EMT 202 Medical Emergencies I


Campus Location:
Dover
Effective Date:
2020-51
Prerequisite:
EMT 200, EMT 201, EMT 207
Co-Requisites:

EMT 203, EMT 217

Course Credits and Hours:
3.00 credits
3.00 lecture hours/week
0.00 lab hours/week
Course Description:

This comprehensive course provides students with theory and skills related to the pathology, assessment, and management of adult patients with various medical conditions.  Topics include pharmacology and diseases involving the following systems:  respiratory, neurologic, endocrine, immune, gastrointestinal, and genitourinary.  Diseases of those systems are examined to learn how to identify them and manage a patient who has one.

Required Text(s):

Obtain current textbook information by viewing the campus bookstore online or visit a campus bookstore. Check your course schedule for the course number and section.

Additional Materials:

None

Schedule Type:
Classroom Course
Disclaimer:

All students must be able to access the Internet and know how to retrieve information from Blackboard on the DTCC web page.

Core Course Performance Objectives (CCPOs):
  1. Discuss the principles of pharmacology and pharmacology mathematics. (CCC 1, 2, 6; PGC 1, 3 , 4, 5, 6, 7)
  2. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with respiratory disorders.  (CCC 1, 2, 3, 4, 5, 6; PGC 2, 3, 4, 5, 6, 7)
  3. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with neurologic disorders.  (CCC 1, 2, 3, 4, 5, 6; PGC 2, 3, 4, 5, 6, 7)
  4. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with endocrine disorders.  (CCC 1, 2, 3, 4, 5, 6; PGC 2, 3, 4, 5, 6, 7)
  5. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with immunologic disorders.  (CCC 1, 2, 3, 4, 5, 6; PGC 2, 3, 4, 5, 6, 7))
  6. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with gastrointestinal (GI) disorders.  (CCC 1, 2, 3, 4, 5, 6; PGC 2, 3, 4, 5, 6, 7)
  7. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with genitourinary (GU) /renal disorders.  (CCC 1, 2, 3, 4, 5, 6; PGC 2, 3, 4, 5, 6, 7)

See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.

Measurable Performance Objectives (MPOs):

Upon completion of this course, the student will:

  1. Discuss the principles of pharmacology and pharmacology mathematics.
    1. Describe the process for the development of drugs for human use.
    2. Identify applicable government regulations related to the development and therapeutic use of medications.
    3. Define pharmacology, pharmacokinetics, and pharmacodynamics.
    4. Differentiate the DEA Scheduled Drug classifications (I, II, III, IV and V).
    5. Differentiate between a drug’s chemical name, trade name, generic name, and official name.
    6. Differentiate drug classifications by body system, class of agent, and mechanism of action.
    7. Describe how medications are to be stored and secured.
    8. Differentiate the phases of medication activity.
    9. Explain medication interactions: intestinal absorption, plasma protein binding, biotransformation, metabolism, renal excretion, and drug-drug-interaction.
    10. Explain the pharmacological concepts of pharmacokinetics: absorption, distribution, biotransformation, metabolism, and excretion.
    11. Explain the pharmacological concepts of pharmacodynamics: mechanism of action, medication response relationship, plasma levels, half-life, therapeutic index and threshold, LD50, and different factors that alter drug response.
    12. Calculate metric conversions.
    13. Calculate volume-based bolus, IV drip rates, weight-based IV bolus, and weight- based IV drip.
    14. Calculate desired dose, concentration on hand, and volume on hand.
  2. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with respiratory disorders.
    1. Describe epidemiology of pulmonary diseases and conditions.
    2. Identify structures of the upper and lower airway.
    3. Describe common pathological events that affect the pulmonary system.
    4. Identify abnormal pulmonary assessment findings.
    5. Interpret arterial blood gas values and end-tidal CO2 readings.
    6. Identify various airway and ventilation techniques associated with inadequate pulmonary function.
    7. Describe the indications, actions, contraindications, and side effects of medications used to manage respiratory disease, and calculate dosages.
    8. Review use of equipment involved in management of pulmonary dysfunction.
    9. Identify epidemiology, pathophysiology, and assessment findings in order to develop a management plan for a variety of respiratory diseases and conditions, including acute/adult respiratory syndrome, chronic obstructive pulmonary disease, pneumonia, pulmonary edema, pulmonary thromboembolism, pulmonary neoplasm, pertussis, cystic fibrosis, upper respiratory infection, spontaneous pneumothorax, and hyperventilation syndrome.
    10. Display an appreciation for the critical nature of respiratory diseases and conditions.
    11. Identify airway and ventilation devices to manage a respiratory problem.
  3. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with neurologic disorders.
    1. Describe epidemiology of neurologic emergencies.
    2. Review anatomy and physiology of the nervous system.
    3. Describe pathologic events that affect the nervous system.
    4. Identify abnormal neurologic assessment findings.
    5. Describe the management of non-traumatic neurologic emergencies.
    6. Describe the indications, actions, contraindications, and side effects of medications used to manage neurologic disease, and calculate dosages.
    7. Identify epidemiology, pathophysiology, and assessment findings in order to develop a management plan for neurologic diseases and conditions, including altered mental status, stroke, headache, seizures, dementia, neoplasm, demyelinating neurologic disorders, Parkinson’s disease, cranial nerve disorders, dystonia, neurologic infections/inflammation hydrocephalus, and Wernicke’s encephalopathy.
    8. Display an appreciation for the critical nature of neurologic diseases and conditions
  4. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with endocrine disorders.
    1. Describe epidemiology of endocrine emergencies.
    2. Review anatomy and physiology of the endocrine system.
    3. Describe pathologic events that affect the endocrine system.
    4. Identify abnormal assessment findings typical of endocrine disorders.
    5. Describe the management of endocrine emergencies.
    6. Describe the indications, actions, contraindications, and side effects of medications used to manage endocrine disorders, and calculate dosages.
    7. Identify epidemiology, pathophysiology and assessment findings in order to develop a management plan for endocrine diseases and conditions, including diabetes, hyperglycemia, hypoglycemia, thyroid disorders, and adrenal disorders.
    8. Display an appreciation for the critical nature of endocrine diseases and conditions.
  5. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with immunologic disorders.
    1. Explain the pathophysiology of immunity, immune response, and allergic reaction.
    2. Differentiate the assessment findings of mild, moderate, and severe allergic reactions.
    3. Develop treatment plans for patients with allergic reaction and anaphylaxis.
    4. Describe the effects on the body and prehospital implications of collagen vascular disease, including systemic lupus erythmatosus and scleroderma.
    5. Identify assessment considerations and complications related to immunosuppression for patients with transplant-related problems.
    6. Describe the indications, actions, contraindications, and side effects of medications used to manage immunologic disorders.
  6. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with gastrointestinal (GI) disorders.
    1. Identify risk factors for gastrointestinal disorders.
    2. Review anatomy and physiology of gastrointestinal diseases or disorders.
    3. Differentiate somatic, visceral, and referred pain.
    4. Identify epidemiology, pathophysiology, and assessment findings in order to develop a management plan for GI diseases and conditions, including upper GI bleeding, lower GI bleeding, liver diseases, infectious disorders, ulcerative disorders, irritable bowel syndrome, inflammatory bowel disease, and bowel obstruction.
    5. Describe the indications, actions, contraindications, and side effects of medications used to manage gastrointestinal disorders, and calculate dosages.
  7. Integrate pathophysiology principles and assessment findings to formulate a prehospital impression in order to develop and implement treatment plans for patients with genitourinary (GU) /renal disorders.
    1. Describe techniques for physical examination of a patient with acute abdominal pain.
    2. Review anatomy and physiology of GU/renal diseases or disorders.
    3. Identify epidemiology, pathophysiology, and assessment findings in order to develop a management plan for GU/renal diseases and conditions, including renal failure, urinary retention, urinary tract infection, renal calculi, acid/base disturbances, fluid and electrolyte disturbances, infection, and male genital tract conditions.
    4. Describe the indications, actions, contraindications, and side effects of medications used to manage GU/renal disorders, and calculate dosages.
Evaluation Criteria/Policies:

Students must demonstrate proficiency on all CCPOs at a minimal 75 percent level to successfully complete the course. The grade will be determined using the Delaware Tech grading system:

92 100 = A
83 91 = B
75 82 = C
0 74 = F

Students should refer to the Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.

Final Course Grade:

Calculated using the following weighted average

Evaluation Measure

Percentage of final grade

Exams (5) (Summative) (Equally Weighted)

45%

Final Exam (Summative)

25%

Discussion Board (Formative)

10%

Medication Cards (Formative)

10%

Assignments (Formative)

10%

TOTAL

100%

Core Curriculum Competencies (CCCs are the competencies every graduate will develop):
  1. Apply clear and effective communication skills.
  2. Use critical thinking to solve problems.
  3. Collaborate to achieve a common goal.
  4. Demonstrate professional and ethical conduct.
  5. Use information literacy for effective vocational and/or academic research.
  6. Apply quantitative reasoning and/or scientific inquiry to solve practical problems.
Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major):
  1. Perform all psychomotor, paramedic skills in the National Emergency Medical Services Education Standards consistent with acceptable practice for an entry-level paramedic.
  2. Conduct complete, accurate and timely patient assessments, to include history and physical exam, and communicate findings.
  3. Interpret assessment findings in order to accurately identify a differential diagnosis and integrate pathophysiologic principles and legal responsibilities to formulate a treatment plan.
  4. Effectively perform the role of Team Leader to include: timely decision making, effective resource utilization, implementing appropriate plan of action for a given situation, adapting the plan to changing conditions and communicate.
  5. Assess a scene or situation in order to identify threats to operating safely.
  6. Apply communication and ethical decision-making skills required for an entry-level paramedic.
  7. Exhibit professional, affective behavior.
  8. Function effectively as an entry-level paramedic in the pre-hospital working environment in the roles of Team Leader and Team Member.
Disabilities Support Statement:

The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. A listing of campus Disabilities Support Counselors and contact information can be found at the disabilities services web page or visit the campus Advising Center.

Minimum Technology Requirements:
Minimum technology requirements for online, hybrid, video conferencing and web conferencing courses.