In this course, you will develop the knowledge and skills to assess and stabilize certain types of patients for transport. By the end of this course, you will be able to: (1) Identify the signs and symptoms associated with a patient in shock, to describe the major categories of shock, to assess a patient with signs of shock and formulate a plan for treatment to stabilize the patient for transport, (2) Identify a patient in cardiac arrest and to describe the components of high performance CPR including placement of an AED, components of quality chest compressions, and options for oxygenation, (3) Identify a patient with under the influence of a drug of abuse or a toxicologic ingestion, assess a patient with a potential or known ingestion, and to formulate a plan for treatment and stabilization for transport including that of a violent patient, (4) Identify the symptoms associated with the most common environmental emergencies including hypothermia, hyperthermia, lightning strike and drowning, to assess patients with an environmental emergency and to describe initial treatment and stabilization for transportation and (5) Understanding your patient's story as well as to think critically about the complaint and symptoms associated with the gastrointestinal track, renal system, and the reproductive system.
Cardiac Arrest and Shock
-In this module you will be learning about states of shock and the principles of resuscitation. Unlike our common use of the word shock referring to a mental state of feeling overwhelmed or alarmed, shock is a state of crisis within the body, involving one or more of the organ systems. If left uncorrected, shock can lead to death. The other topic, resuscitation, will cover the principles of treating and reversing shock, and most importantly, the treatment of cardiac arrest. We will discuss the latest scientific research and best practices of cardiac arrest resuscitation.
Toxicology and Substance Abuse
-In this module we are going to learn about poisonings, or toxicologic ingestions. There is a whole field of medicine dedicated to the study of how the thing we ingestion, usually accidentally or in an attempt of self-harm, impact our bodies. This field is called toxicology. A poison is any substance that impairs health or causes death. A toxin is a drug or substance that is poisonous to a human, and will cause an adverse event, maybe even death. An antidote is a substance that will neutralize the effect of the poison or toxin. With an understanding of the basic terminology, we can further explore the most common poisons you will encounter in the field, how they affect the body, and how we treat these patients.
Not All Who Wander Are Tox
-In this module you will learn how environmental emergencies are caused when the body’s physiological functions are disrupted by the patient’s natural surroundings. Many of the body’s functions only function properly at a normal temperature, so a change in the body’s temperature can cause them to fail. Some examples of environmental emergencies include cold or hot temperature changes, illness and injuries caused by other animals, high altitude illnesses and injuries or illness related to water such as drowning.
Blood and Guts
-In this module we will capture topics an EMT might come across that don’t fit into the sections so far. The important “other” things that can cause patients problems. The role of an EMT is as an advocate for your patient to provide the best care possible. Part of that is taking the time to understand your patient’s story as well as to think critically about the complaint especially if difficult to diagnose. Also, we will focus of problems in the abdomen involving the gastrointestinal track, renal system and reproductive system.
Angela Wright, MD, Arthur Pliaconis, Whitney Barrett, MD and Kathrine Lopez