WILDERNESS FIRST RESPONDER Course syllabus April 19-27, 2017
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1 KAYAK ADVENTURES WORLDWIDE :: SEWARD, ALASKA WILDERNESS FIRST RESPONDER Course syllabus April 19-27, 2017 INSTRUCTOR AND CONTACT NUMBER: Deb Ajango, ; COURSE DESCRIPTION: Wilderness First Responder provides knowledge and skills necessary to administer emergency and medical care in non-urban environments. Covers basic anatomy and physiology, assessment and treatment of injuries, appropriate short-term to multi-day patient care and evacuation considerations. Special Note: Students will be awarded nationally recognized WFR certificate upon successful completion of the course. COURSE PREREQUISITES: No prerequisites are required for this course. COURSE DATES AND TIMES: Wednesday, April 19, 2017 through Thursday, April 27, No class Sunday, April 23. Class will be from 8:00 a.m. to 8:00 p.m. (Class may get done as early 6 p.m., but it will often go as late as 8:00 p.m., especially the first few days. Be prepared for long days!) Students will also need to complete reading and written assignments each evening as part of the course work. COURSE CURRICULUM: This course will introduce students to... Anatomy and physiology Circulatory and respiratory emergencies Medical emergencies Environmental injuries and illnesses Patient assessment system Assessing and dealing with spine injuries Anaphylaxis Simple dislocations Wound care and definition of high-risk wounds Stable/unstable injuries Basic life support and cessation of CPR Evacuation decision-making Legal responsibilities and considerations
2 METHODS OF INSTRUCTION: Lectures, hands-on in-class practice, scenarios, case studies and reading assignments will be used. Quizzes and an exam will be used to test progress and understanding. EXPECTED OUTCOMES: The successful participant will be able to... Understand basic anatomy and physiology. Assess and provide basic treatment for circulatory and respiratory emergencies. Assess and provide basic treatment for medical emergencies. Assess and provide basic treatment for environmental injuries and illnesses. Understand the patient assessment system. Assess and immobilize a spine-injured patient. Assess and provide treatment for anaphylaxis. Assess and provide treatment for simple dislocations. Assess and provide basic care for wounds. Assess and provide basic treatment for stable and unstable injuries. Understand when it is appropriate to stop CPR. Understand evacuation decision-making. Identify legal responsibilities and considerations. ATTENDANCE POLICY: Students missing more than 2 hours of instruction will not receive a passing grade or certification. CERTIFICATION: Certification fees are included in the course fees. Students must earn 80 percent or better on the final exam, plus satisfactory application of assessment skills and treatment methods, to receive a Wilderness Medical Associates Wilderness First Responder certification. Students, who earn percent on the final exam, plus have shown satisfactory skill performance, will receive a Wilderness Advanced First Aid certification. Students who earn 80 percent or more on the final but who have not shown satisfactory skill performance will also receive a Wilderness Advanced First Aid certification. EQUIPMENT AND CLOTHING: Wear or bring loose clothing (such as sweats, shorts, t-shirts, etc.) for practical exercises. You must be dressed appropriately to spend several hours outdoors, regardless of weather! Please wear grubby clothing and outdoor wear so we don t have to worry about damaging or staining it. Please bring any outdoor gear / clothing that you would normally be traveling with. It s really good to be able to use your own gear in exercises since that is what you will eventually be using in the field. Sleeping bags, sleeping pads, paddles, skis / poles, etc are all good ideas. Be prepared they may get dirty. **If you are not properly dressed for an outdoor session, and the instructors determine it would be detrimental to your health and safety to participate outdoors, you will not be allowed to participate and will not receive credit for attending that part of the class.**
3 COURSE SCHEDULE: Wednesday, April 19 AM Introductions/course description General concepts Wilderness protocols Basic anatomy Circulatory system Shock and bleeding Wednesday, April 19 PM PAS; part 1 (Scene Size-up) Bloodborne pathogens Wound care, burns and high-risk wounds (protocol #1) Wound lab Respiratory system Reading assignment: The Outward Bound Wilderness First-Aid Handbook (WFAH), Section I (entire section), Section II (entire section), Section III (pgs ) and handouts Thursday, April 20 AM Quiz #1 Nervous system/head injuries Patient communication and consent PAS; part 2 (Initial Assessment) Heart attack vs. angina Stroke CPR Thursday, April 20 PM CPR continued CPR exam PAS; part 3 (patient history, physical exam, and vital signs) Reading assignment: WFAH, Section III (pgs ) and handout Friday, April 21 AM Quiz #2 Musculoskeletal injuries Splinting practice Organizing patient assessment information SOAP Patient assessments and SOAP drills Friday, April 21 PM Spine injuries, assessment of (protocol #2) Spine management Positions 1, 2 and 3 Cervical collars Jams and pretzels Rolling to a backboard Skill practice
4 WFAH, Section VIII (entire section) and handouts Saturday, April 22 AM Quiz #3 Case study #1 Dislocation assessment and reduction (protocol #3) Drills and skill practice Saturday, April 22 PM Incident command system & decision-making Scenario #1 WFAH Section V (pgs ), Appendix I and handouts Sunday, April 23 **No class** Monday, April 24 AM Case study #2 (to be turned in) Altitude Frostbite Cold-water near drowning and near drowning Water disinfecting Monday, April 24 PM Hypothermia/hyperthermia CPR in extended settings (hypothermic and normothermic) Cessation of CPR (protocol #4) Litter packaging the hypothermic patient Common medical conditions and emergencies Diabetes Review of asthma (protocol #5) WFAH, Section IV (entire section), Section V (pgs ), and handouts Tuesday, April 25 AM Quiz #4 Case study #3 (to be turned in) Sun, electricity and lightning injuries Toxins, bites and stings Allergy and anaphylaxis (protocol #6) Tuesday, April 25 PM Patient carries Scenario #2 WFAH, Section VI (entire section) and handouts
5 Wednesday, April 26 AM Quiz #5 Backcountry medicine rodeo Search and rescue Evacuation decision-making Emergency childbirth Wednesday, April 26 PM Scenario #3 WFAH, Section VII (entire section) and handouts Thursday, April 27 AM Medico-legal First-aid kits/meds Improvised litters Thursday, April 27 PM Final exam Student evaluations Clean-up Awarding of certifications
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