EMSE 1153 - Advanced Medical Emergencies I

Credits: 4
Hours/Week: Lecture 3 Lab 2
Course Description: This course develops the student’s ability to formulate and manage a comprehensive treatment plan for a medical emergency encountered in the prehospital setting. Emphasis is placed upon shock, advanced respiratory interventions, and renal and anaphylactic emergencies. A practicum will allow students to synthesize didactic and practical assessment skills in simulated emergency scenarios and occupational settings. Students must be able to perform physical tasks to complete course requirements. This course requires Minnesota Human Services and National background studies with no restrictions; current AHA BLS Provider certification; current state EMT certification; required immunizations; current healthcare insurance.
MnTC Goals
None

Prerequisite(s): EMSE 1149  with a grade of C or higher.
Corequisite(s): None
Recommendation: Basic word processing skills.

Major Content

1. Abdominal and Gastrointestinal Disorders
   1. Anatomy and physiology
   2. Epidemiology
   3. Pathophysiology
   4. Psychosocial impact
   5. Presentations
   6. Prognosis
2. Airway Management
   1. Anatomy
   2. Assessment
   3. Techniques of assuring a patent airway
3. Artificial Ventilation
   1. Assessment and management of adequate and inadequate ventilation
   2. Artificial ventilation
   3. Minute ventilation
   4. Alveolar ventilation
   5. Effect of artificial ventilation on cardiac output
4. Assessment and management of:
   1. Acute and chronic gastrointestinal hemorrhage
   2. Peritonitis
   3. Ulcerative diseases
   4. Liver disorders
   5. Irritable bowel syndrome
   6. Infectious disorders
   7. Inflammatory disorders
   8. Pancreatitis
   9. Hernias
   10. Gall bladder and biliary tract disorders
   11. Bowel obstruction
   12. Rectal abscess
   13. Rectal foreign body obstruction
   14. Mesenteric ischemia
5. Endocrine disorders
   1. Anatomy and physiology
   2. Epidemiology
   3. Pathophysiology
   4. Psychosocial impact
   5. Presentations
   6. Prognosis
   7. Assessment and management of
   8. Adrenal disease
   9. Pituitary and thyroid disorders

6. Genitourinary/Renal

   1. Anatomy and physiology
   2. Epidemiology
   3. Pathophysiology
   4. Psychosocial impact
   5.  Presentations
   6. Prognosis
   7. Assessment and management of complications of
      1. Acute renal failure
      2. Chronic renal failure
      3. Dialysis
      4. Renal calculi
   8. Acid base disturbances
   9. Fluid and electrolyte
   10. Infection
   11. Male genital tract conditions
7. Immunology
   1. Anatomy and physiology
   2. Epidemiology
   3. Pathophysiology
   4. Psychosocial impact
   5. Presentations
   6. Prognosis
   7. Assessment and management of
   8. Hypersensitivity
   9. Anaphylactic reactions
   10. Anaphylactoid reactions
   11. Collagen vascular disease
   12. Transplant-related problems
8. Pulmonary
   1. Ventilation and respiration
   2. Asthma
   3. Pulmonary edema
   4. Field impressions
   5. Ventilation devices
   6. Assessment

9. Respiration

   1. Anatomy and physiology of the respiratory system
   2. Pathophysiology of respiratory system
   3. Oxygenation
   4. External and internal respiration
   5. Assessment and management of adequate and inadequate respiration
   6. Supplemental oxygen therapy
   7. Epidemiology
   8. Psychosocial impact
   9. Presentations, prognosis, and management of
      1. Pleural effusion
      2. Spontaneous pneumothorax
      3. Obstructive/restrictive lung diseases
      4. Pulmonary infections
      5. Neoplasm
      6. Pertussis
      7. Cystic fibrosis
      8. Acute upper airway infections
          
10. Shock
    1. Epidemiology
       1. Prevention
       2. Pathophysiology
       3. Assessment
       4. Management/treatment plan

1. develop, execute, and evaluate a treatment plan based on the field impression for the hematologic patient.
2. define the causes and pathophysiology of respiratory arrest.
3. explain the primary objective of airway maintenance.
4. develop, execute, and evaluate a treatment plan based on the field impression for the renal patient.
5. develop, execute, and evaluate a treatment plan based on the field impression for the anaphylactic patient.
6. perform advanced airway management skills.
7. develop, execute, and evaluate a treatment plan based on the field impression for the hemorrhage or shock patient.
8. discuss the physiology of ventilation and respiration.
9. define the causes and pathophysiology of shock and shock resuscitation.
10. develop, execute, and evaluate a treatment plan based on the field impression for the respiratory patient.

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