McCann Technical School 70 Hodges Cross Road North Adams, MA Medical Assisting Program

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Randall Hicks
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1 MA 104 MEDICAL SOCIAL SCIENCE 4 Credits Fall Semester Part IV FIRST RESPONDER Syllabus McCann Technical School 70 Hodges Cross Road North Adams, MA Medical Assisting Program INSTRUCTORS: Laurie Tuper, Mike Gleason, Patricia Sprague, Dan Sprague, Certified Instructors METHODOLOGY: Lecture, demonstration, practical application COURSE DESCRIPTION: This course provides the student with the theory and practical skills necessary to be certified as a First Responder. TEXT: CLINICAL PROCEDURES FOR MEDICAL ASSISTANTS, 7 th EDITION, Saunders Elsevier, 2008 Text and Workbook. Handouts COURSE OBJECTIVES: COURSE CONTENT: 1. Describe the Emergency Medical Service System and methods of gaining access 2. Describe and perform patient assessment 3. Recognize common medical emergencies 4. Respond appropriately to common medical emergencies Emergency Medical Services System Gaining Access & Emergency Rescue Patient Assessment & Actions at the Scene Poisonings & Drug/Alcohol Abuse Bleeding/Wounds & Shock Skeletal Injuries Head & Trunk Injuries Environmental Emergencies Respiratory Emergencies

2 OUTCOMES MEASUREMENT: Grade equals 10% of Medical Social Science Grade ATTENDANCE: Practical exam-roleplaying emergencies, perform patient assessment. Students will perform until each meets examiners criteria for successful performance. Final written exam-must achieve passing grade according to First Responders standards. Will review and retake exam until satisfactory grade achieved. Grade factored into Medical Social Science will be grade on first attempt at exam. Attendance at all classes is mandatory. FIRST RESPONDER CURRICULUM Emergency Medical Services System Describe the EMSS including: a. Role of the first responder b. Role of ambulance personnel c. Communications with and relationships between the first responder,ambulance personnel and hospitals d. Location and types of available emergency medical care, such as hospitals and first aid stations Gaining Access & Emergency Rescue Describe methods of gaining access to a trapped patient: a. Use of access tools b. Water rescue techniques c. Patient transport techniques d. Determinants of need for support services, e.g. traffic control, heavy rescue equipment Demonstrate and practice, with trainees: a. Clothes drag maneuver for a person with a questionable spinal cord injury b. Traction blanket lift c. Log roll and straddle slide Patient Assessment and Actions at the Scene Describe and demonstrate the primary survey addressing: a. Recognition of common medical emergencies

3 b. Mechanisms and causes of injury c. Signs of bleeding d. Signs of possible skeletal injury e. Differential assessment of medical conditions which may be obscure or insidious, e.g. diabetic reactions, stroke, heart attack f. Medical identifications e.g. Medical Alert jewelry Establish criteria for determining triage and treatment priorities Outline indications for requesting ambulance response to the scene Outline the necessary data and information to be relayed to ambulance service Identify appropriate interactions at the scene between first responders and emergency medical technicians Medical Emergencies Identify the signs and symptoms, as well as basic intervention needed, to support persons with conditions such as: a. Heart attack b. Stroke c. Diabetic reactions d. Childbirth (emergency) e. Allergic reactions f. Behavioral emergencies Respiratory Emergencies Describe the normal breathing process Identify criteria for recognizing respiratory distress resulting from such causes as: a. Airway obstruction (by tongue, food, or foreign body) b. Injury to mouth, neck, or chest c. Facial burns and/or smoke inhalation d. Known respiratory illness (emphysema, bronchitis, asthma) e. Poisons f. Allergic reactions g. Electrical shock h. Drowning Describe, demonstrate, and practice, with trainees, methods of maintaining a clear and open airway including: a. Mouth-to- mouth and mouth-to-nose artificial ventilation b. Mechanical aids-oxygen equipment Bleeding, Wounds, and Shock Describe the circulatory system Identify signs and symptoms of shock Identify shock-prone conditions and causes of traumatic and anaphylactic shock

4 Describe, demonstrate, and practice, with trainees, methods of bleeding control: a. Direct pressure b. Pressure points c. Elevation d. Use of commercial and improvised dressings e. Tourniquets (stress dangers and restrictions of their use) Accidental Poisonings and Drug/Alcohol Abuse Identify criteria for assessing patient who has overdosed on drugs or alcohol Identify assessment criteria for accidental poisoning victims Outline basic intervention needed to care for both of the above Identify Poison Information Center including role and phone number Differenciate the signs of alcohol intoxification with those of medical conditions which may mimic alcohol abuse, e.g. diabetes, stroke Describe methods and importance of obtaining samples Thermal Injuries Identify signs, symptoms of basic interventions needed by victims of: a. Burns (degree of severity) b. Heat stroke c. Heat exhaustion d. Frostbite and exposure Head & Trunk Injuries Identify signs, symptoms of, and basic intervention needed by, victims of blunt And penetrating trauma of the: a. Head: fractures, lacerations b. Face: fractures, lacerations c. Eye: foreign body, impaled object d. Chest: sucking chest wound e. Abdomen: crush injuries, evisceration Skeletal Injuries Identify signs and symptoms of possible skeletal injury including: a. Fractures b. Dislocations c. Sprains-strains d. Spinal injury Demonstrate and practice, with trainees, immobilization techniques for all of the above, including: a. Manual traction to cervical spine b. Application of a commercial or improvised cervical collar c. Application of a commercial or improvised splint for upper and lower extremity bone and /or joint injury Examination Measure knowledge and skills proficiency of each first responder through a written and practical examination

5 FRAMEWORKS STANDARDS 2.E.07 Transport client on stretcher 2.E.08 Demonstrate bandaging and dressing 2.E.09 Demonstrate the application of mobilization and immobilization materials 2.I.03 Determine medical condition via face-to-face triage 2.I.06 Demonstrate the ability to use an automatic external defibrillator (AED) 2.L.14 Apply an eye patch dressing Demonstrate appropriate transfer technique I.C.01a Illustrate First Aid procedures for potential injuries and other health concerns in the occupational area

ADMINISTRATIVE REQUIREMENT MANUAL EFFECTIVE DATE

ADMINISTRATIVE REQUIREMENT MANUAL EFFECTIVE DATE PURPOSE: I. To establish the minimum requirements for a first responder training course in first aid, which all first responders must take, in order to meet the requirements of M.G.L. c. 111, 201 and 105