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Aug 31, 2024
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2022-2023 College Catalog [ARCHIVED CATALOG]
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EMT 250 - Advanced Cardiac Care 1 Credits, 1.5 Contact Hours .75 lecture periods .75 lab periods
Introduction to the integration of pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with cardiovascular disease/injury based on 3-lead and 12-lead cardiac monitoring and interpretation. Also includes information on cardiovascular anatomy and physiology, cardiovascular pathologies and management, and adjunctive diagnostics.
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Course Learning Outcomes
- Identify pathophysiological principles of the cardiovascular system.
- Describe the assessment findings to formulate a field impression and implement the treatment plan for the patient with cardiovascular disease/injury based on 3-lead and 12-lead cardiac monitoring and interpretation.
- Define cardiovascular anatomy and physiology.
- Identify cardiovascular pathologies and management, and adjunctive diagnostics.
Performance Objectives:
- Identify and explain the importance for each component of the chain of survival, with special focus involving the first 10 minutes of a witnessed cardiopulmonary arrest.
- Describe cardiovascular disease and injury as well as the importance of basic and advanced cardiac monitoring as integrated in patient assessment and management.
- Identify and describe the anatomy and physiology of the cardiovascular system throughout the levels of body organization, including mechanical and electrophysiology.
- Identify and explain abnormal 3-lead electrocardial tracings as they relate to pathophysiology for rhythms originating from the atria, atrio-ventrical junction, and the ventricles.
- Identify and explain abnormal 12-lead electrocardial tracings and axis deviations as they relate to the anatomy and pathophysiology of the cardiovascular system.
- Discuss common pathologies and emergency management of cardiovascular diseases and injuries utilizing electrocardial monitoring.
- Explain additional diagnostic assessments and tools utilized in confirming cardiovascular emergencies.
- Explain the importance of proper electrocardial monitoring as it relates to initial and on-going patient assessment, management, and legal documentation.
- Explain the proper systematic approaches in patient assessment, formulating a field impression and implementing a treatment plan based on the mechanisms of illness and injury for the patient with cardiovascular and pulmonary compromise utilizing basic skills.
- Explain the important role and operation of the automated external defibrillator (AED).
- Differentiate and explain cardioversion, defibrillation, and cardiac pacing.
- Identify and explain the names, classes, mechanisms, dosing, indications, contraindications, preparations, and administration of common drugs used in cardiovascular and pulmonary emergencies.
- Explain the proper systematic approaches in patient assessment, formulating a field impression and implementing a treatment plan based on the mechanisms of illness and injury for the patient with cardiovascular and pulmonary compromise utilizing advanced skills.
- Discuss current trends and changes in healthcare, and demonstrate the ability to integrate roles and responsibilities by formulating a field impression and implementing simulated patient care following guidelines, protocols, and standing orders.
Outline:
- Introduction
- The chain of survival
- Early defibrillation
- Cardiovascular Disease and Cardiac Monitoring
- Incidence and types of disease/injury
- Importance of cardiac monitoring and interpretation
- Cardiovascular Anatomy and Physiology
- The vascular system
- Myocardial placement, location, and positioning.
- Levels of body organization relating to the myocardium
- Myocardial circulation
- Electrophysiology of the heart
- Autonomic nervous system
- Normal and Abnormal 3-lead Electrocardial Tracings as They Relate to Anatomy and Pathophysiology
- Systematic approach to 3-lead electrocardial interpretation
- Sinoatrial
- Atrial
- Atrioventricular junction
- Ventricular
- Excitation rhythms
- Heart blocks
- Abnormal wave characteristics and changes
- 12-lead Placement, Axis Determination, Axis Deviation, and Augmented Lead Placement
- Systematic approach to 12-lead electrocardial interpretation
- Electrocardial tracings and axis determination
- Electrocardial tracings and axis deviation
- Augmented lead placement and electrocardial tracings
- Cardiovascular Pathologies and Management
- Ischemia, injury, infarction (with normal and abnormal electrocardial tracings)
- Electrolyte imbalances
- Hypertrophy and cardial myopathies
- Pericarditis
- Trauma
- Thermal
- Neurological impacts
- Blocks and hemi-blocks
- Emboli
- Artifact
- Age-specific variants
- Pharmacology
- Adjunctive Diagnostics
- Physical signs and symptoms
- Patient medical history
- Comparative electrocardial analysis
- Blood gasses, metabolic pane, cultures, enzyme, drug levels, and clotting factors.
- Radiography, echocardiogram, scanning, and catheterization
- Special Considerations in Electrocardial Monitoring
- Initial 3 and 12 lead electrocardial analysis
- Comparative electrocardial analysis from previous tracings
- Electrocardial changes before, during, and after patient interventions
- Proper patient information and documentation
- Systematic Approach to Patient assessment and Management Utilizing Basic Skills
- Opening an airway and basic adjuncts.
- Rescue breathing, ventilation, and oxygen therapy
- Cardiopulmonary resuscitation
- Develop and execute a patient management plan based on field impression
- The Automated External Defibrillator (AED)
- Definition and importance
- Operations
- Implementation
- Electrical Management Involving Cardiac Dysrhythmias and Arrhythmias
- Cardioversion
- Defibrillaiton
- Cardiac Pacing
- Common Drugs Used in the Emergency Management of Cardiovascular and Pulmonary Emergencies
- Names and classes
- Mechanisms
- Dosing
- Indications and contraindications
- Preparations and administration
- Systematic Approach to Patient Assessment and Management Utilizing Advanced Skills
- Advanced airway management, ventilation and oxygen therapy
- Vascular access and medication administration
- Chemical and electrical cardioversion
- Management of cardiac dysrhythmias and arrhythmias
- Automated external defibrillator (AED) and Defibrillation
- Transcutaneous external pacing
- Develop and execute a patient management plan based on field impression
- Integration
- Current trends and changes
- Demonstration of knowledge and skills competencies
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