First Responder: National Standard Curriculum - EMS

1 First Responder: National StandardCurriculumUnited States Department of TransportationNational Highway Traffic Safety AdministrationUnited States Department of Health and Human ServicesMaternal and Child Health BureauFirst Responder: National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumiFirst Responder: National StandardCurriculumProject DirectorWalt Alan Stoy, PhD, EMT-PDirector of Educational ProgramsCenter for Emergency MedicineResearch Assistant Professor of MedicineUniversity of Pittsburgh School of MedicinePrincipal InvestigatorsGregg S. Margolis, MS, NREMT-PThomas E. Platt, NREMT-PAssociate Director of EducationCoordinator of EMS EducationCenter for Emergency MedicineCenter for Emergency MedicineMedical DirectorsNicholas H. Benson, MD, FACEPH erbert G.

2 Garrison, MD, FACEPA cting Chair, Department of Emergency MedicineAssistant Professor of MedicineEast Carolina University School of MedicineUniversity of Pittsburgh School of MedicineCurriculum Development GroupMichael O'KeefeBob W. BaileyState Training CoordinatorChief, Office of EMSV ermontNorth CarolinaWilliam E. Brown, Jr., RN, REMT-PPhilip Dickison, REMT-PExecutive Director Basic Level CoordinatorNational Registry of EMTsNational Registry of EMTsSusan M. Fuchs, MD, FAAPA ssociate Professor of PediatricsUniversity of Pittsburgh School of MedicineContract Number DTNH22-94-C-05123 First Responder: National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumiiiTable of xCardiopulmonary xIntegration with the xiMedical Oversight xiiInstructor's Course 1 Course 2 Diagram of Educational 4 Course 5 How to Use the Curriculum and Lesson 9 InstructorsAssessing Student 14 Philosophy Regarding Adult 17 Some Principles of Adult 18 Continuing 20 StudentsJob Description - First 21 Continuing Education and Its Importance in Lifelong 23 EnvironmentClassroom 24 Clinical/Field 24 Maintaining 25 Program 26 Course 26 First Responder.

3 National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumivInstructor's Lesson PlansModule 1: PreparatoryLesson 1-1 Introduction to EMS 1-2 The Well-Being of the First 1-3 Legal and Ethical 1-4 The Human 1-5 Lifting and Moving 1-6 Evaluation: 2: AirwayLesson 2-1 2-2 Practical Lab: 2-3 Evaluation: 3: Patient AssessmentLesson 3-1 Patient 3-2 Practical Lab: Patient 3-3 Evaluation: Patient 4: CirculationLesson 4-1 4-2 Practical Lab: 4-3 Evaluation: 5: Illness and InjuryLesson 5-1 Medical 5-2 Bleeding and Soft Tissue 5-3 Injuries to Muscles and 5-4 Practical Lab: Illness and 5-5 Evaluation: Illness and Injury ..5-53 Module 6: Childbirth and ChildrenLesson 6-1 6-2 Infants and 6-3 Practical Lab: Childbirth and 6-4 Evaluation: Infants and Children.

4 6-31 First Responder: National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumvModule 7: EMS OperationsLesson 7-1 EMS 7-2 Evaluation: EMS Operations ..7-11 AppendicesAppendix A Functional Job B BLS HeartSaver Information and Skill C Adult and Pediatric Basic Cardiac Life Support D Enrichment Lesson E Remediation Sheet ..E-1 First Responder: National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumviFirst Responder: National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumviiFirst Responder: National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumviiiAppendix F Patient Assessment Flow Sheets.

5 F-1 Appendix G National EMS Education and Practice Blueprint ..G-1 Appendix H Final Practical skills Examination ..H-1 First Responder: National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumixFirst Responder: National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumxPrefaceThe National Highway Traffic Safety Administration (NHTSA) has assumedresponsibility for the development of training courses that are responsive to thestandards established by the Highway Safety Act of 1966 (amended). Since thesetraining courses are designed to provide National guidelines for training, it is NHTSA'sintention that they be of the highest quality and be maintained in a current and up-to-date status from the point of view of both technical content and instructional strategy.

6 To this end, NHTSA supported the current project which involved revision of theEmergency Medical Services: First Responder Training Course, deemed of high valueto the states in carrying out their training programs. This course revision is being co-sponsored by the Maternal and Child Health Bureau, Department of Health andHuman Services. Additional funding for this project was provided as in-kind services ofthe Center for Emergency Medicine and through a Grant from the PittsburghEmergency Medicine Foundation. This course is one of a series of courses making upa National EMS education program for out-of hospital care. The First Responder is adesignated level of emergency medical care provider as outlined by the National EMSE ducation and Practice First Responder is an integral part of the Emergency Medical Services term " First responder" has been applied to the First individual who arrives at thescene regardless of the individual's type of credential.

7 It is the goal of the FirstResponder: National Standard Curriculum to provide students with the core knowledge, skills and attitudes to function in the capacity of a First responder. The First Responderuses a limited amount of equipment to perform initial assessment and intervention andis trained to assist other EMS providers. This level of provider is not intended to beutilized as the minimum staffing for an ambulance. Enrichment programs andcontinuing education will help fulfill other specific needs for the First Respondertraining. It is recognized that there may be additional specific education that will be required ofFirst responders who operate in the field. It is also recognized that practice mightdiffer from locality to locality, and that each training program, or system should identifyand provide additional training requirements. Consistent with the intent and design ofthe National EMS Education and Practice Blueprint, some EMS systems will incorporateadditional skills into the scope of practice of the First Responder.

8 First Responder: National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumxiAcknowledgmentsFrom the very beginning of this revision project, the Department of Transportationrelied on the knowledge, attitudes, and skills from hundreds of experts. Theseindividuals sought their own level of involvement and contribution toward accomplishingthe goals of this project. These contributions varied from individual to individual, andregardless of the level of involvement, everyone played a significant role in thedevelopment of the Curriculum . It is essential that those who have assisted with theachievement of this worthy educational endeavor be recognized for their efforts. Forevery person named, there are 50 or more individuals who should be identified for theircontributions.

9 For all who have contributed, named and unnamed, thank you forsharing your vision. Your efforts have helped assure that the educational/trainingneeds of First responders are met so that they can provide appropriate and effectivepatient thanks for the knowledge, expertise, and dedication given to this project by theProject Director, Co-Principal Investigators, Co-Medical Directors, and all the membersof the Curriculum Development would also like to recognize the following individuals and/or organizations fortheir significant contributions to this project: National OrganizationsNational Registry of EMTsWilliam Brown, RNPhil Dickison, REMT-PState of North CarolinaGovernor James B. Hunt, of Human ResourcesDivision of Facility ServicesOffice of Emergency MedicalServicesBob W. Bailey, ChiefEd BrowningNicholas Benson, MD, FACEPN orth Carolina State Highway PatrolCol. BarefootLt. Col. C. R. WilkinsMaj. R. D. JenkinsFirst Sergeant C. L. GarnerSergeant G. D.

10 HayesTrooper J. D. HendersonTrooper E. C. ManessTrooper G. W. StarlingSergeant M. J. BenfieldFirst Responder: National Standard CurriculumInstructor's Course Guide----------------------------------- ---------------------------------------- --United States Department of TransportationNational Highway Traffic Safety AdministrationFirst Responder: National Standard CurriculumxiiState of MinnesotaGovernor Arne CarlsonMinnesota State Board of TechnicalCollegesCarole M. Johnson, PhD,ChancellorAdam D. Pishura, Director Fire/EMS TrainingMike Wilcox, MD, Medical AdvisorJoe Grafft, MS, EMS SpecialistCharles G. CogginsMorris S. Miller, RNNona Niemeier, BA, NREMT-AGerald W. OttoBrett A Rima, EMT-PJames V. Sinkbeil , MS, NREMT-AEric M. Weller, BS, NREMTQ ueen of Peace HospitalSister Jean JuenemannDiane HrabeNoreen SeurerFood Service DepartmentSt. Wenceslaus School2nd Grade ClassAnn ChristyPamela TheisJoint Powers Board South CentralMinnesota EMS Regional ProjectCenter for Emergency MedicinePaul M.