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Florida International University
College of Nursing and Health Sciences
Nursing
Management of Medical Emergencies
Fall 2007
COURSE NUMBER
HSC 4406
COURSE TITLE
Management of Emergency Medicine
SECTION
01
PLACEMENT
Fall 2007
COURSE CREDITS
2
CLOCK HOURS
2
FACULTY
Kari Riddle, MA, ATC, LAT, EMT-B
305-348-2059, [email protected]
Office – PA 156, Office Hours – 3-4:30 T/H
COURSE DESCRIPTION
The purpose of this course is to introduce students to the basic principles of managing medical
emergencies utilizing immediate first aid techniques. Students will become familiar with
accident, injury and illness situations, as well as the legal parameters involved when
administering immediate first aid techniques. American Red Cross Certification in Professional
Rescuer, First Aid, AED training, and Bloodborne Pathogen training will be obtained by each
student.
COURSE OBJECTIVES
Upon completion of this course, the student will be able to:
Psychomotor Competencies
1. Survey the scene to determine whether the area is safe and determine what may have
happened.
2. Perform an initial assessment to assess the following, but not limited to:
a. Airway
b. Breathing
c. Circulation
d. Level of consciousness
e. Other life-threatening conditions
3. Implement appropriate emergency treatment strategies including, but not limited to:
a. Activate an emergency action plan
b. Establish and maintain an airway in an infant, child, and adult
c. Establish and maintain an airway in a patient wearing shoulder pads, headgear or
other protective equipment and/or with a suspected spine injury
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d. Perform one- and two-person CPR on an infant, child, and adult
e. Utilize a bag-valve mask on an infant, child, and adult
f. Utilize an automated external defibrillator (AED) according to current accepted
practice protocols
g. Normalize body temperature in situations of sever/life-threatening heat or cold
stress
h. Control bleeding using universal precautions
i. Administer an EpiPen for anaphylactic shock
4. Perform a secondary assessment and employ the appropriate management techniques for
non-life-threatening situations, including but not limited to:
a. Open and closed wounds (using universal precautions)
b. Closed-head trauma (using standard neurological tests and test for cranial nerve
function)
c. Environmental illness
d. Seizures
e. Acute asthma attack
f. Different types of shock
g. Thoracic, respiratory, and internal abdominal injury or illness
h. Acute musculoskeletal injuries (i.e., sprains, strains, fractures, dislocations)
i. Spinal cord and peripheral nerve injuries
j. Diabetic coma
k. Toxic drug overdose
l. Allergic, thermal, and chemical reactions of the skin (including infestations and
insect bites)
TOPICAL OUTLINE:
WEEK
1
DATE
Lecture 1
Aug. 27
TOPIC & ASSIGNMENTS
Course Introduction; Overview of the Athletic Training Profession; The
Role of the First Responder
Assignment: Read Chapter 1 & 2
Emotional Aspects of Emergency Care; Stress Management; The
Lecture 2
Aug. 29
Emergency Scene
Assignment: Review the Emergency Action Plan of the ATR
Sept. 4 - Last day to complete late registration.
No Class – Labor Day
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Lecture 3
Sept. 3
Emergency Action Plan
Lecture 4
Sept. 5
Assignment: Write an emergency action plan for a specific setting.
Due Monday September 17th. Read Chapter 3
Protecting Yourself from Disease Transmission
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Lecture 5
Sept. 10
Skill Activity: Glove Removal
Assignment: Register on www.fiu.edu/~ehs for the on-line bloodborne
pathogen session. Certificate due Oct. 1st. Read Chapters 4 & 5..
If an Exposure Occurs; Legal & Ethical Issues; Medical Referral
Lecture 6
Sept. 12
Assignment: Read Chapter 6
2
4
5
6
Lecture 12
Oct. 8
Understanding the Human Body and Lifting and Moving Patients
Skill Activity: Instruct and practice lifting and moving patients;
EAP is due.
Putting it all together and review for test.
Assignment: Study for Exam I
Exam I Chapter 1-6
Assignment: Read Chapter 7
Physical Exam, SAMPLE History, Ongoing Assessment
Skill Activity: Blood Pressure Measurement, Conscious Victim
Assessment
Review Respiratory System, Suctioning Airways
Skill Activity: Suctioning Airways
Assignment Due: Bloodborne Pathogen Certificate
Breathing Emergencies & Breathing Barriers – CPR-PR Booklet
Skill Activity: Checking an Unconscious Victim, Rescue Breathing A,
C, I
Breathing Emergencies Cotinued – CPR-PR Booklet
Skill Activity: O2 Administration
Lecture 14
Oct. 10
Lecture 15
Oct. 15
Conscious/Unconscious Choking – CPR-PR Booklet
Skill Activity: Using a BVM
Cardiac Emergencies – CPR-PR Booklet
Skill Activity: CPR-PR A, C, I
Lecture 16
Oct. 17
Lecture 17
Oct. 22
Cardiac Emergencies – CPR-PR Booklet
Skill Activity: 2 Person CPR
Cardiac Emergencies and the AED – CPR-PR Booklet
Skill Activity: AED Scenarios, w/ and w/o spinal injury
Lecture 18
Oct. 24
EXAM
Oct. 29
Lecture 19
Oct. 31
Finish Scenarios and Review for Exam II
Lecture 7
Sept. 17
Lecture 8
Sept. 19
EXAM
Sept. 24
Lecture 9
Sept. 26
Lecture 10
Oct. 1
Lecture 11
Oct. 3
7
8
9
10
EXAM II
Assignment: Read Chapter 11
Review Circulatory System; Internal Bleeding, External Bleeding,
Shock, Soft Tissue Injuries
Nov. 2 – Deadline to drop a course with a DR grade
Skill Activity: Bleeding Control, Bandaging
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Skill
Nov. 5
Assignment: Read Chapter 12
Lecture 20 Injuries to the chest, abdomen, and pelvis
Nov. 7
Skill Activity: Assessment of chest, abdomen, and pelvis
Assignment: Read Chapter 13
12
Lecture 21 Muscle, Bones, and Joint Injuries
Nov. 12
Skill Activity: Splinting
Skill
Nov. 14
Skill Activity: Splinting Continued
Assignment: Read Chapter 14
3
Nov. 16 – Deadline for faculty to review class rosters to ensure accuracy before grade roster
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Lecture 22 Recognizing serious Head, Neck, and Back Injuries; Concussions
Nov. 19
Skill Activity: Concussion Screening
Skill Activity: Spine boarding
Skill
Nov. 21
Assignment: Read Chapter 15
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Lecture 23 Special Medical Conditions – Diabetic Emergency, Stroke
Nov. 26
Assignment: Read Chapter 15 & 16
Lecture 24 Environmental Emergencies/Poisonings, Anaphylaxis
Nov. 28
Assignment: Read Chapter 17
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Lecture 25 Pregnancy/Birthing Process
Dec. 3
Assignment: Study for Exam III
Exam III
EXAM
Dec. 5
Assignment: Study for Final
Dec. 12
Final Exam – 6:45 AM – 9:30 PM
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Dec. 19 – Deadline (by 11:59PM) for faculty to submit grades.
TEACHING STRATEGIES
The course will be presented utilizing a variety of teaching techniques such as lectures, labs,
simulations, role-playing, problem-solving games, and reflective activities with 2.0 contact hour
per week.
EVALUATION
There will be 3 exams and 1 final exam. Each exam is worth 100 points. The final exam is
worth 200 points. Each skill activity is worth 10 points. There are a total of 16 skill activities.
You will receive 2 certificates upon completion of this class. Each certificate you receive will
add on 20 points to your final grade. Total points possible: 700. If you don’t score an 80% or
better on your skill activities, you will not be awarded your certificates. If you do not pass your
final exam with an 80% or better, you will not be awarded your certificates.
REQUIRED TEXTS
1. The American Red Cross. CPR/AED for the Professional Rescuer. ISBN: 1-58480-304-5
2. The American Red Cross. Emergency Response. 0-8151-1260-2
3. The American Red Cross. (2002). American Red Cross Community First Aid and Safety.
ISBN: 1-58480-105-0
4. Course supplies include a Pocket Mask and First Aid Training Kit.
POLICIES
Attendance
*Attendance to all classes and labs is mandatory. Unexcused absences or tardiness will result in
point deductions from the final course grade. Attendance is expected. More than two absences
due to unavoidable emergency situations will be considered excessive. Excellent attendance and
class participation will affect borderline grades favorably. Poor attendance and not arriving
prepared for class may negatively affect grades.
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Academic Misconduct
Florida International University is a community dedicated to generating and imparting knowledge through
excellent teaching and research, the rigorous and respectful exchange of ideas, and community service.
All students should respect the right of others to have an equitable opportunity to learn and honestly to
demonstrate the quality of their learning. Therefore, all students are expected to adhere to a standard of
academic conduct, which demonstrates respect for themselves, their fellow students, and the educational
mission of Florida International University. All students are deemed by the University to understand that
if they are found responsible for academic misconduct, they will be subject to the Academic Misconduct
procedures and sanctions, as outlined in the Student Handbook. Students who plagiarize or cheat can be
charged with academic misconduct. Penalties for academic misconduct can include up to dismissal from
the University.
Misconduct includes:
Cheating: The unauthorized use of books, notes, aids, electronic sources; or assistance from another
person with respect to examinations, course assignments, field service reports, class recitations; or the
unauthorized possession of examination papers or course materials, whether originally authorized or not.
Plagiarism: The use and appropriation of another's work without any indication of the source and the
representation of such work as the student's own. Any student, who fails to give credit for ideas,
expressions or materials taken from another source, including internet sources, is guilty of plagiarism.
Religious Holidays
Religious holidays are an excused absence, but not beyond the day for the holiday itself. Students should
make their requests known at the beginning of the semester and arrangements must be made with the
faculty member for missed work.
Students with Disabilities
Students with disabilities who may need special accommodations must register with the Office of
Disability Services. In addition, students must contact the instructor so that arrangements can be made to
accommodate their needs.
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