Paramedic Trauma

Transcription

1 Western Technical College Paramedic Trauma Course Outcome Summary Course Information Description Career Cluster Instructional Level Total Credits 3.00 Total Hours This course teaches the paramedic student to integrate assessment findings with principles of anatomy, physiology, epidemiology, and pathophysiology to formulate a field impression and implement a comprehensive treatment plan for an acutely injured patient. Law, Public Safety, Corrections and Security Associate Degree Courses Types of Instruction Instruction Type Lecture Lab Credits/Hours 2 CR / 36 HR 1 CR / 36 HR Course History Last Approval Date 9/9/2013 Target Population Paramedic Technician AAS ( ) program students. Pre/Corequisites Prerequisite Paramedic Medical Principles Textbooks Prehospital Trauma Life Support. 8th Edition. Copyright American Academy of Physicians. Publisher: Elsevier Science. ISBN-13: Required. Program Outcomes Course Outcome Summary Page 1 of 7

2 1. Integrate pathophysiological principles and assessment findings to provide appropriate patient care. Type TSA Status WIP Summative 1.1. Paramedic Skills Sheets 1.2. Portfolios 1.3. EMS Clinical and Field Evaluation Log 1.1. learner applies appropriate use of pharmacology 1.2. learner demonstrates an understanding of basic patient needs 1.3. learner demonstrates appropriate patient assessments 1.4. learner formulates field impressions 1.5. learner formulates a working diagnosis 1.6. learner formulates patient treatment plans 1.7. learner implements patient treatment plans 1.8. learner re evaluates the effectiveness of treatment plans (modify as necessary based on re evaluation) 2. Demonstrate paramedic skills associated with established standards and procedures for a variety of patient encounters. Type TSA Status WIP Summative 2.1. Paramedic Skills Sheets 2.2. Portfolios 2.3. EMS Clinical and Field Evaluation Log 2.1. learner applies airway management procedures 2.2. learner applies vascular access procedures 2.3. learner applies EKG procedures 2.4. learner administers medications 2.5. learner manages trauma care 2.6. learner applies electrical therapy 2.7. learner applies mechanical (non electrical) circulatory interventions 3. Meet state and national competencies listed for paramedic certification(s). Type TSA Status WIP Summative 3.1. Paramedic Skills Sheets 3.2. Portfolios 3.3. EMS Clinical and Field Evaluation Log 3.1. learner meets or exceeds required competencies External Standards Title Version/Date September 2011 Association Status Sponsoring Organization Origin URL Wisconsin Standardized Paramedic Curriculum WIP WI Department of Health Services (DHS), EMS Section culum2011.pdf Description Course Outcome Summary Page 2 of 7

3 The Wisconsin 2011 Paramedic Curriculum was adapted from the January 2009 National Emergency Medical Services Education Standards Paramedic Instructional Guidelines as published by the National Highway Traffic Safety Administration, under the United States Department of Transportation. The Wisconsin Paramedic Scope of Practice integrated into this document was defined by the State EMS Board Physicians Advisory Committee, based upon their modifications to the February 2007 National EMS Scope of Practice Model as published by the National Highway Traffic Safety Administration, under the United States Department of Transportation. It is recognized that the educational standards included as a part of this curriculum are not all inclusive and additional content may be added at the discretion of the EMS Training Center to meet local needs or requirements. Target Standards NHTSA EMS National Educational Standard 12: Trauma National Association of EMTs (NAEMT) National Registry of Emergency Medical Technicians (NREMT) Course Competencies 1. Examine general principles of trauma. Domain Cognitive Level Evaluating Status Active 1.1. Oral, Written or Graphic Assessment 1.1. you answer questions related to the learning objectives on a test 1.2. you achieve the threshold identified by your Training Center on the assessment 1.a. Discuss the identification and categorization of trauma patients as defined by the National Trauma Triage Protocol. 1.b. Discuss the mortality, morbidity, and significance of trauma in the United States. 1.c. Discuss the trauma system as it exists in Wisconsin. 1.d. List different types of traumatic injuries. 1.e. list the major components of the trauma patient assessment. 1.f. Differentiate between significant and non significant mechanisms of injury (MOI). 1.g. Describe the primary assessment of a trauma patient. 1.h. Describe the secondary assessment (head to toe physical examination) of a trauma patient. 1.i. Discuss the role of documentation in caring for victims of trauma. 1.j. Discuss trauma scoring scales. 1.k. Discuss trauma center designations. 1.l. Discuss the transfer of trauma patients to the most appropriate hospital. 2. Analyze the pathophysiology, assessment considerations, morbidity/mortality, and management of a patient with chest trauma Oral, Written or Graphic Assessment 2.1. you answer questions related to the learning objectives on a test 2.2. you achieve the threshold identified by your Training Center on the assessment Course Outcome Summary Page 3 of 7

4 2.a. Describe the morbidity and mortality of chest trauma, including prevention strategies. 2.b. Discuss the pathophysiology, assessment considerations, and management of a patient with a traumatic aortic disruption. 2.c. Discuss the pathophysiology, assessment considerations, and management of a patient with a pulmonary contusion. 2.d. Discuss the pathophysiology, assessment considerations, and management of a patient with a blunt cardiac injury. 2.e. Discuss the pathophysiology, assessment considerations, and management of a patient with a hemothorax. 2.f. Discuss the pathophysiology, assessment considerations, and management of a patient with an open, simple, or tension pneumothorax. 2.g. Discuss the pathophysiology, assessment considerations, and management of a patient with a cardiac tamponade. 2.h. Discuss the pathophysiology, assessment considerations, and management of a patient with rib fractures. 2.i. Discuss the pathophysiology, assessment considerations, and management of a patient with a flail chest. 2.j. Discuss the pathophysiology, assessment considerations, and management of a patient with commotion cordis. 2.k. Discuss the pathophysiology, assessment considerations, and management of a patient with tracheobronchial disruption. 2.l. Discuss the pathophysiology, assessment considerations, and management of a patient with a diaphragmatic rupture. 2.m. Discuss the pathophysiology, assessment considerations, and management of a patient with traumatic asphyxia. 2.n. Discuss the pathophysiology, assessment considerations, and management of a patient with chest trauma. 2.o. Discuss pediatric considerations as they pertain to the management of non adult patients with chest trauma. 2.p. Discuss geriatric considerations pertaining to the treatment of geriatric patients with chest trauma. 3. Analyze the pathophysiology, assessment considerations, morbidity/mortality, and management of a patient with abdominal or genitourinary trauma Oral, Written or Graphic Assessment 3.1. you answer questions related to the learning objectives on a test 3.2. you achieve the threshold identified by your Training Center on the assessment 3.a. Describe the morbidity and mortality of abdominal and genitourinary trauma, including prevention strategies. 3.b. Discuss the pathophysiology, assessment considerations, and management of a patient with vascular injury. 3.c. Discuss the pathophysiology, assessment considerations, and management of a patient with solid and/or hollow organ injuries. 3.d. Discuss the pathophysiology, assessment considerations, and management of a patient with blunt or penetrating injury. 3.e. Discuss the pathophysiology, assessment considerations, and management of a patient with an evisceration. 3.f. Discuss the pathophysiology, assessment considerations, and management of a patient with a retroperitoneal injury. 3.g. Discuss the pathophysiology, assessment considerations, and management of a patient with an injury to the external genitalia. 3.h. Identify differences between pediatric and geriatric patients suffering from abdominal and genitourinary Course Outcome Summary Page 4 of 7

5 trauma. 4. Analyze the pathophysiology, assessment considerations, morbidity/mortality, and management of a patient with orthopedic trauma Oral, Written or Graphic Assessment 4.1. you answer questions related to the learning objectives on a test 4.2. you achieve the threshold identified by your Training Center on the assessment 4.a. Describe the morbidity and mortality of orthopedic trauma, including prevention strategies. 4.b. Discuss the pathophysiology, assessment considerations, and management of pediatric fractures. 4.c. Discuss the pathophysiology, assessment considerations, and management of tendon lacerations, transections, or ruptures (Achilles and patellar). 4.d. Discuss the pathophysiology, assessment considerations, and management of open fractures. 4.e. Discuss the pathophysiology, assessment considerations, and management of closed fractures. 4.f. Discuss the pathophysiology, assessment considerations, and management of dislocations. 4.g. Discuss the pathophysiology, assessment considerations, and management of compartment syndrome. 5. Analyze the pathophysiology, assessment considerations, morbidity/mortality, and management of a patient with soft tissue trauma Oral, Written or Graphic Assessment 5.1. you answer questions related to the learning objectives on a test 5.2. you achieve the threshold identified by your Training Center on the assessment 5.a. Describe the morbidity and mortality of soft tissue trauma. 5.b. Discuss the anatomy and physiology of soft tissue injury. 5.c. Discuss the pathophysiology of wound healing. 5.d. Discuss the pathophysiology, assessment considerations, and management of avulsions. 5.e. Discuss the pathophysiology, assessment considerations, and management of bite wounds. 5.f. Discuss the pathophysiology, assessment considerations, and management of lacerations. 5.g. Discuss the pathophysiology, assessment considerations, and management of puncture wounds. 5.h. Discuss the pathophysiology, assessment considerations, and management of electrical burns. 5.i. Discuss the pathophysiology, assessment considerations, and management of chemical burns. 5.j. Discuss the pathophysiology, assessment considerations, and management of thermal burns. 5.k. Discuss the pathophysiology, assessment considerations, and management of high pressure injection wounds. 6. Analyze the pathophysiology, assessment considerations, morbidity/mortality, and management of a patient with head, facial, neck, or spinal trauma Oral, Written or Graphic Assessment 6.1. you answer questions related to the learning objectives on a test Course Outcome Summary Page 5 of 7

6 6.2. you achieve the threshold identified by your Training Center on the assessment 6.a. Discuss the incidence of head, facial, neck, and spinal trauma. 6.b. Identify mechanisms of head, facial, neck, and spinal trauma. 6.c. Discuss the morbidity and mortality of head, facial, neck, and spinal trauma. 6.d. Identify categories of injury for head, facial, neck, and spinal trauma. 6.e. Discuss causes of brain injury. 6.f. Identify injuries also associated with head, facial, neck, and spinal trauma. 6.g. Discuss the prevention of head, facial, neck, and spinal trauma. 6.h. Discuss the pathophysiology, assessment considerations, and management of unstable facial fractures. 6.i. Discuss the pathophysiology, assessment considerations, and management of orbital fractures. 6.j. Discuss the pathophysiology, assessment considerations, and management of a perforated tympanic membrane. 6.k. Discuss the pathophysiology, assessment considerations, and management of skull fractures. 6.l. Discuss the pathophysiology, assessment considerations, and management of penetrating neck trauma (no spinal cord involvement). 6.m. Discuss the pathophysiology, assessment considerations, and management of laryngotracheal injuries. 6.n. Discuss the pathophysiology, assessment considerations, and management of spinal trauma (no central nervous system involvement). 6.o. Discuss the pathophysiology, assessment considerations, and management of mandibular fractures. 7. Analyze the pathophysiology, assessment considerations, morbidity/mortality, and management of a patient with nervous system trauma Oral, Written or Graphic Assessment 7.1. you answer questions related to the learning objectives on a test 7.2. you achieve the threshold identified by your Training Center on the assessment 7.a. Describe the morbidity and mortality of nervous system trauma, including prevention strategies. 7.b. Discuss the pathophysiology, assessment considerations, and management of cauda equine syndrome. 7.c. Discuss the pathophysiology, assessment considerations, and management of nerve root injury. 7.d. Discuss the pathophysiology, assessment considerations, and management of peripheral nerve injury. 7.e. Discuss the pathophysiology, assessment considerations, and management of traumatic brain injuries. 7.f. Discuss the pathophysiology, assessment considerations, and management of spinal cord injuries. 7.g. Discuss the pathophysiology, assessment considerations, and management of spinal shock. 8. Analyze the pathophysiology, assessment considerations, morbidity/mortality, and management of a patient with an environmental emergency Oral, Written or Graphic Assessment 8.1. you answer questions related to the learning objectives on a test 8.2. you achieve the threshold identified by your Training Center on the assessment 8.a. Describe the morbidity, mortality, and risk factors of environmental emergencies, including prevention strategies. 8.b. Discuss the pathophysiology, assessment considerations, and management of submersion incidents. 8.c. Discuss the pathophysiology, assessment considerations, and management of temperature related incidents. Course Outcome Summary Page 6 of 7

7 8.d. 8.e. 8.f. Discuss the pathophysiology, assessment considerations, and management of bites and envenomations. Discuss the pathophysiology, assessment considerations, and management of electrical injury from lightning strikes. Discuss the pathophysiology, assessment considerations, and management of high altitude illness. 9. Explain multi-system trauma. Domain Cognitive Level Applying Status Active 9.1. Oral, Written or Graphic Assessment 9.1. you answer questions related to the learning objectives on a test 9.2. you achieve the threshold identified by your Training Center on the assessment 9.a. Define multi system trauma. 9.b. Discuss the golden principles of out of hospital trauma care. 9.c. Discuss critical thinking in multi system trauma care. 9.d. Discuss the pathophysiology, signs/symptoms, and management of multi system trauma resulting from blast injuries. 10. Demonstrate trauma management skills and procedures. Domain Psychomotor Level Adaptation Status Active Skill Demonstration you follow the published protocol provided by your Training Center 10.a. Manage the care of a trauma patient. Course Outcome Summary Page 7 of 7