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HSCI 0054 - Paramedic - Advanced Life Support Part 2

http://catalog.sierracollege.edu/course-outlines/hsci-0054/

Catalog Description Prerequisite: Completion of HSCI 53 with grade of "B" or better; current California EMT Certification and AHA BLS CPR Certification Hours: 248 (122 lecture, 126 laboratory) Description: Part two of a four-part series of courses providing the foundational knowledge required for the paramedic level of care in the Emergency Medical System (EMS). Theory and psychomotor application of prehospital care including the anatomy and physiology related to body systems and the impact of trauma, disease processes, and medical disorders for common obstetric, pediatric, and geriatric patient emergencies. Students will learn to identify abnormal physical assessments and apply appropriate priority interventions. Competencies in accessing and evaluating patient monitoring technologies, and integrating advanced life support theories to perform paramedic skills related to prehospital care standards for traumatic injuries and medical emergencies. Students will receive certified training in Pediatric Advanced Life Support (PALS)/Handtevy or equivalent. (CSU) Course Student Learning Outcomes CSLO #1: Explain the anatomy and physiology of major disease processes related to body systems and the impact of trauma. CSLO #2: Identify abnormal physical assessment findings and integrate Advanced Life Support interventions for obstetric, pediatric, geriatric, and special patient emergencies. CSLO #3: Perform intravenous (IV) and interosseous (IO) catheterization for administering medication or fluid therapy in an unstable patient. CSLO #4: Demonstrate Advanced Life Support interventions of a needle decompression (thoracentesis) and needle cricothyrotomy. CSLO #5: Describe and practice leadership skills to promote scene and crew safety during EMS operations. CSLO #6: Explain the role of EMS during a tactical response, hazardous material conditions, and multi-casualty incidents and rescue operations. Effective Term Spring 2025 Course Type Credit - Degree-applicable Contact Hours 248 Outside of Class Hours 244 Total Student Learning Hours 492 Course Objectives Lecture Objectives Paramedic Unit 1 Trauma Systems and Mechanism of Injury: Ability to integrate the principles of kinematics to enhance the patient assessment and predict the likelihood of injuries based on the patient’s mechanism of injury. Ability to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with shock, hemorrhage, or multisystem trauma. Ability to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with an environmentally induced or exacerbated medical or traumatic condition. Explain how to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement the treatment plan for the patient with soft tissue or nervous system trauma. Demonstrate the ability to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the management plan for a patient with a burn injury. Ability to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the trauma patient with a suspected head, facial, or neck injury. Ability to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with a suspected spinal injury. Ability to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for a patient with a chest injury. Ability to integrate pathophysiologic principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with suspected abdominal or genitourinary trauma. Ability to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with an orthopedic injury. Ability to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with an orthopedic injury. Paramedic Unit 2 Special Populations: Ability to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for a neonatal patient. Ability to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the pediatric patient. Ability to integrate the pathophysiological principles and the assessment findings to formulate and implement a treatment plan for Shaking Baby Syndrome or Sudden Infant Death Syndrome (SIDS). Ability to integrate the assessment findings to formulate a field impression and implement a treatment plan for the geriatric patient.  Ability to integrate the assessment findings to formulate a field impression and implement a treatment plan for the patient who has sustained abuse or sexual assault.  Ability to recognize signs or potential for human trafficking victims. Ability to integrate pathophysiological and psychosocial principles to adapt the assessment and treatment plan for diverse patients and those who face physical, mental, social, and financial challenges. Ability to integrate the pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the acute deterioration of a chronic care patient. Paramedic Unit 3 Operations: Demonstrate an understanding of standards and guidelines that help ensure safe and effective ground (EMS Operations) and air medical transport. Ability to integrate the principles of general incident management and multiple casualty incident (MCI) management techniques to function effectively in major incidents. Explain how to operate within a tactical EMS situation.  Recognize a hazardous material incident and establish guidelines on how to operate during the incident.  Lab Objectives Demonstrate the assessment and treatment of a patient experiencing signs and symptoms of shock. Demonstrate the assessment and management of a patient with signs and symptoms of a soft tissue injury. Perform management of a chemical or thermal burn injury, including airway and ventilation, circulation, pharmacological, non-pharmacological, transport considerations, psychological support/ communication strategies, and other management described by local protocol. Demonstrate a clinical assessment to determine the proper management modality for a patient with a suspected traumatic spinal, head, face, or neck injury including performing a cricothyrotomy when indicated.  Demonstrate a clinical assessment for a patient with suspected chest trauma with management for thoracic injuries using needle decompression (thoracentesis) when indicated. Demonstrate the following techniques of management for critical injuries using BLS and ALS airway adjuncts, oxygenation, and ventilation. Demonstrate the following techniques of management for injuries utilizing ECG monitoring and waveform capnography. Demonstrate the following techniques of management for fluid resuscitation with intravenous (IV) and interosseous (IO) access.  Demonstrate pediatric advanced life support (PALS) resuscitation following American Heart Association (AHA) guidelines. Participate in a multi-casualty incident as a tactical EMS provider following the ICS framework.   General Education Information Approved College Associate Degree GE Applicability CSU GE Applicability (Recommended-requires CSU approval) Cal-GETC Applicability (Recommended - Requires External Approval) IGETC Applicability (Recommended-requires CSU/UC approval) Articulation Information CSU Transferable Methods of Evaluation Objective Examinations Example: Through weekly quizzes and examinations, student will demonstrate the ability to correctly analyze medical and trauma scenarios and use critical thinking skills to select the appropriate intervention for providing patient care. The students will perform a written short answer exam from a given scenario prompt and describe the proper assessment format, pathophysiological understanding of the problem, treatment protocol and transport decision. Questions will reflect general knowledge of the National Paramedic Scope of Practice, the ability to perform a standard assessment and ability to implement a treatment management plan. Problem Solving Examinations Example: Using a high-fidelity manikin simulation, the student will be given a practical emergency trauma scenario. Using advanced assessment interventions learned in the course, the student will utilize subjective and objective components of the primary assessment to demonstrate the ability to select appropriate advanced life support skills for patient care. The instructor will utilize the NREMT (National Registry of Emergency Medical Technicians) standardized Trauma Patient Assessment Skills sheet for a paramedic, to record, and grade the scenario performance. The student will be provided copies of their performance for personal improvement and future reference. Skill Demonstrations Example: Using a high-fidelity manikin patient simulation, the student will demonstrate the ability to perform a primary patient assessment of airway and circulation on a pediatric patient and successfully establish an intravenous (IV) or interosseous (IO) line for fluid and medication administration for resuscitation. The instructor will utilize the AHA PALS standardized algorithm for paramedics to record and grade the scenario performance. The student will be provided copies of their performance for personal improvement and future reference. Repeatable No Methods of Instruction Laboratory Lecture/Discussion Distance Learning Lab: During a practical skills lab, the Instructor will demonstrate on a high-fidelity manikin the proper technique for Intraosseous (IO) cannulization to establish a route of administration for volume-expanding fluids and medication administration. The Instructor will guide each individual student through every required step of the IO procedure, allowing the student to perform the psychomotor skill on a high-fidelity manikin and be allowed the experience of hands-on patient care. Lecture: During a lecture presentation, the instructor will explain the pathology of traumatic head injury, signs and symptoms, neurological deficit, use of oral tracheal intubation, and the benefit of intravenous fluid administration when following national and local treatment protocols. The Instructor will demonstrate the assessment and intervention skills required for head and spinal trauma, and the student will perform the patient assessment and psychomotor skills, and be allowed to experience the actual hands-on patient care for a traumatic head injury simulation. Distance Learning The instructor will provide online lecture presentations, utilize the discussion board to emphasize course material, and supply online weekly assignments. The students are expected to complete the weekly modules, review the online lectures, complete the online assignments, and participate in the discussion board posts. Example Discussion Board Prompt: Watch the provided mechanism of injury video carefully, paying attention to the dynamics and forces involved in the incident. Drawing from the principles of kinematics discussed in our course, analyze the key factors contributing to the injuries observed. Consider elements such as velocity, acceleration, deceleration, and direction of forces. Based on your understanding of kinematics, make predictions about the potential injuries that individuals involved in the incident might sustain. Engage in collaborative discussions with your peers by comparing and contrasting your injury predictions, and providing rationales for your assessments. Typical Out of Class Assignments Reading Assignments 1. Read current EMS industry/EMS professional publications or manuals provided by the instructor/clinical coordinator. Compare articles to local protocols, textbooks or other EMS industry-related journals. Students will be required to demonstrate the comparable differences between local and national protocols. 2. Read the regional protocols for Advanced Life Support care for Acute Environmental Emergencies. Students will be required to explain the physiological changes that occur within the body during extreme heat related illnesses, and discuss the treatment protocols for related environmental emergencies. 3. Read the regional treatment protocols on thoracic trauma and explain the cellular pathology of traumatic injuries. Describe the signs and symptoms of perfusion compromise and the physiological effects on the body. Writing, Problem Solving or Performance 1. Through mandated curriculum documentation, students will log all course activities, and track daily tasks, training discussions, training activities, and Advanced Life Support (ALS) skills learned. All training projects completed, advanced skills, and any protocols performed during of instructor-based human simulations. 2. Through mandated documentation, the student will complete a patient care report (PCR) document for all human or high-fidelity simulated medical/legal activities involved with patient care. Documentation will include chief complaints, signs and symptoms, subjective and objective findings during assessment, recording all trending of vital signs and any trending changes in the ongoing assessment, documenting all simulated patient care procedures attempted, and completed, and any changes or results in overall patient condition. Other (Term projects, research papers, portfolios, etc.) Required Materials AAOS Emergency Care in the Streets Author: Nancy Caroline Publisher: Jones and Bartlett Publishers Publication Date: 2021 Text Edition: 9th; Volume 1 Classic Textbook?: OER Link: OER: AAOS Emergency Care in the Streets Author: Nancy Caroline Publisher: Jones & Bartlett Publishers Publication Date: 2021 Text Edition: 9th; Volume 2 Classic Textbook?: OER Link: OER: Other materials and-or supplies required of students that contribute to the cost of the course. Pediatric Advanced Life Support (PALS)/Handtevy or equivalent certification