EMSP 247 Medical Emergencies Clinical

Students will be able to integrate anatomy, physiology, and pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for patients with a specific, general, or poorly-communicated medical complaints as well as those exposed to toxic substances and induced or exacerbated illness related to communicable disease, environmentally hazardous conditions, or chronic illness. Intervention for patients experiencing behavioral emergencies will be considered for promoting safety, comfort, and therapeutic effect. Students must maintain licensure as a Nationally Registered EMT-I99 (Maryland CRT 99) for the duration of the course and during Paramedic testing.

Credits

3

Prerequisite

EMSP 244 and EMSP 245

Corequisite

EMSP 246

Hours Weekly

9 hours weekly

Course Objectives

  1. 1. Apply the anatomy, physiology, pathophysiology, assessment, and management of strokes,
    intracranial hemorrhage, transient ischemic attack, seizures, status epilepticus, headache,
    dementia, neoplasms, demyelinating disorders, Parkinson’s disease, cranial nerve disorders,
    movement disorders, neurologic inflammation and infection, spinal cord compression,
    hydrocephalus, and Wernicke’s encephalopathy.
  2. 2. Apply the anatomy, physiology, pathophysiology, assessment, and management of common
    and major diseases of the eyes, ears, nose, and throat, including nosebleeds.
  3. 3. Apply the anatomy, physiology, pathophysiology, assessment, and management of upper and
    lower, acute and chronic gastrointestinal bleeding, disorders of the liver, peritonitis, ulcerative
    diseases, irritable bowel syndrome, inflammatory disorders, pancreatitis, bowel obstruction,
    hernias, infectious diseases, gall bladder and biliary tract disorders, rectal abscesses, rectal
    foreign body obstruction, and mesenteric ischemia.
  4. 4. Manage common emergencies associated with weight reduction surgery such as stomach
    stapling, Roux-en Y and other gastric bypass procedures, gastric bands, and gastric sleeves.
  5. 5. Collect and interpret blood pressure readings for hemodialysis patients with existing or old
    Arterio-Venus fistula.
  6. 6. Apply the anatomy, physiology, pathophysiology, psychosocial impact, and presentation of
    patients with acute renal failure, chronic renal failure, dialysis, renal calculi, acid-base
    disturbances, fluid and electrolyte imbalance, and genitourinary tract conditions.
  7. 7. Manage common emergencies occurring during renal and peritoneal dialysis.
  8. 8. Apply the anatomy, physiology, pathophysiology, psychosocial impact, presentation, and
    management of vaginal hemorrhage, sexual assault, infections, pelvic inflammatory diseases,
    ovarian cysts, dysfunctional uterine bleeding, and vaginal foreign bodies.
  9. 9. Perform a differential diagnosis in the presence of an altered mental state to rule out
    hypoglycemia.
  10. 10. Apply the anatomy, physiology, pathophysiology, psychosocial impact, and presentation of
    patients with acute diabetic emergencies, diabetes mellitus, insulin resistant diabetes, acute
    diabetic emergencies, adrenal, pituitary, and thyroid disorders and emergencies.
  11. 11. Perform the safe assessment, management, and transport of patients experiencing a psychiatric
    emergency or mental health crisis.

Course Objectives

  1. 1. Apply the anatomy, physiology, pathophysiology, assessment, and management of strokes,
    intracranial hemorrhage, transient ischemic attack, seizures, status epilepticus, headache,
    dementia, neoplasms, demyelinating disorders, Parkinson’s disease, cranial nerve disorders,
    movement disorders, neurologic inflammation and infection, spinal cord compression,
    hydrocephalus, and Wernicke’s encephalopathy.
  2. 2. Apply the anatomy, physiology, pathophysiology, assessment, and management of common
    and major diseases of the eyes, ears, nose, and throat, including nosebleeds.
  3. 3. Apply the anatomy, physiology, pathophysiology, assessment, and management of upper and
    lower, acute and chronic gastrointestinal bleeding, disorders of the liver, peritonitis, ulcerative
    diseases, irritable bowel syndrome, inflammatory disorders, pancreatitis, bowel obstruction,
    hernias, infectious diseases, gall bladder and biliary tract disorders, rectal abscesses, rectal
    foreign body obstruction, and mesenteric ischemia.
  4. 4. Manage common emergencies associated with weight reduction surgery such as stomach
    stapling, Roux-en Y and other gastric bypass procedures, gastric bands, and gastric sleeves.
  5. 5. Collect and interpret blood pressure readings for hemodialysis patients with existing or old
    Arterio-Venus fistula.
  6. 6. Apply the anatomy, physiology, pathophysiology, psychosocial impact, and presentation of
    patients with acute renal failure, chronic renal failure, dialysis, renal calculi, acid-base
    disturbances, fluid and electrolyte imbalance, and genitourinary tract conditions.
  7. 7. Manage common emergencies occurring during renal and peritoneal dialysis.
  8. 8. Apply the anatomy, physiology, pathophysiology, psychosocial impact, presentation, and
    management of vaginal hemorrhage, sexual assault, infections, pelvic inflammatory diseases,
    ovarian cysts, dysfunctional uterine bleeding, and vaginal foreign bodies.
  9. 9. Perform a differential diagnosis in the presence of an altered mental state to rule out
    hypoglycemia.
  10. 10. Apply the anatomy, physiology, pathophysiology, psychosocial impact, and presentation of
    patients with acute diabetic emergencies, diabetes mellitus, insulin resistant diabetes, acute
    diabetic emergencies, adrenal, pituitary, and thyroid disorders and emergencies.
  11. 11. Perform the safe assessment, management, and transport of patients experiencing a psychiatric
    emergency or mental health crisis.