Objectives and Task Analysis: MEDICAL FIRST RESPONDER/EMERGENCY MEDICAL RESPONDER EDUCATION PROGRAM INITIAL And REFRESHER Medical First Responder/Emergency Medical Responder programs must utilize this curriculum along with the National Education Standards. (Updated 09/2020) 1 Table of Contents AIRWAY (Airway, Oxygenation, Ventilation) .........................................................................12 Pediatrics ......................................................................................................................................13 EMS OPERATIONS (Hazardous Materials, Rescue Extrication, Triage) ............................14 Preparatory .....................................................................................................................................15 Introduction to Emergency Care (Roles, Responsibilities) ...............................................15 Well Being of the MFR/EMR (Communicable Disease) ..............................................................15 Medical Legal and Ethical Issues ..................................................................................................16 The Human Body ...........................................................................................................................17 Lifting and Moving Patients (Patient Handling) ............................................................................19 Pharmacology for the MFR/EMR ..................................................................................................19 Airway, Oxygenation, Ventilation ..............................................................................................20 Patient Assessment.........................................................................................................................22 Patient Assessment: Special Patient Considerations....................................................................24 Medical ..........................................................................................................................................25 Respiratory Emergencies ...................................................................................................25 Medical ..........................................................................................................................................26 Circulation, Cardiac Emergencies .....................................................................................26 Cardio Pulmonary Resuscitation........................................................................................27 Altered Mental Status, Diabetes ........................................................................................28 Poisons, Substance Abuse, and Allergies ..........................................................................29 2 Environmental Emergencies ..............................................................................................30 Behavioral Emergencies ....................................................................................................31 Abdominal Illness ..............................................................................................................31 CNS Illness (Stroke, Seizure) ............................................................................................32 Trauma ...........................................................................................................................................32 Bleeding and Shock ...........................................................................................................32 Soft Tissue Injuries, Burns .................................................................................................34 Face, Neck, Eye, Chest, Abdominal Injuries .....................................................................34 Musculoskeletal Care .........................................................................................................35 Trauma ...........................................................................................................................................36 Injuries to the Head and Spine ...........................................................................................36 Children and Childbirth .................................................................................................................37 Obstetrical/ Gynecological Emergencies ...........................................................................37 Pediatrics ............................................................................................................................38 EMS Operations .............................................................................................................................40 Communications ................................................................................................................40 Documentation ...................................................................................................................40 Vehicle Operations.............................................................................................................41 Gaining Access (Rescue Extrication) ..............................................................................41 Triage, Disaster Planning ...................................................................................................42 Hazardous Materials ..........................................................................................................43 MFR/EMR SKILLS TASK ANALYSIS .....................................................................................44 Airway Management/ Oxygen Therapy/ Ventilation: .......................................................44 Assessment:........................................................................................................................44 Basic Life Support: ............................................................................................................44 Bleeding Control/ Care of Soft Tissue Injuries: ................................................................44 Spinal Motion Restriction ..................................................................................................45 Splinting: ............................................................................................................................45 General Pharmacology: ......................................................................................................45 Airway Management:.............................................................................................46 Manual Maneuvers.................................................................................................46 Airway Management: Nasopharyngeal Airway (NPA) .........................................47 Airway Management: Oropharyngeal Airway (OPA) ...........................................48 Airway Management/Oxygen Therapy: ................................................................49 Free Flow Using Nasal Cannula ............................................................................49 Airway Management/Oxygen Therapy: ................................................................50 Free Flow Using Simple Face Mask or..................................................................50 3 Mask with Reservoir Bag.......................................................................................50 Airway Management:.............................................................................................51 Suctioning with Flexible Catheter .........................................................................51 Airway Management:.............................................................................................52 Suctioning with Rigid Catheter ..............................................................................52 Airway Management/Oxygen Therapy/Ventilation: .............................................53 Bag-Valve-Mask (BVM) One Rescuer ..................................................................53 Airway Management/Oxygen Therapy/Ventilation: .............................................55 Bag-Valve-Mask (BVM) Two Rescuer .................................................................55 Airway Management/Oxygen Therapy/Ventilation: .............................................57 Pocket Mask ...........................................................................................................57 Airway Management/Oxygen Therapy/Ventilation: .............................................59 Mask Over Stoma ..................................................................................................59 i-gel® Supraglottic Airway ....................................................................................60 Assessment:............................................................................................................61 Blood Pressure by Auscultation .............................................................................61 Assessment:............................................................................................................62 Blood Pressure by Palpation ..................................................................................62 Assessment:............................................................................................................63 Capillary Refill.......................................................................................................63