EMSE 1161 - Advanced Prehospital Cardiac Care II

1. Cardiac Arrhythmias Assessment and management Supraventricular Ventricular Bundle branch abnormalities Tachycardias Other EKG anomalies Bundle blocks
2. Patient Assessment & Management Anatomy and physiology Pathophysiology Epidemiology Health screening Standing operating procedures Assess patients of all ages Manage patient care - both medical and trauma Participate in care of patient Participate under supervision of preceptor and/or faculty member
3. Skills Development Perform basic life support skills Initiate peripheral IVs Manage ABC¿s Apply EKG leads Interpret rhythms Cardiovert/defibrillate Prepare and administer medications Follow universal precautions Function as team leader Perform at level of entry level paramedic Therapeutic communication Scene leadership Scene safety
4. Psychomotor skills
5. Airway and breathing
   • Oral and nasal endotracheal intubation
   • FBAO ¿ direct laryngoscopy
   • Percutaneous cricothyrotomy
   • Pleural decompression o BIPAP, CPAP, PEEP
   • Chest tube monitoring o ETCO2monitoring
   • NG/OG tube
6. Assessment
   • ECG interpretation
   • 12-lead interpretation
   • Blood chemistry analysis
   • Wave form capnography
7. Pharmacologic interventions
   • Intraosseous insertion
   • Enteral and parenteral administration of approved prescription medications
   • Access indwelling catheters and implanted central IV ports
   • Medications by IV infusion
   • Maintain infusion of blood or blood products
   • Blood sampling
   • Thrombolytic initiation
   • Administer physician-approved medications
8. Medical/Cardiac care
   • Cardioversion
   • Manual defibrillation
   • Transcutaneous pacing
   • Vagal maneuvers
9. Trauma care
   • Morgan lens
10. Record keeping Data collection
11. Decision making Evaluation Modification Reassessment
12. Professionalism Integrity Empathy Self-motivation Appearance/personal hygiene Self-confidence Communication Time-management Teamwork/diplomacy Respect Patient advocacy Careful delivery of service
13. Affective Uniform policy HIPAA compliance OSHA compliance Punctuality Comply with clinical guidelines
14. Practicum Orientation Daily log of practicum experiences Weekly review of practicum goals and objectives Required evaluations and checklists Student evaluation of the practicum

1. manage the cardiac patient with life threatening dysrhythmias according to American Heart Association Guidelines
2. perform primary and secondary patient assessment.
3. monitor and interpret a patients heart rhythm.
4. demonstrate knowledge of Advanced Cardiac Life Support Algorithm.
5. perform comprehensive assessment and implement a treatment plan on a cardiac patient
6. perform a comprehensive history and physical examination to identify factors affecting the health and health needs of the patient.
7. perform basic and advanced interventions as part of a treatment plan intended to mitigate the emergency, provide symptom relief, and improve the overall health of the patient.
8. formulate a field impression based on an analysis of comprehensive assessment findings, anatomy, physiology, pathophysiology, and epidemiology.
9. relate assessment findings to underlying pathological and physiological changes in the patient¿s condition.
10. synthesize assessment findings of the cardiac patient to form a field impression.
11. integrate pathophysiological principles to the assessment and field management of the cardiac patient.
12. demonstrate a working knowledge of various EKG lead systems.
13. defibrillate a simulated patient in cardiac arrest.
14. cardiovert a simulated patient as indicated.
15. integrate and synthesize the multiple determinants of health and clinical care.
16. anticipate and prospectively intervene to improve patient outcome.
17. effectively communicate in a manner that is culturally sensitive and intended to improve the patient outcome.
18. demonstrate qualities of exemplary professional behavior.
19. report and document assessment findings and interventions.
20. maintain patient/paramedic relationships in the EMS system.
21. perform basic life support psychomotor skills.
22. perform advanced life support psychomotor skills.
23. demonstrate universal precautions.

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