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National Standard Curriculum: First Responder Refresher

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National Standard Curriculum: First Responder Refresher United States Department of Transportation National Highway Traffic Safety Administration U.S. Department of Health and Human Services Public Health Service Health Resources & Human Services Administration Maternal & Child Health Bureau First Responder Refresher National Standard Curriculum First Responder Refresher: National Standard Curriculum Project Director Walt Alan Stoy, PhD, EMT-P Director of Educational Programs Center for Emergency Medicine Research Assistant Professor of Medicine University of Pittsburgh School of Medicine Principal Investigators Gregg S. Margolis, MS, NREMT-P Thomas E. Platt, BA, NREMT-P Associate Director of Education Coordinator of EMS Education Center for Emergency Medicine Center for Emergency Medicine Medical Directors Nicholas H. Benson, MD, FACEP Herbert G. Garrison, MD, FACEP Chair, Department of Emergency Medicine Assistant Professor of Medicine East Carolina University School of Medicine University of Pittsburgh School of Medicine Curriculum Development Group Michael O'Keefe Bob W. Bailey State Training Coordinator Chief, Office of EMS Vermont North Carolina William E. Brown, Jr., RN, REMT-P Philip Dickison, REMT-P Executive Director Basic Level Coordinator National Registry of EMTs National Registry of EMTs Susan M. Fuchs, MD, FAAP Associate Professor of Pediatrics University of Pittsburgh School of Medicine Contract Number DTNH22-94-C-05123 First Responder Refresher: National Standard Curriculum Instructor Course Guide --------------------------------------- Table of Contents Preface ........................................................................................................................... iv Process.......................................................................................................................... 1 Cardiopulmonary Resuscitation .................................................................................... 1 Integration with the Blueprint......................................................................................... 1 Medical Oversight Statement ........................................................................................ 2 Curriculum ..................................................................................................................... 3 Course Goals...................................................................................................... 3 Diagram of Educational Model............................................................................ 4 Course Design.................................................................................................... 5 How to Use the Curriculum and Lesson Plans ................................................... 7 Instructors..................................................................................................................... 12 Assessing Student Achievement ....................................................................... 12 Philosophy Regarding Adult Learners ............................................................... 15 Some Principles of Adult Education................................................................... 16 Conducting Patient Care Simulations in the Classroom .................................... 17 Continuing Education ........................................................................................ 17 Students ....................................................................................................................... 18 Job Description - First Responder ..................................................................... 18 Continuing Education and Its Importance in Lifelong Learning ......................... 19 --------------------------------------- National Highway Traffic Safety Administration i First Responder Refresher: National Standard Curriculum First Responder Refresher: National Standard Curriculum Instructor Course Guide --------------------------------------- Environment ................................................................................................................ 20 Classroom Environment..................................................................................... 20 Maintaining Records.......................................................................................... 20 Credentialing ..................................................................................................... 21 Program Evaluation ........................................................................................... 21 Facilities............................................................................................................. 21 Course Cost....................................................................................................... 22 Module 1: Preparatory..................................................................................................1-1 Lesson 1-1 Introduction to EMS Systems..........................................................1-1 Lesson 1-2 The Well-Being of the First Responder ..........................................1-9 Lesson 1-3 Legal and Ethical Issues...............................................................1-23 Lesson 1-4 The Human Body ..........................................................................1-33 Lesson 1-5 Lifting and Moving Patients...........................................................1-35 Module 2: Airway..........................................................................................................2-1 Lesson 2-1 Airway .............................................................................................2-1 Module 3: Patient Assessment .....................................................................................3-1 Lesson 3-1 Patient Assessment ........................................................................3-1 Module 4: Circulation....................................................................................................4-1 Lesson 4-1 Circulation.......................................................................................4-1 Module 5: Illness and Injury..........................................................................................5-1 Lesson 5-1 Medical Emergencies......................................................................5-1 Lesson 5-2 Bleeding and Soft Tissue Injuries .................................................5-13 --------------------------------------- ii National Highway Traffic Safety Administration First Responder Refresher: National Standard Curriculum First Responder Refresher: National Standard Curriculum Instructor Course Guide --------------------------------------- Lesson 5-3 Injuries to Muscles and Bones ......................................................5-25 Module 6: Childbirth and Children................................................................................6-1 Lesson 6-1 Childbirth.........................................................................................6-1 Lesson 6-2 Infants and Children........................................................................6-9 Module 7: EMS Operations ..........................................................................................7-1 Lesson 7-1 EMS Operation ...............................................................................7-1 Appendices.................................................................................................................. A-1 APPENDIX A: BLS HeartSaver Information and Skill Sheets........................... A-1 APPENDIX B: Adult and Pediatric Basic Cardiac Life Support Guidelines reprinted from JAMA ............................................................ B-1 APPENDIX C: Enrichment Lesson Plan ........................................................... C-1 APPENDIX D: Remediation Sheet.................................................................... D-1 APPENDIX E: Patient Assessment Flow Charts............................................... E-1 APPENDIX F: Final Practical Skills Exam ........................................................ F-1 --------------------------------------- National Highway Traffic Safety Administration iii First Responder Refresher: National Standard Curriculum First Responder Refresher: National Standard Curriculum Instructor Course Guide --------------------------------------- --------------------------------------- iv National Highway Traffic Safety Administration First Responder Refresher: National Standard Curriculum First Responder Refresher: National Standard Curriculum Instructor Course Guide --------------------------------------- --------------------------------------- National Highway Traffic Safety Administration v First Responder Refresher: National Standard Curriculum First Responder Refresher: National Standard Curriculum Instructor Course Guide --------------------------------------- --------------------------------------- vi National Highway Traffic Safety Administration First Responder Refresher: National Standard Curriculum First Responder Refresher: National Standard Curriculum Instructor Course Guide --------------------------------------- Preface The National Highway Traffic Safety Administration (NHTSA) has assumed responsibility for the development of training courses that are responsive to the standards established by the Highway Safety Act of 1966 (amended). Since these training courses are designed to provide national guidelines for training, it is NHTSA's intention that they be of the highest quality and
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