm as displayed on a cardiac monitor simulator. 10. Demonstrate the ability to properly apply a tourniquet and hemostatic dressings to control a severe hemorrhagic bleed on the adult, child, and infant patient. 11. In a simulated scenario, demonstrate the proper technique to administer medication through a hand held nebulized inhaler, intramuscular and subcutaneous injection, nasal spray, and intravenous and intraosseous infusions. Methods of Evaluation Objective Examinations Problem Solving Examinations Skill Demonstrations Reading Assignments 1. Complete the assigned reading on basic anatomy and physiology and identify the major systems and pathophysiology of illness and injuries to each system. 2. Complete the assigned reading on pre-hospital care pharmacology, and describe the actions, doses, indications, contraindications, and side effects of all medications approved for use within the paramedic scope of practice. Writing, Problem Solving or Performance 1. Given a realistic practical scenario, the student will demonstrate the correct sequence of advanced cardiac life support including, airway management, defibrillation, and drug administration for an adult patient found unconscious and unresponsive with no pulse or respiration. 2. Given a detailed written scenario, the student will explain the required interventions for an asthma patient in extreme respiratory distress, including use of endotrachial intubation, administration of subcutaneous epinephrine and a nebulized Albuteral treatment. Other (Term projects, research papers, portfolios, etc.) Methods of Instruction Laboratory Lecture/Discussion Distance Learning Other materials and-or supplies required of students that contribute to the cost of the course.