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Emergency Procedures - #25570


 

 

Brian J. Turner, BS Ed, Paramedic
2.5
52.5
1.5
2.0

Basic techniques of assessment and management of patients experiencing airway, breathing and circulatory emergencies. Customized for the chiropractic physician who may encounter situations with adults or pediatric patients in clinical or field environments. Students receive A.H.A. Health Care Provider C.P.R. certification and First Responder Certification from the State of Minnesota. Upon successful completion, students are eligible to challenge the National Registry First Responder exam.

Please select from the list on the right.

The Institution-wide learning goals define the common ground that unites the programs within the university. They are purposefully broad so that the various colleges and schools can continue to develop their unique identities through varying ways in which the goals are met.

  1. Effective Communication
    Graduates will demonstrate effective verbal, non-verbal, and written communication skills in a wide variety of contexts, including collaborative activities.
  2. Self Directed and Lifelong Learning
    Graduates will be aware of the limits of one’s personal knowledge and experience and have an intellectual interest in scholarly and creative endeavors. Graduates will actively set appropriate learning goals, pursue them, and apply the knowledge gained.
  3. Ethical Reasoning
    Graduates will demonstrate a willingness to recognize the values of others while maintaining one’s own integrity, and act ethically and professionally in all endeavors.
  4. Individuals, Communities and Cultures
    Graduates will demonstrate awareness and sensitivity to the cultural and health practices of individuals and communities. Graduates will be able to identify appropriate health related resources.
  5. Service to the Community
    Graduates will understand and value the benefits of service to the community.
  6. Influence of Mind, Body and Spirit on Health
    Graduates will recognize the inter-relationship of the mind, body and spirit and the influence of extrinsic factors on an individual’s health.
  7. Critical Thought and Knowledge Acquisition
    Graduates will acquire, appraise and apply scientific information. Graduates will contextually organize and synthesize relevant information to address an issue or problem.
  8. Competence in one's Discipline
    Graduates will demonstrate competence of appropriate depth and scope for one's discipline.

Course Objectives

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  1. Recognize, assess and effectively manage patients in the clinical setting that present with signs and symptoms of a life-threatening or potentially life-threatening nature.
  2. Recognize, safely assess and effectively manage crisis situations and patients of an emergency nature encountered in the field (prehospital) setting until other EMS providers arrive to take over care.
  3. Participate as a member of an organized prehospital emergency medical response team.
Materials
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A. Required Text(s):
  1. Brady, First Responder, 7th Edition;Bergeron, J;Bizjak, G; Krause G; Le Baudour, C; 2005
  2. BLS for Healthcare Providers Student Manual; American Heart Association;2006

    NOTES PACKET - PURCHASE IN BOOKSTORE (REQUIRED)


B. Recommended Text(s):
  1. Brady, Emergency Care, Tenth Edition; Limmer, D; O'Keefe, M;Dickinson, E;2005

C. Required Materials for Lab:
Items needed for each lab listed on scheduled
  1. Lab Skills Packet (purchase in bookstore)
  2. Nametag - pin on (to be worn each day; no tape, scraps of paper, etc.)
  3. Latex gloves-exam gloves(multiple pairs will be needed for each lab)
  4. Safety goggles
  5. Pocket mask with an oxygen port, head strap and one-way valve
  6. Stethoscope
  7. BP Cuff
  8. Penlight
  9. Small notebook and pen
  10. Watch/Timekeeping Instrument with Capability of Counting Seconds
Assignments
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  1. Reading of all handout materials and text assignments.
  2. Attend lecture and lab.
  3. View assigned video tapes or read assigned materials left on reserve in library.
  4. Earn up to 30 points of extra credit by preparing a First Aid/Crash kit to be available for personal use and/or clinic use. List of recommended materials will be provided; some materials available in bookstore. Points applied to Quiz portion of grade.
  5. Earn up to 50 points extra credit for relevant experience at activities off-site. Extra credit will be awarded only if the student successfully completes all 6 practical skill stations of the final exam the first time. Points applied to Lab portion of grade.
Attendance
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Due to the large volume of information covered in this course, it is necessary to begin lectures and labs on time. Therefore, attention to punctuality for both lecture and lab will become a very important factor for successful completion.
  1. Lecture attendance is recommended; information that is not covered in textbooks will be presented. Announcements and information regarding labs will also be presented during lecture. All students are responsible for all information passed during the lecture period, including changes in the syllabus. No make up lecture periods will be scheduled.
  2. Quizzes will be given during the lecture period(exceptions noted). Some may be given during the first 10 minutes. Others may be given at other times during the period. There will be NO make-up quizzes given for any reason.
  3. Lab attendance is mandatory; attendance will be taken. Due to the ratio of instructors to students in each lab, students must attend their assigned lab. If you are unable to attend your assigned lab section, you can make a trade with a student in another lab section. Trades need to be approved by the instructor.
  4. Missed lab periods may only be made up under extreme circumstances, as determined by the instructor. Labs missed due to seminars or other events related to academics will be managed according to the policy in the student handbook. The student will be responsible for scheduling any make-up labs by contactin gthe instructor. All make-up labs must be conducted within 2 weeks following the missed lab(s).
Grading Criteria
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A. Quizzes: 11 regular, as listed; multiple choice,(quiz#is equivalent to lesson #)10 questions each; based on reading assignment for that day;(not on notes)students may drop 2. Worth 20% of final grade.

B. Tests (worth 25% of final grade). **Sum of Midterm and Final Written Exams must be equal to a minimum of 70% to receive state certification and be eligible to take National Registry exam:

Written exams may be made up if missed or, in the case of the CPR written test, if unsuccessfully completed. Make up exams will only be given with an excused absence. Students have one week from the time the exam was originally scheduled to retake the exam.

  1. CPR Test:(worth 10.5% of Test grade)
    a. written [multiple choice, 20 questions; minimum passing score of 17/20 (84%)]
    b. practical skills (evaluated on pass/fail basis)
    c. students must successfully complete written test and all skills to pass course
  2. Midterm: (worth 39.5% of Test grade)
    The written midterm will be given during the designated period. No additional time for completion will be given for reasons related to tardiness.
    a. written (Lessons 2-6; Part 1: 75 multiple choice questions;Part2: writing assessment sequence)

Final Written:(worth 50% of Test grade)
a. 75 multiple choice questions; cumulative with emphasis on second half of term (Lessons 7-12)

C. Labs and lab assignment: worth 30% of final grade.
To receive full credit for each lab, students will be expected to:

1. Labs: 25 pts. each (5 pts. attendance; 20 pts. participation, including equipment). To receive full credit for each lab, students will be expected to:

a. arrive on time for their assigned lab (trades in lab period only permitted if approved ahead of time by instructor) and remain the entire session (labs begin at the top of the hour and are 1hr 50 min. in length)

b. have prepared for the lab by completing any reading or viewing assignment listed for that week in the syllabus, and attending the corresponding lecture period (students that are determined to be unprepared may be requested to leave the lab and schedule a make-up session with the instructor);

c. wear legible pin-on plate style nametags on the front of the shirt above the level of the third rib during lab sessions;

d. have the items under the "required materials for lab" section available to bring to each lab (the first lab is the only7 exception); an itemized list is included with the course schedule.

2. Lab Assignment: 100 pts. No partial credit given. To receive credit for this assignment, students will be expected to:
a. have all non-disposable equipment used in Emergency Procedures lab (safety goggles, pocket mask, stethoscope, BP cuff and penlight) clearly engraved or permanently marked with the user's name or initials by week 6 of lab.

D. Final Practical Skills (worth 30% of final grade). **Students must successfully complete all final practical skills to pass course:

      1. Skill Sheets: Vital Signs skill sheet due by final exam day.
      2. Final Exam: 5 stations; must pass each with minimum of 80% and without violation of critical criteria.

        Note: Students unable to successfully complete a final exam skill station will be provided 1 opportunity to retest on each station, usually the following day. Failure of a retested final exam skill station will result in an incomplete grade for the course. The student will be provided with a remediation schedule for the following trimester and be expected to attend remediation classes. The student will be expected to retest on the failed skill station during the first four weeks of the trimester following the one in which the course was originally taken. A retested skill station will be worth 20% less than the full point value for each time a student is required to retest.

    E. Grade Posting: Grades will be posted on eNorthwestern. Each student is responsible for checking his/her progress and making the instructor aware of any problems or missing grades.

Certificates and Eligibilities(upon successful completion of course)
A. American Heart Association Health Care Provider CPR(Replacement cards will be issued for $25/card)
B. Minnesota Department of Health First Responder
C. Eligibility to challenge the National Registry's First Responder exam
D. Eligibility to enroll in the Emergency Medical Technician-Basic course offered at NHSU during Summer term.
Additional Information
A. Students are reminded to dress comfortably, as the majority of labs will involve physical activity on the floor of the gym. Skirts are discouraged. Students will be allowed to change clothing for clinic appointments.

Guaranteed grades are as follows:

A = 92.5 - 100%
B = 85.0 - 92.4%
C = 77.5 - 84.9%
D = 70 - 77.4%
F = Less than 70% of the total points
Course Competencies
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-

COGNITIVE DOMAIN


See lessons 1-12

Conditions:

N/A



PSYCHOMOTOR DOMAIN


See lessons 1-12

AFFECTIVE DOMAIN


N/A

Weekly Calendar of Learning Objectives
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Week Dates Topics/Learning objectives
Week 1 Sep. 5-6

Lecture 1: NO LECTURE DURING WEEK 1:
Review the syllabus on your own.
Lab 1:
CPR/FBAO/AED Guided Practice
Lab 1 Materials/Equip: Lab Skill Packets, Nametag, Mask, BLS for Healthcare Providers manual
Prep for Lab 2:
-Read AHA BLS for Healthcare Providers student manual;-CPR MATERIAL IN BFR 7e is NOT current-Take the "BLS for Healthcare Provider Pretest" in the front of the Notes Packet-Study CPR/FBAO/AED skill sheets in Skills Packet-Review "BLS for Healthcare Providers Student CD"Skill and written CPR test given in Lab 2

Week 2 Sep. 12-13 Lesson 2
Lecture: Quiz 2; Legalities and Ethics; Body Substance Isolation; Lifting and Moving Basics
Lab: CPR/FBAO Practice and Skill Testing;
CPR Written Test (20 Questions Mult Chc)
Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Pencil
For Quiz 3: Read Basic First Response 7e, pp. 133-158 &497-524.
Prep for Lab 3: Study first page of "Trauma Assessment-Complete" in Skills Packet
Week 3 Sep. 19-20

Lesson 3
Lecture: Quiz 3; Scene Size-Up and the Initial Assessment
Lab: Scene Size-Up and Initial Assessment
Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Stethoscope
For Quiz 4: Read Basic First Response 7e pp. 93-134 & 547-558
For Lab 4: Study "Mechanical Aids to Breathing" sheets in Skills Packet.

Week 4 Sep. 26-27

Lesson 4
Lecture: Quiz 4; Airway and Breathing Management
Lab: Airway and Breathing Management, Demonstration & Practice.
Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Stethoscope.
Prep for Quiz 5: RBFR 7e, pp. 281-314.
Prep for Lab 5:
Study "Bleeding Control/Shock Management" sheets in Skills Packet

Week 5 Oct. 3-4

Lesson 5
Lecture: Quiz 5; Shock and Bleeding Control
Lab: Scene Size Up & Initial Assessment Scenarios Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Stethoscope
For Quiz 6: Read Basic First Response 7e pp. 158-180 Y 541-546; See "Vital Signs" Video in Library.
Prep for Lab 6: Study remainder of "Trauma Assessment-Complete" sheets and "Stifneck Collar Application" sheets in Skills Packet.

Week 6 Oct. 10-11

Lesson 6
Lecture
: Quiz 6; Physical Exam; Ongoing Assessment; Patient Hand-Off
Lab: Physical Exam and Ongoing Assessment Scenarios Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Stethoscope, BP Cuffs, Penlight, Notebook/Pen, Watch.
Prep for Quiz 7:
Read Brady First Responder 7e. pp. 351-418 & 86-89.
Prep for Lab 7:
Study " Splint Application" and "Backboard Application" sheets in Skills Packet.

Week 7 Oct. 17

Lesson 7
Lecture: Quiz 7; Musculoskeletal and Spinal Immobilization Practice.

Prep For Midterm: All material up to and including Lesson 6; must be able to write all steps in assessment sequence.


Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Stethoscope, BP Cuffs, Penlight, Notebook/Pen

MIDTERM-Scheduled for October 18th.

Week 8

Oct. 25th

Lab 7:Musculoskeletal and Spinal Immobilization Practice. Lab 7 Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles.
Prep For Quiz 8: Read Brady First Responder 7e,pp. 314-350
Prep for Lab 8:
Study "Trauma Assessment-Complete", "Mechanical Aids to Breathing", Bleeding Control/Shock Management", "Stifneck Collar Application", "Splint Application", and "Backboard Application" skill sheets. Review Lesson 8 lecture notes.

Week 9 Oct.31-Nov. 1

Lesson 8
Lecture: Quiz 8; Soft-Tissue and Internal Organ Injuries
Lab 8: Trauma Scenarios
Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Stethoscope, BP Cuffs, Penlight, Notebook/Pen
For Quiz 9: Read Brady First Responder 7e, pp. 227-262 & 559-568
Prep for Next Lab: View Vital Signs Testing portion of "Medical Emergencies" video on reserve in library; study "Vital Signs for the Emergency Patient" sheets in Skills Packet; practice performing vital signs.

Week 10 Nov. 7-8

Lesson 9
Lecture 9:View "Medical Emergencies" video on reserve in library prior to lab.
Lab 9: Quiz 9; Medical Scenarios and Vital Sign Testing.
Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Stethoscope, BP Cuffs, Penlight, Notebook/Pen
Prep For Quiz 10: Read Brady First Responder 7e, pp. 262-269 & 569-576.
Prep for Next Lab: Study "Vital Sign for the Emergency Patient" sheet and practice performing vital signs.

Week 11 Nov. 14-15

Lesson 10
Lecture: Quiz 10; Environmental Emergencies
Lab: Scenarios
Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Stethoscope, BP Cuffs, Penlight, Notebook/Pen, Watch
Prep For Quiz 11: Read Brady First Responder 7e, pp. 419-496.
Prep for Next Lab: Review "Final Practical Skills" sheets;View "Final Practical Skills" sheet; View "Final Practical Skills" DVD

Week 12 Nov. 21-22 Lesson 11
Lecture: Quiz 11; Childbirth; Infants and Children
Lab 11: Final Practical Skills Review
Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Stethoscope, Watch
For Quiz 12: Read Brady First Responder 7e, pp. 270-280,525-540,577-580,70-85.
Prep for Next Lab: Review "Final Practical Skills" sheets; View "Final Practical Skills" DVD
Week 13 Nov. 28-29 Lesson 12
Lecture: Quiz 12; Behavioral Emergencies; Multiple Casualty Incident Management; Lifting/Moving
Lab: Simulated Final Practical Exam
Materials/Equip: Lab Skill Packets, Nametag, Gloves, Goggles, Mask, Stethoscope, Watch
For Final Exam: First Aid/Crash kit due for extra credit
Week 14 TBA Finals Exam Week - Dates to be announced for Final Written and Practical Exams
Week 15 TBA
Finals Exam Week
Please Note
This schedule of lecture and lab topics and quizzes and exams may be changed during the course of the trimester as circumstances require. Whenever possible, such changes will be announced in class before the date and time in question. You are responsible for anything that transpires during lectures and labs, even when you are unable to attend. In the event that you miss a class session, make sure you check with a classmate about any announcements or schedule changes which may have been made. Makeup exams are allowed only according to the policies described in the current student handbook, which is available in the Student Affairs office.
Maintained by Clinical Sciences
Last updated: 4 January, 2007
 

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