MASTER TEACHING NOTES Detailed Lesson Plan

1 PREHOSPITAL EMERGENCY CARE, 9TH EDITION Detailed Lesson plan 1 PAGE 1 Detailed Lesson plan Chapter 1 Emergency Medical Care Systems, Research, and Public Health 100 120 minutes Chapter 1 objectives can be found in an accompanying folder. These objectives, which form the basis of each chapter, were developed from the new Education Standards and Instructional Guidelines. Minutes Content Outline MASTER TEACHING NOTES 5 I. Introduction A. During this Lesson , students will learn about the roles and responsibilities of an EMT. B. Case Study 1. Present The Dispatch, En Route, and Upon Arrival information from the chapter. 2. Discuss with students how they would proceed.

2 Case Study Discussion Why is it important for partners to work together as a team? What factors might affect your response to the scene? Why is personal safety so important? 10 II. The Emergency Medical Services System A Brief History A. In days when the local funeral home was the ambulance provider, patient care did not begin until arrival at the hospital. B. Wars have helped to show the importance of emergency care before and during transport. C. The EMS system permits patient care from the time of injury or illness until rehabilitation or discharge. D. Many significant developments have affected emergency medical services. 1. The Highway Safety Act of 1966 helped emergency medical technician programs evolve.

3 2. The Emergency Medical Services System Act of 1973 provided funding to EMS systems. 3. The American Heart Association began to teach CPR and basic life support to the public. 4. The National Registry of EMTs released the National Emergency Medical Services Education and Practice Blueprint in 1993. 5. The National Highway Traffic Safety Administration in 1996 published the EMS Agenda for the Future. This was followed by The EMS Education Agenda for the Future: A Systems Approach. Critical Thinking Discussion What would happen without regulation and policy as part of an EMS system? Weblinks Go to and click on the mykit link for Prehospital Emergency Care, 9th edition to access web resources on the Natio nal Registry of EMTs, National EMS Scope of Practice MASTER TEACHING NOTES Case Study Discussion TEACHING Tips Discussion Questions Class Activities Media Links Knowledge Application Critical Thinking Discussion PREHOSPITAL EMERGENCY CARE, 9TH EDITION Detailed Lesson plan 1 PAGE 2 Chapter 1 objectives can be found in an accompanying folder.

4 These objectives, which form the basis of each chapter, were developed from the new Education Standards and Instructional Guidelines. Minutes Content Outline MASTER TEACHING NOTES 6. The National Highway Traffic Safety Administration and Health Resources and Services Administration published the National EMS Core Content in 2005. 7. The National Highway Traffic Safety Administration published The National EMS Scope of Practice Model in 2006. 8. The Institute of Medicine published The Future of EMS Care: EMS at the Crossroads in 2006. 9. The National Highway Traffic Safety Administration s National EMS Education Standards outlined objectives for entry-level EMS personnel. Model, the CDC Weekly Morbidity and Mortality Report, and the EMS Agenda for the Future.

5 20 III. The Emergency Medical Services System Technical Assistance Program Assessment Standards (NHTSA) A. Standards 1. Regulation and Policy 2. Resource Management 3. Human Resources and Training 4. Transportation 5. Facilities 6. Communications 7. Public Information and Education 8. Medical Direction 9. Trauma Systems 10. Evaluation B. Access to the EMS System Using 911 1. 911 is the universal phone number used to access emergency services such as police, fire, and EMS. 2. Enhanced 911 (E911) system provides automatic number identification (ANI) and automatic location identification (ALI). 3. Benefits a. A public service answering point (PSAP) receives calls. A PSAP is generally staffed by trained communications personnel and likely Emergency Medical Dispatchers (EMDs).

6 B. Using 911 reduces the time it takes the caller to access the emergency services system. 4. Calling 911 on a cell phone may cause problems with caller location and possibly delay response. Some EMS systems are now using global-positioning-satellite (GPS) technology. Discussion Question How do people in your community access EMS? TEACHING Tip Play 911 recordings from your local agency and discuss them with students. Be careful that the recordings contain no confidential information. Class Activity Arrange a tour of a PSAP to see how calls are received and dispatched. Knowledge Application Describe a vehicle collision scenario. Ask students how they would access EMS and describe the location and situation.

7 PREHOSPITAL EMERGENCY CARE, 9TH EDITION Detailed Lesson plan 1 PAGE 3 Chapter 1 objectives can be found in an accompanying folder. These objectives, which form the basis of each chapter, were developed from the new Education Standards and Instructional Guidelines. Minutes Content Outline MASTER TEACHING NOTES C. Levels of Training National Scope of Practice Model 1. Emergency Medical Responder (EMR) 2. Emergency Medical Technician (EMT) 3. Advanced Emergency Medical Technician (AEMT) 4. Paramedic D. The Health Care System 1. EMTs provide prehospital care emergency medical treatment given to patients before they are transported to a hospital or other facility.

8 2. An EMT may be required to decide on the facility to which the patient must be transported. b. Hospital emergency department c. Trauma center d. Burn center e. Obstetrical center f. Pediatric center g. Poison center h. Stroke center i. Cardiac center j. Hyperbaric center k. Spine injury center l. Psychiatric center Discussion Question What are the differences in the scopes of practice of EMRs, EMTs, AEMTs, and paramedics? Knowledge Application Describe a scenario where EMRs are on the scene first. Ask students to describe: 1) what care they should expect the EMRs to provide; 2) how they will interact with EMRs on the scene. Discussion Question What are the specialty medical care facilities in your area?

9 Class Activity Tour an emergency department to familiarize students with the facility. 8 IV. The EMT Roles and Responsibilities A. Personal Safety and the Safety of Others 1. Ensure scene safety (downed power lines, chemical spills, and so on). 2. Drive safely and wear seatbelt unless helping patient. 3. Follow direction from police, fire, utility, and other expert personnel. 4. Wear reflective and protective gear when necessary. B. Patient Assessment and Emergency Care 1. Perform primary assessment to identify life-threatening problems. 2. Complete secondary assessment to treat other conditions or injuries you discover. C. Safe Lifting and Moving D. Transport and Transfer of Care 1.

10 Determine which facility will be most appropriate. 2. Use communication equipment to notify/update facility. 3. Drive safely, and use lights and sirens as appropriate. 4. Report verbally and in writing to facility about injuries, care given, and Video Clip Go to and click on the mykit link for Prehospital Emergency Care, 9th edition to access a video on EMS, the community, and children. Critical Thinking Discussion What factors should you consider when deciding which hospital to transport a patient to? PREHOSPITAL EMERGENCY CARE, 9TH EDITION Detailed Lesson plan 1 PAGE 4 Chapter 1 objectives can be found in an accompanying folder. These objectives, which form the basis of each chapter, were developed from the new Education Standards and Instructional Guidelines.