September 2016-February 2018 Class Meeting Location: Meriwether Lewis Hall, Lewis-Clark State College, Room 130 Class Meeting Dates: Monday/Wednesday, 6pm-9pm. Attendance is required. Reading assignments are required to be completed prior to the classroom time. Program Goal: To prepare competent entry-level Emergency Medical Technician-Paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains as required by the U.S. DOT, Idaho State and Washington State Emergency Medical Services Bureaus standards. Performance Objective: Given information in class and text the student will display affective behaviors and knowledge required for entry level paramedics in the states of Idaho and Washington. The display will be considered successful if the student obtains a 75% or better score on all written quizzes, homework and module examination and student Affective Evaluation form is marked Acceptable or better. Enabling Objectives Enabling objectives are listed in this syllabus; do not let this list overwhelm you! This information is provided so you will know which information you are supposed to learn from the coursework. Instructors: To accommodate this rural region and to provide the best subject matter expert instructors possible, you will see several adjunct faculty in the classroom. The contact person for class is Dave Bobeck, Paramedic Program Director at: 208-301-1545 or email: dbobeck@cableone.net. Required Texts: Paramedic Care: Principle & Practice, 5 th Edition PCPP (5 volumes);, 8 th Edition; Lead EKG s 3 rd Edition, Prehospital Emergency Pharmacology, 7 th Edition. See the book list provided for ISBNs and/or purchase information. 1 P a g e
Date Classroom Topic Instructor Reading Enabling Objectives For all classes: 1. Read the chapters and Case Studies included in the handouts for the night s chapter. Be prepared to discuss these case studies in class. 2. Take the quizzes included on your disk for each chapter and be prepared to discuss the answers in class. 04/03/17 004/05/17 04/10/17 EENT/Psych and Behavioral Emergencies Anatomy and Physiology Assessment and Chapters 11 & 12 The student will: 1. Please note the chapters are out of sequence for this class. 2. Discuss behavioral and psychological emergencies. 3. Identify the pathophysiology of psychiatric disorders. 4. Describe the assessment procedure for behavioral emergency patients. 5. Identify specific psychiatric disorders. 6. Define the management of behavioral emergencies. 7. Discuss violent patients and the use of restraints. 8. Describe the anatomy and medical conditions of the eye, ear, nose and throat. 9. Identify all aspects of the following medications: a. Lithium b. Droperidol c. Dimenhydrianate d. Lorazepam e. Olanzapine f. Chlorpromazine g. Prochlorperazine 1. Review the anatomy & physiology of the respiratory system. 2. Describe pathophysiology of the respiratory system. 3. Identify all aspects of the following medications: a. Albuterol b. Atrovent c. Diazepam d. Epi 1:1000 e. Etomidate f. Levalbuterol g. Isoetarine h. Metroproterenol i. Methylprednisolone (Solumedrol) 1. Describe the assessment of the respiratory system including scene size-up; primary, secondary and follow up assessments. 2 P a g e
Management 2. Identify correct procedures for management of respiratory disorders. Date Classroom Topic Instructor Reading Enabling Objectives 04/12/17 04/17/17 04/19/17 04/24/17 04/26/17 Specific Respiratory Diseases Specific Respiratory Diseases Specific Respiratory Diseases Review and QUIZ Review Quiz and Lab 1. Identify signs and symptoms, assessment, and management of: a. Upper airway obstruction b. Non-cardiogenic pulmonary edema/acute respiratory distress syndrome. c. Obstructive lung disease d. Emphysema e. Chronic bronchitis f. Asthma 1. Identify signs and symptoms, assessment, and management of: a. Upper Respiratory Infection b. Pneumonia c. Severe acute respiratory syndrome (SARS) d. Middle East Respiratory Syndrome (MERS) e. Lung cancer f. Toxic inhalation g. Carbon monoxide inhalation h. Pulmonary embolism i. Spontaneous pneumothorax 1. Identify signs and symptoms, assessment, and management of: a. Hyperventilation syndrome b. Central nervous system dysfunction c. Dysfunction of the spinal cord nerves or respiratory muscles. 1. Bring questions and concerns over information you need additional support with. 2. Pass the quiz with 75% or better. See lab syllabus 05/01/17 Cardiology: Anatomy and physiology; Electrocardiographic monitoring; arrhythmias Chapter 2 1. Describe the cardiovascular anatomy and physiology. a. Furosemide b. Isoproterenol c. Lidocaine 3 P a g e
d. Magnesium Sulfate e. Metroprolol f. Morphine sulfate 3. Describe electrocardiographic monitoring. 4. Identify pathophysiology leading to specific arrhythmias. Date Classroom Topic Instructor Reading Enabling Objectives 05/03/17 05/08/17 Cardiology: Assessment, Management of specific Cardiovascular Emergencies Cardiology: Lead EKG s Chapter 2 Cardiology Lead EKG s A Practical Approach Chapters 1-6 PCPP 7 th Edition Chapter 2. Chapters 1-2 1. Describe assessment of the cardiovascular patient. 2. Identify correct procedure for management of the cardiovascular patient including the specific diseases: a. Acute coronary syndrome b. Angina pectoris c. Myocardial infarction d. Heart failure e. Cardiac tamponade f. Hypertensive emergencies g. Cardiogenic shock h. Cardiac arrest i. Peripheral vascular and other cardiovascular emergencies 3. Identify all aspects of the following medications: a. Adenosine b. Aspirin c. Calcium chloride d. Amiodarone e. Atropine 1. Describe the anatomy of the heart. 2. Describe the physiology of the heart. 3. Describe a basic electrocardiogram including the pertinent tracings. 4. Describe the electrical conduction system of the heart. 5. Describe EKG leads, grids and markings, and waveforms. 6. Identify the rules to reading heart rhythms. 7. Explain five steps used in interpretation of EKG strips. 8. Explain how to calculate heart rate with a six second strip. 9. Explain the 5+3 approach including ST elevation, ST depression and Q wave. 10. Identify all aspects of the following medications: a. Digoxin b. Diltiazem 4 P a g e
c. Dobutamine d. Dopamine e. Epi 1:10,000 Date Classroom Topic Instructor Reading Enabling Objectives 05/10/17 05/15/17 05/17/17 Cardiology: Lead EKG s Cardiology: Lead EKG s Cardiology: Basic Arrhythmias Quiz over information in Cardiology to this point. Cardiology Lead EKG s A Practical Approach Chapters 7-17. Chapter 3. Cardiology Lead EKG s A Practical Approach 8 Chapters 4 & 5 1. Describe the physiology and treatment of: a. Myocardial infarction b. Myocardial ischemia, injury and necrosis c. Interpretation of inferior myocardial infarctions d. Interpretation of anterior myocardial infarctions e. Interpretation of septal myocardial infarctions f. Interpretation of lateral myocardial infarctions g. Interpretation of posterior myocardial infarctions h. Axis deviation and bundle branch blocks i. Therapeutic modalities j. Cardiovascular pharmacology a. Sodium Bicarbonate b. Thrombolytics c. Vasopressin d. Esmolol 1. Perform group work on the practice strips in 8 using the 5+3 method. 1. Fill in once we get the teacher resources in September. a. Metaproterenol b. Sublingual Nitroglycerine c. Nitroglycerine tablets d. Nitroglycerin Paste e. Nitroprusside f. Norepinephrine g. Procainamide h. Propranolol 3. Pass Quiz with 75% or better. 5 P a g e
05/22/17 Cardiology: Basic Arrhythmias Review Quiz See above Chapters 6 & 7 & 8 1. Fill in once we get the teacher resources in September. a. Epinephrine b. Mataraminol c. Amrinone d. Sotalol e. Labetalol f. Bretylium Tosylate g. Verapamil h. Edrophonium Chloride 05/24/17 Cardiology: Basic Arrhythmias-Review and Quiz over Arrhythmias See above Chapters 9-10 1. Fill in once we get the teacher resources in September. 1. Streptokinase 2. Anistreplase 3. Tissue Plasminogen Activator 4. Retaplase Recombinant Activator 5. Sodium Bicarbonate 6. Nifedipine 7. Hydralazine 8. Nalbuphine Hydrochloride 9. Butorphanol Tartrate (Stadol) 10. Bumetanide 11. Natriuretic Peptide Nestride 05/29/17 NO CLASS Memorial Day No Class 05/31/17 Preparation for ACLS: Review Quiz 1. Be prepared with questions and information on which you need reinforcement in Cardiology. 2. Take ACLS pretest. 06/03/17 SATURDAY ACLS ACLS 6 P a g e
06/04/17 SUNDAY ACLS ACLS 06/05/17 Cardiology Sim Lab 06/07/17 Cardiology Sim Lab 1. Participate in Cardiology Scenario-students will be split in to two groups one group will attend on the 5 th and the other on the 7 th. 1. Participate in Cardiology Scenario-students will be split in to two groups one group will attend on the 5 th and the other on the 7 th. 06/12/17 Overall Cardiology Exam 1. Pass the exam with 75% or better. 06/14/17 Neurology Review Cardiology Exam See above PCPP 7 th Edition Chapter 3 Introduction- General Assessment 1. Discuss nervous system conditions and diseases. 2. Relate the anatomy and physiology of the human nervous system. 3. Identify the pathophysiology of the nervous system. 4. Explain the assessment and treatment of nervous system emergencies. 5. Identify all aspects of the following medications: a. Ziprasidone b. Haloperidol c. Lorazepam d. Diazepam e. Mannitol f. Fosphenytoin g. Phenobarbital h. Phenytoin 06/19/17 Neurology See above PCPP 7 th Edition Chapter 3 Management of Specific Nervous System Emergencies 1. Explain the management of the following nervous system emergencies: a. Altered mental status b. Stroke and intracranial hemorrhage c. Seizures and epilepsy d. Syncope e. Headache f. Cranial nerve disorders g. Weak and dizzy h. Neoplasms i. Brain abscess 7 P a g e
06/21/17 Endocrinology See above 06/26/17 Module 4 Exam 06/28/17 07/03/17 Module 4 review, catch up, review exam NO CLASS 4 th of July Holiday PCPP 7 th Edition Chapter 4 j. Degenerative neurologic disorders and dementia k. Back pain and nontraumatic spinal disorders 1. Discuss the endocrine system in general. 2. Describe the anatomy and physiology of the endocrine system. 3. Discuss specific endocrine system disorders: a. Disorders of the pancreas b. Disorders of the thyroid gland c. Disorders of the adrenal glands. 4. Identify all aspects of the following medications: a. Insulin b. Oral Glucose c. Glucagon d. Dextrose 50% e. Thiamine 1. Pass the Exam with 75% or better. 2. Complete Skill Set # 5 1. Come to class prepared to ask questions on information on which you need further clarification. 2. Review Module 4 exam. 3. Practice skills in areas in which you feel you are weak. No Class, see you next module! 8 P a g e