FLORIDA INTERNATIONAL UNIVERSITY

DEPARTMENT OF HEALTH, PHYSICAL EDUCATION & RECREATION

Fall 2006 PET 4991 Management of Medical Emergencies

Course Syllabus

1. Course Information

  1. Classroom: GPA 117
  2. Class Time: Tuesday/Thursday 8:00am – 9:15am
  3. Class Web Page: http://www.fiu.edu/~dohertyj

d. Textbooks:

  1. Course Packet. (2994). Policy and Procedure Manual for the Athletic Training Education Program.
  2. The American Red Cross. (2001). American Red Cross Emergency Response. ISBN: 0-8151-1260-2
  3. The American Red Cross. (2001). American Red Cross Emergency Response Workbook. ISBN: 0-8151-1273-4
  4. The American Red Cross. (2002). American Red Cross Community First Aid and Safety. ISBN: 1-58480-105-0
  5. American Red Cross First Aid/CPR/AED Program (2001). Participant’s Booklet. ISBN:1-58480-060-7
  6. Course supplies include a Pocket Mask and First Aid Training Kit

2.Course Format

a. The course will be presented in traditional in-person lecture format with 3.0 contact hours per week. Additional methods of instruction may be utilized, such as role-playing, to promote critical thinking skills in the management of medical emergencies.

3. Course Objectives

  1. The purpose of this course is to introduce students to the basic principles of managing medical emergencies utilizing immediate first aid techniques.
  2. Students will become familiar with accident, injury and illness situations, as well as the legal parameters involved when administering immediate first aid techniques.
  3. American Red Cross Certification in Professional Rescuer, First Aid, AED training, and Bloodborne Pathogen training will be obtained by each student.

4. Course Evaluation. Final grades will be based on:

3 Written Exams 35%

3 Practical Exams 30%

Certification in CPR for the Professional Rescuer 10%

Certification in Emergency Response 10%

Complete Clinical Proficiency Evaluations 5%

Complete Observational Hours Evaluations 5%

Learning Activities (Attendance/Homework) 5%

Grading Scale

93-100  A

90-92  A-

87-89  B+

83-86  B

80-82  B-

77-79  C+

73-76  C

70-72  C-

67-69  D+

63-66  D

60-62  D-

0-59 F

  1. Exam absences:
  2. Any student unable to take an exam at the regularly scheduled time AND is able to present an approved excuse for missing the exam, MUST notify the course instructor or the department secretary PRIOR TO THE TIME of the absence by voice mail message or email.
  3. Make-up exams will be administered at the earliest convenience, or during finals week.
  4. Exams
  5. Exams are written and practical type tests. The last exam is a unit test but is given during finals week and will contain some cumulative material.
  6. Exams are scheduled at logical breaks in the lecture material and dates are tentative.
  7. Most of the material that will be on the exam will be covered in lecture. There will be sections or even Chapters that the student will be required to read and may be on the exam.
  8. Material covered in the lecture or as part of an assignment is eligible to be included on the exams.

5. Course Schedule

Week / Format / Topic
Week #1 / Lecture 1 August 29 / Course Introduction
Overview of the Athletic Training Profession
Role of the Athletic Trainer in the Sports Medicine Team
Lecture 2 August 31
Jenna / Policies, Procedures, and Requirements of the FIU ATEP
Assignment: Read P & P Manual, Goals Sheet, Read chapter1&2, do Unit 1&2
Week #2 / Lecture 3 September 5 / The First Responder and the Wellbeing of the First Responder, EAP – Chapters 1&2/Unit 1&2
Assignment Due: P & P Forms signed, Goals Sheet
Assignment: Read Chapter 3, Do Unit 3
Lecture 4 September 7 / Prevention of Disease Transmission/OSHA Guidelines
Personal Protective Equipment
Assignment: EHS On-line training www.fiu.edu/~ehs Due 10-3-06, Read chapters 4& 5 and do units 4&5.
Week #3 / Lecture 5 September 12 / Prevention of Disease Transmission; Legal & Ethical Issues; Medical Referral
Assignment: Self-Evaluation, Continuous Evaluation, Read Chapter 6 and do Unit 6.
Lecture 6 September 14 / Body Systems and Lifting and Moving Patients
Activity: Lifting & Moving
Week #4 / Lecture 7
September 19 / Putting it all together and review for test.
Assignment: Units 1-6 Due 9-21-06, study for Test I
Exam September 21 / Test I Chapters 1-6/Units 1-6
Clinical Proficiency Demonstration I – Glove Removal, Lifting & Moving Techniques
Assignment Due: Self-Evaluation, Continuous Evaluation, turn workbook in for credit on Units 1-6.
Assignment: Read chapter 7 do Unit 7
Week #5 / Lecture 8 September 26 / Assessment and SAMPLE
Activity: Checking a Conscious Victim & Measuring Blood Pressure
Assignment: Read Chapter 8 and do Unit 8
Lecture 8 September 28 / Breathing Emergencies & Breathing Barriers
Activity: Conscious Choking, Checking an Unconscious Victim, Rescue Breathing.
Assignment: Read Chapter 9 and do unit 9
Week #6 / Lecture 9 October 3 / Review Breathing Emergencies for Adult, Child & Infant
Activity: BVM Rescue Breathing
Oxygen Administration: Review Ch. 9 Enrichment section
Assignment: Read Chapter 10 and do unit 10
Lecture 10 October 5 / Cardiac Emergencies
Activity: Adult, Child, Infant CPR, 2-Person CPR
Week #7 / Lecture 11 October 10 / Cardiac Emergencies and the AED - Appendix A
Assignment: Continuous Evaluation , do Appendix A.
Lecture 12 October 12 / Review Skills, CPR w/ or w/o spinal injury, 2-man CPR and Putting It All Together Chapter 7-10 & Appendix A
Assignment: Study for Test II, Units 7-10 due Oct. 19
Week #8 / Exam
Oct.17 & 19 / Test II – Chapters 7-10, Units 7-10 due Thurs. Oct. 19th
Clinical Proficiency Demonstration II
Assignment Due: Continuous Evaluation
Assignment: Read Chapter 11 do Unit 11
Week #9 / Lecture 13 October 24 / Bleeding and Shock
Activity: Managing Open &Closed Wounds, Burn, Steri-Strips
Assignment: Read Chapter 12, do Unit 12
Lecture 14 October 26 / Injuries to Chest, Abdomen, & Pelvis & Begin Muscles, Bones, & Joints
Assignment: Read Unit 13 and do Unit 13
Week #10 / Lecture 15 October 31 / Intro to Injuries to Head, Neck, Back & Concussions
Activity: Splinting & Bandaging
Assignment: Read Unit 14 and do Unit 14
Lecture 16 November 2 / Activity: Splinting Sprain/Strain vs. Fracture/Dislocation, Bandaging, Spine boarding
Assignment: Read Chapter 15 and do Unit 15
Week #11 / Lecture 17 November 7 / Medical Behaviors
Assignment: Read Chapter 16 and do Unit 16
Lecture 18 November 9 / Heat related Illnesses & Poisonings
Activity: Environmental Illness Scenarios
Assignment: Continuous Evaluation
Week #12 / Lecture 19 November 14 / Activity: Spine boarding, Ambulatory Aids, Stabilize & transport w or w/o head injury, w/fracture
Lecture 20 November 16 / Putting it all Together Review Skills Chapters 11-16
Practice Crutch Fitting, Cane fitting
Assignment Due: Continuous Evaluation
Week #13 / Lecture 21 November 21 / Maintaining Airway w/head gear, Maintain Airway w/ C-Spine w/ head gear
Assignment: Read Chapters 17&18 do Units 17&18
Lecture 22 November 23 / No Class – Happy Thanksgiving
Week # 14 / Lecture 23
November 28 / Review O2 Admin., Childbirth
Assignment: Read Chapter 19 and do Unit 19, download slides from http://www.fiu.edu/~dohertyj,
Lecture 24
November 30 / Concussions, Shock, wrap up.
Assignment: Final Evaluation, study for test III, Units 11-19 due Dec. 7th
Week #15 / Exam
Dec. 5, 7 / Test III, Units 11-19 due on Thursday, Dec. 7th.
Clinical Proficiency Demonstration III
Week #16 / Finals Week December 13 / First Aid Certification Exam
CPR Certification Exam
Assignment Due: Final Evaluation

* Observational Clinical Education Weekly Objectives

Week #1 / Aug. 28 – Sept. 1 / Schedule rotations for clinical observations
Week #2 / Sept. 4-8 / Locate and Read ATEP Policy and Procedure Manual
Locate/Review FIU TR Emergency Action Plans, first aid, and emergency care equipment with an ATC
Week #3 / Sept. 11-15 / Review Bloodborne Pathogens/OSHA Guidelines,
Locate Personal Protective Equipment in the FIU TR, and Discuss Medical Referral process with an ATC
Week #4 / Sept. 18-22 / Lifting and Manual Conveyance Techniques
Review/Practice Clinical Proficiencies
Week #5 / Sept. 25-29 / Discuss management/treatment of Breathing Emergencies and Asthma with an ATC
Week #6 / Oct. 2-6 / Discuss management/treatment for Sudden Illness, Coronary events, and Stroke with an ATC
Review/Practice Splinting
Week #7 / Oct. 9-13 / Discuss management/treatment Coronary events with an ATC
Locate and Review AED with an ATC
Week #8 / Oct. 16-20 / Review/Practice Clinical Proficiencies
Week #9 / Oct. 23-27 / Discuss management/treatment of Wounds and Burns with an ATC
Week #10 / Oct. 30- Nov. 3 / Discuss Splinting/Bandaging with an ATC
Week #11 / Nov. 6-10 / Discuss prevention/management/treatment of heat illness, dehydration, and cold illness with an ATC
Week #12 / Nov. 13-17 / Locate/Practice Spine Boarding and Ambulatory Aids with an ATC
Review/Practice Transportation of an injured athlete with an ATC
Week #13 / Nov. 20-24 / Happy Thanksgiving / Catch Up
Week #14 / Nov. 27 - Dec. 1 / Discuss management/treatment of concussion and shock with an ATC
Review/Practice CPR with an ATC
Week #15 / Dec. 4-8 / Review/Practice Clinical Proficiencies
Week #16 / Dec. 11-15 / Exam Study Days

6. Course Outcomes

At the end of this course, the student will be able to:

Cognitive Domain

·  Identify areas that athletic personnel or supervisors must be familiar with in order to avoid or reduce the possibility of injury or illness occurring to athletes and others engaged in physical activity (e.g., CPR and first aid).

·  Explain the legal, moral, and ethical parameters that define the scope of first aid and emergency care, and identify the proper roles and responsibilities of the certified athletic trainer.

·  Describe the availability, contents, purposes, and maintenance of contemporary first aid and emergency care equipment.

·  Determine what emergency care supplies and equipment are necessary for event coverage, such as biohazardous waste disposal containers, splints, short-distance transportation equipment, emergency access tools, primary survey instruments (CPR mask, bag-valve-mask), and ice.

·  Describe the principles and rationale for a primary survey of airway, breathing, and circulation.

·  Differentiate the components of a secondary survey, including obtaining a history, inspection and observation, palpation, and the use of special tests to determine the type and severity of the injury or illness sustained.

·  Interpret vital signs as normal or abnormal including, but not limited to, blood pressure, pulse, respiration, and body temperature.

·  Assess pathological signs of injury including, but not limited to, skin temperature, skin color, skin moisture, pupil reaction, and neurovascular function.

·  Apply the current standards of first aid, emergency care, rescue breathing, and cardiopulmonary resuscitation for the professional rescuer, including (1) use of a bag-valve-mask, (2) use of a pocket mask, (3) the chin lift-jaw thrust maneuver, and (4) the use of an automated external defibrillator.

·  Describe the role and function of an automated external defibrillator in the emergency management of acute heart failure and abnormal heart rhythms.

·  Describe the role and function of oxygen administration as an adjunct to cardiopulmonary resuscitation techniques.

·  Recognize the characteristics of common life-threatening conditions that can occur either spontaneously or as the result of direct trauma to the throat, thorax and viscera, and identifies the management of these conditions.

·  Describe the management of external hemorrhage, including the location of pressure points, use of universal precautions, and proper disposal of biohazardous materials.

·  Recognize signs and symptoms associated with internal hemorrhaging.

·  Recommend the appropriate use of aseptic or sterile techniques, approved sanitation methods, and universal precautions for the cleansing and dressing of wounds.

·  Discriminate those wounds that require medical referral.

·  Explain the application principles of cold application, elevation, and compression in the treatment of acute non-limb-threatening pathologies.

·  Cite the signs, symptoms, and pathology of acute inflammation.

·  Recognize signs and symptoms of head trauma, including loss of consciousness, changes in standardized neurological function, cranial nerve assessment, and other symptoms that indicate underlying trauma.

·  Explain and interpret the signs and symptoms associated with increasing intracranial pressure.

·  Explain the importance of monitoring a patient following a head injury; including obtaining clearance from a physician before further patient participation.

·  Define cerebral concussion and list the signs and symptoms used to classify cerebral concussions according to accepted grading scales (e.g., Cantu, Colorado, Torg, American Neurology Association standards).

·  Select a cervical stabilization device that is appropriate to the circumstances of the injury.

·  Recite the indications and guidelines for removing the helmet and shoulder pads from an athlete with a suspected cervical spine injury.

·  Describe the proper techniques for removing the helmet and shoulder pads from an athlete with a suspected cervical spine injury.

·  Describe the proper techniques and necessary supplies for removing equipment and clothing in order to evaluate and/or stabilize the involved area.

·  Recognize proper positioning and immobilization of a person with a suspected spinal cord injury when using a spine board or body splint, including preparatory positioning prior to placement of the spine board or body splint.

·  Explain the need for leadership and teamwork when using a spine board or body splint.

·  Identify the appropriate short-distance transportation method for an injured athlete or other physically active individual, including immobilization if applicable.

·  Recognize the signs and symptoms of shock.

·  Identify the different types of shock (traumatic, hypovolemic, anaphylactic, septic) and the proper management of each.

·  Differentiate the signs and symptoms of diabetic coma and insulin shock.

·  Describe the proper treatments of diabetic coma and insulin shock.

·  Describe the appropriate treatment of a seizure.

·  Recognize the signs and symptoms of toxic drug overdose.

·  Describe the signs, symptoms, and causes of allergic, thermal, and chemical reactions of the skin.

·  Recognize the differences between infestations, insect bites, and other skin conditions.

·  Recognize the signs, symptoms, and treatment of individuals suffering from adverse reactions to environmental conditions.

·  Use the information obtained during the examination to determine when to refer an injury or illness for further or immediate medical attention d (e.g., a life- or limb-threatening situation).

·  Describe the proper immobilization techniques and select the appropriate splinting material to stabilize the injured joint or limb and maintain distal circulation.