Exclusive content and support: https://www.patreon.com/theemttutor Students should have an understanding of types of open and closed soft-tissue injuries; how to care for soft-tissue injuries, including the use of dressings and bandages; and the assessment and care of different types of burns, including thermal, chemical, and electrical burns. Knowledge Domains The EMT should be able to describe the anatomy of the skin; include the layers of the skin as well as the the functions of the skin. The EMT should be able to name the three types of soft-tissue injuries as well as describe types of closed soft-tissue injuries and open soft-tissue injuries. The EMT should be able to explain the assessment of closed and open injuries as well as the associated medical care for these injuries. The EMT should also be aware of airway management as it relates to these injuries. The EMT should have an understanding of the medical care for an open wound to the abdomen, an impaled object and injuries to the neck. The EMT should know the steps of the emergency treatment of small animal bites, human bites, and rabies. The EMT should be able to explain how the seriousness of a burn is related to its depth and extent and be able to define superficial, partial-thickness, and full-thickness burns, including the characteristics of each burn. The EMT should be able to explain the primary assessment of a burn patient and the emergency medical care for burn injuries. The EMT student should be able to describe the emergency management of chemical, electrical, thermal, inhalation, and radiation burns as well. Last the EMT should know the functions of sterile dressings and bandages.
Exclusive content and support: https://www.patreon.com/theemttutor The EMT, following this lecture should have an understanding of the basic concepts of energy and its effect on the human body; the general injury patterns associated with different types of impacts, falls, and penetrating trauma; and the basic application of laws of physics on the assessment of trauma patients. Students will also understand some common injury patterns to major body systems. Knowledge Domains: The EMT student should be able to define the terms: mechanism of injury (MOI), blunt trauma, and penetrating trauma. You should be able to explain the relationship of the MOI to potential energy, kinetic energy, and work. Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. Discuss the three specific factors to consider during assessment of a patient who has been injured in a fall. Discuss the effects of high-, medium-, and low-velocity penetrating trauma on the body and how an understanding of each type helps EMTs form an index of suspicion about unseen life-threatening injuries. Discuss primary, secondary, tertiary, and miscellaneous blast injuries and the anticipated damage each one will cause to the body. Describe multisystem trauma and the special considerations that are required for patients who fit this category. Explain the major components of trauma patient assessment; include considerations related to whether the method of injury was significant or nonsignificant. Discuss the special assessment considerations related to a trauma patient who has injuries in each of the following areas: head, neck and throat, chest, and abdomen. Explain a general overview of multisystem trauma patient management and patient management in relation to scene time and transport selection. List the Association of Air Medical Services criteria for the appropriate use of emergency air medical services as well as talk about the American College of Surgeons’ Committee on Trauma classification of trauma centers. Last, explain, the American College of Surgeon’s Committee on Trauma and the Centers for Disease Control and Prevention field triage decision scheme as it relates to making an appropriate destination selection for a trauma patient.penetrating trauma.
Exclusive content and support: https://www.patreon.com/theemttutor The EMT student should have an understanding of the anatomy, physiology, and pathophysiology of hypersensitivity disorders and anaphylactic reactions. Additionally, students will have the knowledge and skills to recognize and allergic and anaphylactic reactions. Knowledge Domains: The EMT student should be able to define the terms allergic reaction and anaphylaxis and know the difference between a local and a systemic response to allergens. The EMT should be able to list the five categories of stimuli that could cause an allergic reaction. Students should know how to conduct a primary assessment for a patient with a systemic allergic or anaphylactic reaction and understand the importance of managing the ABCs of these patients. The EMT student should know the emergency medical care to a patient who is experiencing an allergic reaction including the use of an EPI-Pen.
Exclusive content and support: https://www.patreon.com/theemttutor The EMT student will have an understanding of diabetes, sickle cell disease, clotting disorders, and the complications associated with each. EMT students should be able to understand the characteristics of type 1 and type 2 diabetes and be able to list the appropriate steps for assessment and prehospital treatment of diabetic emergencies. Students should also be able to discuss hematologic emergencies, and describe sickle cell disease, hemophilia, thrombophilia, and deep vein thrombosis. Knowledge Domains Describe the anatomy and physiology of the endocrine system and its main function in the body and discuss the role of glucose as a major source of energy for the body as well as its relationship to insulin. Define the terms diabetes mellitus, hyperglycemia, and hypoglycemia and understand the differences between hypo and hyperglycemia to include the signs and symptoms of both. Understand the interventions for providing emergency medical care to both a conscious and unconscious patient with an altered mental status and a history of diabetes who is having symptomatic hyperglycemia or hypoglycemia. Identify the steps the EMT should follow when conducting a primary and secondary assessment of a patient with an altered mental status who is a suspected of having diabetes. Know the indications, and contraindications for giving oral glucose to a patient with a decreased level of consciousness who has a history of diabetes. Know the composition and functions of blood as well as describing the pathophysiology of sickle cell disease, complications, and management of sickle cell disease. Describe two types of blood clotting disorders, and the risk factors, characteristics, and management of each.
Exclusive content and support: https://www.patreon.com/theemttutor The EMT student should understand the anatomy and physiology of the gastrointestinal, genitourinary, and renal systems as well as being able to assess and manage various patient populations with numerous related gastrointestinal/genitourinary complaints, which include, but are not limited, to direct or referred abdominal pain, hypoglycemia, hyperglycemia, shock related to acute (medical versus trauma) or chronic gastrointestinal disorders, hemorrhage, peritonitis, and complications related to the renal system (renal dialysis). Knowledge Domains: Describe the basic anatomy and physiology of the gastrointestinal, genital, and urinary systems and define the term acute abdomen. Describe pathologic conditions of the gastrointestinal, genital, and urinary systems and explain the concept of referred pain. Identify the signs and symptoms, and common causes, of an acute abdomen and explain the procedures to follow in the assessment and management of acute and chronic gastrointestinal hemorrhage, peritonitits, and ulcerative diseases. List the most common abdominal emergencies, with the most common locations of direct and referred pain. Describe how to manage the patient with shock associated with abdominal emergencies as well as the emergency medical care of the patient with gastrointestinal or urologic emergencies. Last explain the principles of kidney dialysis.
Exclusive content and support: https://www.patreon.com/theemttutor The EMT student should understand the significance of the anatomy and physiology of the nervous system, common disease processes, assessment and basic care management involving patients with neurologic emergencies (including performing tests for speech, facial movement, and arm movement). Knowledge Domains: Anatomy, presentations, and management of Decreased level of responsiveness, seizures, and strokes Anatomy, physiology, pathophysiology, assessment, and management of Stroke/transient ischemic attack, seizures, status epilepticus patients, and headaches
Exclusive content and support: https://www.patreon.com/theemttutor This is a bonus lecture for the Cardiovascular Emergency lecture. We discuss the use of OPQRST for the chest pain patient.
Exclusive content and support: https://www.patreon.com/theemttutor After this lecture the student should understand the significance and characteristics of the anatomy and physiology of the cardiovascular system; cardiovascular emergencies; the pathophysiology of respiration and perfusion; signs and symptoms of the most common cardiac conditions; the indications, contraindications, and use of automated external defibrillators (AEDs); and the general care of a patient experiencing a cardiac emergency. Knowledge Domains: Identify the basic anatomy and physiology of the cardiovascular system, the pathophysiology of the cardiovascular system as well as describe the anatomy, physiology, pathophysiology, assessment, and management of the following cardiac related emergencies: thromboembolism, angina pectoris, myocardial infarction, a hypertensive emergency and a aortic aneurysm/dissection. Explain patient assessment procedures for cardiovascular problems and the relationship between airway management and the patient with cardiac compromise. Give the indications and contraindications for the use of aspirin and nitroglycerin. Recognize that many patients will have had cardiac surgery and may have implanted pacemakers or defibrillators. Define cardiac arrest and understand the differences between the fully automated and the semiautomated defibrillator. Describe the different types of AEDs and the indications and contraindications for use of an automated external defibrillator (AED). The EMT should know the reasons for early defibrillation and explain the circumstances that may result in inappropriate shocks from an AED. Describe AED maintenance procedures, continuing education and review. EMT should know and understand the the emergency medical care for the patient with cardiac arrest and describe the components of care following AED shocks.
Exclusive content and support: https://www.patreon.com/theemttutor The EMT will understand the significance and characteristics of respiratory emergencies in infant, child, and adult populations. The EMT should be able to demonstrate a fundamental comprehension on the following topics: respiratory anatomy and physiology, pathophysiology, signs and symptoms of various respiratory etiologies (eg, asthma, COPD, pneumonia), and the assessment and management necessary to provide basic care in the prehospital setting. Knowledge Domains List the structures and functions of the upper and lower airways, lungs, and accessory structures of the respiratory system. Explain the physiology of respiration; include the signs of normal breathing. Discuss the pathophysiology of respiration, including examples of the common signs and symptoms a patient with inadequate breathing may present with in an emergency situation. Explain the special patient assessment and care considerations that are required for geriatric and pediatric patient who are experiencing respiratory distress. Describe different respiratory conditions that cause dyspnea, including their causes, assessment findings and symptoms, complications, and specific prehospital management and transport decisions. List the characteristics of infectious diseases that are frequently associated with dyspnea. Discuss some pandemic considerations related to the spread of influenza type A and strategies EMTs should employ to protect themselves. Describe the assessment of a patient who is in respiratory distress and the relationship of the assessment findings to patient management and transport decisions. Describe the primary emergency medical care of a person who is in respiratory distress.
Exclusive content and support: https://www.patreon.com/theemttutor Popular medical acronyms to be used during your patient assessments: AEIOUTIPS AVPU DCAPBLSTICS SAMPLE HAM DRGERM OPQRST SLUDGE PERRL
Exclusive content and support: https://www.patreon.com/theemttutor After this lecture, the EMT should understand the need for a proper patient assessment when responding to patients whose chief complaint is medical in nature. The EMT should be able to differentiate between medical and traumatic emergencies but realize a patient may be suffering from both as well as the following knowledge domains: Common Medical Emergencies Nature of Illness determination The Medical Patient Assessment Proper Patient Transport and Destination Define Infectious and Communicable Diseases
The EMT will learn about shock (hypoperfusion), perfusion, the signs and symptoms of shock, types of shock, causes of shock, and the specific treatment for the different shocks. Pathophysiology of Shock Causes of Shock Types of Shock Signs and Symptoms of Shock Compensated versus Decompensated Shock Assessment for Shock Emergency care for Shock Exclusive content and support: https://www.patreon.com/theemttutor https://anchor.fm/thepublicsafetyguru/subscribe
In this lecture, students will learn about the patient assessment. Unlike other lectures, the patient assessment here will be broken up into five sub-lectures which are scene size-up, primary assessment, history taking, secondary assessment, and patient reassessment. Students will also learn how to use SAMPLE, PENMAN, AVPU, and OPQRST. Exclusive content and support: https://www.patreon.com/theemttutor https://anchor.fm/thepublicsafetyguru/subscribe
https://www.patreon.com/theemttutor We are on YouTube now: https://www.youtube.com/channel/UCOt5Y2uPL77QxrGDhAPv0Jg This lecture/podcast is part of the Pharmacology Block series. By the end of this lecture, the student should have an understanding of the following: Knowledge Domains: Define the following key terms: Pharmacodynamics Intended Effects Indications Side Effects Unintended Effects Untoward Effects Contraindications Generic versus Trade name medication Enteral versus Parenteral medications Routes of medication administration Rectal Oral Intravenous Intraosseous Subcutaneous Intramuscular Inhalation Sublingual Transcutaneous Forms of medications Solid Liquid Gas The Six Rights of Medication Administration Direct Orders versus Standing Orders Peer-assisted, Patient-assisted and EMT-administered medications Medications used by EMTs – Lecture 1 of the Pharmacology Block Medications administration to pediatrics, geriatrics, and pregnant patients Steps for auto-injector Understanding patient medications (prescribed and OTC) Medication Errors
https://www.patreon.com/theemttutor https://patron.podbean.com/thepublicsafetyguru In this lecture, students will be introduced to the various aspects of the aging process and how humans change from the time of birth to older age and the associated physiological changes within the body. Knowledge Domains Know the following terms to designate a stage of life Infant Toddlers Preschoolers School-age children Adolescents/teenagers Early adults Middle adults Physical and psychosocial characteristics of these groups
https://www.patreon.com/theemttutor https://patron.podbean.com/thepublicsafetyguru This lecture/podcast is part of the Foundational Block series. By the end of this lecture, you should have a fundamental knowledge of the human body to include the topography and planes of the body as well as the anatomy and physiology of the body systems. Knowledge Domains Human Body Topography Anatomy Planes of the Body Anatomy and Physiology of the Skeletal System Musculoskeletal System Respiratory System Circulatory System Nervous System Integumentary System Digestive System Lymphatic System Endocrine System Urinary System Genital System Life Support Chain Aerobic Metabolism Anaerobic Metabolism Pathophysiology
https://www.patreon.com/theemttutor https://patron.podbean.com/thepublicsafetyguru In this lecture the student will be exposed to the basics of medical terminology and how medical terms are composed and how an EMT can break up a word to understand the meaning of the word. This lecture will also expose the EMT student to the body planes to help enhance how an EMT documents injuries. Knowledge Domains Purpose of Medical Terminology The four components of a medical term Breaking down medical terms Interpret medical abbreviations, acronyms, and symbols Understand directional terms and body positions
https://www.patreon.com/theemttutor https://patron.podbean.com/thepublicsafetyguru In this module, students will become familiar with the legal and ethical side to emergency medicine. We will discuss issues associated with Advanced Directives, Consent, Confidentiality, and End of Life Issues. If there is any area an EMT will get in trouble it is this area. Knowledge Domains: Consent, what is it and how does it apply to emergency medicine? Understand the several types of consent: Actual, Expressed Implied Involuntary Minors and consent When can you forcible restrain a patient? EMT’s roles and responsibilities when a patient refuses treatment and transport. HIPPA DNRs and EMS Signs of Death Physical Presumptive Definitive Organ Donors Standards of Care Scope of Practice Duty to Act EMT can commit the following: Negligence Abandonment Assault Battery Kidnapping Legal reporting requirements of the EMT Ethics and morality Role of the EMT in court
https://www.patreon.com/theemttutor https://patron.podbean.com/thepublicsafetyguru The job of an EMT is both physically and mentally demanding and as such an EMT must understand workplace safety and wellness. In this lecture, the student will learn how to keep themselves safe from physical dangers as well as those dangers that cannot be seen such as infectious and communicable diseases. The EMT will also learn how the job can produce stress and fatigue as well as depression. Knowledge Objectives Identify the steps that help with wellness and managing stress. Define infectious and communicable diseases. Identify the routes of transmissions. Identify steps to prevent infectious/communicable disease transmission. Identify the Standard Precautions Identify the steps to for personal protection from airborne and bloodborne pathogens. Identify proper hand washing. How does one build up immunities? Post exposure management. Identify the steps to scene safety. Identify personal protective clothing. Caring for critically ill/injured patients. The dying patient and the family grieving process. Identify the body’s response to stress.
https://www.patreon.com/theemttutor https://patron.podbean.com/thepublicsafetyguru In the lecture, the student will be introduced to the EMS system and how it evolved from a “White Paper” back in 1966. The student should have a fundamental understanding of the various certification levels of the EMS program, the 14 components of the EMS system, the science behind quality and assurance and the role the EMT plays as well as patient privacy concern as outlined by HIPPA. Knowledge Domains: The student should be able to define the emergency medical services system. The student should be able to name the four levels of EMT training and the skills associated with each level. The EMT should have a fundamental understanding of the historical background of how the EMS system came to be. The EMT student should know the 14 components of the EMS system. The EMT student should understand medical direction and the EMT's role. The EMT should have a fundamental knowledge of the mobile integrated health (MIH) care and community paramedicine program. The empty should be able to discuss the purpose of the quality improvement process of EMS. The EMT should understand how EMS plays a role in public education regarding disease and injury prevention. EMT should understand their roles and responsibilities and the attributes that an EMT is expected to possess. The EMT should understand how the health insurance portability and accountability act FX patient privacy.