Campus Location:DoverEffectiveDate: 201851

CourseNumberandTitle:EMT 215: Trauma Emergencies

Prerequisites:EMT 202, EMT 203, EMT 211, EMT 217

Co-requisites:EMT 213, EMT 227

CourseCredits andHours: 2 credits

2 lecture hours

0 labHours

CourseDescription:A comprehensive coursethat covers thepathophysiology, assessment, and management of patients who experience traumatic injuries.

Required Text(s):Obtain current text bookinformationat or or byvisiting the bookstore. You will need to know the coursenumber and section.

Additional Materials:

MethodofInstruction:Classroom

Disclaimer:All studentsmust be able to access theInternet and know how

to retrieveinformation fromBlackboard onthe DTCCweb page.

CoreCoursePerformance Objectives:

1. Formulate anapproach formanagement of traumapatientsintegratingmechanismoftrauma, Kinematics, and trauma system structure. (CCC-1, 2, 3, 4, 5, 6; PGC-1, 2, 3, 4 5, 6)

2. Formulate apre-hospitalimpression and implement treatment plans forpatients exhibiting signs and symptoms consistent with hemorrhageor shock, integratingpathophysiologic principles and assessment findings. (CCC-1, 2, 3,4, 5, 6; PGC-1, 2, 3, 4, 5, 6)

3. Formulate apre-hospitalimpression and implement treatment plans forpatientswith soft

tissue injuries, integratingpathophysiologic principles and assessment findings. (CCC-1, 2, 3, 4, 5, 6; PGC-1, 2, 3, 4, 5, 6)

4. Formulate apre-hospitalimpression and implement treatment plans forpatients with burns, integratingpathophysiologic principlesand assessment findings. (CCC-1, 2, 3, 4, 5, 6; PGC-1, 2, 3, 4, 5, 6)

5. Formulate apre-hospitalimpression and implement treatment plans forpatients with head and facial trauma, integratingpathophysiologic principles, and assessment findings.

(CCC-1, 2, 3, 4, 5, 6; PGC-1, 2, 3, 4, 5, 6)

6. Formulate apre-hospitalimpression and implement treatment plans forpatientswith spinal

trauma, integratingpathophysiologic principles and assessment findings. (CCC-1, 2, 3, 4, 5, 6; PGC-1, 2, 3, 4, 5, 6)

7. Formulateapre-hospitalimpressionandimplementtreatmentplansforpatients withthoracic trauma,integratingpathophysiologicprinciplesandassessmentfindings.

(CCC-1,2,3,4,5, 6;PGC-1,2,3,4,5,6)

8. Formulateapre-hospitalimpressionandimplementtreatmentplansforpatients withabdominal trauma,integratingpathophysiologicprinciplesandassessmentfindings.

(CCC-1,2,3,4,5, 6;PGC-1,2,3,4,5,6)

9. Formulateapre-hospitalimpressionandimplementtreatmentplansforpatientswith musculoskeletalinjuries,integratingpathophysiologicprinciplesandassessmentfindings. (CCC-1,2,3,4,5, 6;PGC-1,2,3,4,5,6)

SeeCore Curriculum Competencies(CCC)and Program Graduate Competencies(PGC)at the end of thesyllabus. Course objectives arecoded to the competency(cies)theydevelop.

MeasurablePerformanceObjectives:

1.Formulate anapproach formanagement of traumapatientsintegratingmechanismoftrauma, kinematics andtrauma system structure.

1.1Identifycomponentsofatraumasystem.

1.2Identifycriteriafortransport toatraumacenter.

1.3Describetheroleofinjurypreventionintraumacare.

1.4Describethelawsofenergyandmotionastheyapplytokinematics.

1.5Describethekinematics of:blunt,penetrating,motorvehiclecrash,motorcyclecrash, pedestrian,fall,sportsandblast injuriesanddescribethepathologiesandspecific injuriesassociated witheach.

2.Formulate aprehospitalimpression and implementtreatment plans forpatients exhibiting signs and symptoms consistent with hemorrhageor shock, integratingpathophysiologic principles and assessment findings.

2.1Reviewanatomyandphysiologyofcardiovascularsystem.

2.2Identifycommon pathologiceventsresultingfromhemorrhageandshock.

2.3Formulatemanagementplansforinternalandexternalhemorrhage.

2.4Differentiatebetweencompensatedanddecompensated shock.

2.5Developmanagementplanincorporatingequipmentandtechniquescommonlyusedto assessandmanageavarietyofpatient presentationsinvolvinginternalandexternal hemorrhage,compensatedshockanddecompensatedshock.

3.Formulate apre-hospitalimpression and implementtreatment plans forpatients with soft tissue injuries, integratingpathophysiologic principles and assessment findings.

3.1Reviewtheanatomyand physiologyoftheintegumentarysystem.

3.2Reviewthepathologyofwoundhealing.

3.3Identifyassessmentfindingsandmanagementtechniquesassociated withthe following

arteriallacerations,avulsions,impaled objects,amputations,incisions,crushinjuries, blastinjuries.

3.4Reviewassessmentofpatientswithhemorrhage.

3.5Identifyrationaleforplacinglifethreatsaheadofsoft tissueinjuriesduringpatientcare.

3.6Developmanagementplanincorporatingequipmentandtechniquescommonlyusedto assessandmanageavarietyofpatient presentationswithsoft tissueinjuries.

4.Formulate apre-hospitalimpression and implementtreatment plans forpatients with burns, integratingpathophysiologic principles andassessment findings.

4.1Reviewanatomyandphysiologypertinenttoburninjuries.

4.2Differentiateclassificationsofburninjuries.

4.3Usetechniquessuchas“Ruleof9s” and“RuleofPalms”todeterminebodysurface areaburninvolvement.

4.4Identifyanatomic,pathologic,assessment,andtreatmentconsiderationsforthe followingtypesofburns:thermal,inhalation,chemical,electricalandradiation.

4.5Formulateplanincorporatingequipmentandtechniquescommonlyusedtoassessand manageavarietyofpatientpresentationswithburninjuries.

5.Formulate apre-hospitalimpression and implementtreatment plans forpatients with head and facial trauma, integratingpathophysiologic principles, and assessment findings.

5.1Reviewanatomyandphysiologyrelatedtoheadandfacialtrauma.

5.2Identifytypesofinjuriesandrelatedmechanismsassociatedwithheadandfacial trauma.

5.3Identifyanatomic,pathologic,assessment,andtreatmentconsiderationsforthe followingtypesofheadandfacialtrauma:eyeinjuries,earinjuries,noseinjuries, throatinjuries,oralinjuriesandcranialinjuries.

5.4Analyzeassessmentfindingsinordertoformulatemanagementplansforpatientswith thefollowingheadinjuries:concussion, diffuseaxonalinjury,contusion,epidural hematoma, subduralhematoma,intracerebral hemorrhageandsubarachnoid hemorrhage.

5.5Formulateplanincorporatingequipmentandtechniquescommonlyusedtoassessand manageavarietyofpatientpresentationswithheadandfacialinjuries.

6.Formulate aprehospitalimpression and implementtreatment plans forpatients withspinal trauma, integratingpathophysiologic principles and assessment findings.

6.1Reviewanatomyandphysiologyofthespineandassociated structures.

6.2Identifytypesofinjuriesandrelatedmechanismsassociatedwith spinaltrauma.

6.3Identifysigns,symptomsandpathophysiologyassociatedwiththefollowingconditions orpresentations:spinalshock,neurogenicshock,quadriplegiaandparaplegia,central cordsyndrome,anteriorcordsyndrome,Brown-Sequardsyndrome,lowbackpainand herniatedintervertebraldiskinjury.

6.4Analyzeassessmentfindingstoformulatemanagementplansincorporatingequipment andtechniquescommonlyusedtomanageapatientwithspinaltrauma.

trauma,integratingpathophysiologicprinciplesandassessmentfindings.

7.1Reviewanatomyandphysiologyofthethorax andassociated structures.

7.2Identifytypesofinjuriesandrelatedmechanismsassociatedwiththoracictrauma.

7.3Identifysigns,symptomsandpathophysiologyassociatedwiththefollowingconditions orpresentations:ribfracture,flailsegment,sternalfracture,simplepneumothorax, tension pneumothorax,hemothorax,hemopneumothorax, pulmonarycontusion, pericardialtamponade,myocardialcontusion,myocardialrupture,majorvesseltrauma, esophagealinjury, tracheal-bronchialinjuryandtraumaticasphyxia.

7.4Analyzeassessmentfindingsinordertoformulateamanagementplanforincorporating equipmentandtechniquescommonlyusedtomanagepatientswiththoracictrauma.

8.Formulateaprehospitalimpressionandimplementtreatmentplansforpatients with abdominaltrauma,integratingpathophysiologicprinciplesandassessmentfindings.

8.1Reviewanatomyandphysiologyoftheabdomenandassociatedstructures.

8.2Identifytypesofinjuriesandrelatedmechanismsassociatedwithabdominaltrauma.

8.3Identifysigns,symptomsandpathophysiologyassociatedwiththefollowinginjuriesor presentations:solidorgan injuries,holloworganinjuries,vascularinjuries,pelvic fracturesandotherrelatedabdominalinjuries.

8.4Analyzeassessmentfindingsinordertoformulateamanagementplanforincorporating equipmentandtechniquescommonlyusedtomanagepatientswithabdominaltrauma.

9.Formulateaprehospitalimpressionandimplementtreatmentplansforpatients with musculoskeletalinjuries,integratingpathophysiologicprinciplesandassessmentfindings.

9.1Reviewanatomyandphysiologyofthemusculoskeletalsystemandassociatedstructures.

9.2Identifytypesofinjuriesandrelatedmechanismsassociatedwithmusculoskeletaltrauma.

9.3Identifysigns,symptomsandpathophysiologyassociatedwiththefollowinginjuriesor presentations:fractures,dislocations,sprainsandstrains.

9.4Analyzeassessmentfindingsinordertoformulateamanagementplanforincorporating equipmentandtechniquescommonlyusedtomanagepatientswithmusculoskeletal trauma.Demonstrateuseofequipmentandtechniquescommonlyusedtoassessand manageavarietyofpatientpresentationsorscenariosthatcontainsignsandsymptoms consistentwithavarietyofmusculoskeletal injuries.

Evaluation Criteria/Policies:

Students must demonstrate proficiency on all CCPOs at a minimal 75 percent level to successfully complete the course. The grade will be determined using the DTCC grading system:

92 – 100 / = / A
83 – 91 / = / B
75 – 82 / = / C
0 – 74 / = / F

Students should refer to the Student Handbook ( for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.

Core Curriculum Competencies (CCCs are the competencies every graduate will develop):

  1. Apply clear and effective communication skills.
  2. Use critical thinking to solve problems.
  3. Collaborate to achieve a common goal.
  4. Demonstrate professional and ethical conduct.
  5. Use information literacy for effective vocational and/or academic research.
  6. Apply quantitative reasoning and/or scientific inquiry to solve practical problems.

ProgramGraduateCompetencies: (The competencies everygraduatewilldevelop specific to his/her major.)

1. Perform all psychomotor, paramedicskills intheNational EmergencyMedicalServicesEducation Standards consistent with acceptablepractice foranentry-levelparamedic.

2. Conduct complete, accurate and timelypatientassessments,to includehistoryand physical exam, and communicate findings.

3. Interpretassessment findings in order to accuratelyidentifyadifferential diagnosis and integrate pathophysiologic principles and legal responsibilities to formulateatreatment plan.

4. Effectivelyperform therole ofTeamLeaderto include: timelydecision making,effective resourceutilization, implementingappropriateplan of action foragiven situation, adapting the plan to changingconditions and communicate.

5. Assess a sceneorsituation in order to identifythreatsto operatingsafely.

6. Applycommunication and ethical decision-makingskillsrequiredforanentry-level paramedic.

7. Exhibit professional,affectivebehavior.

8. Function effectivelyas an entry-level paramedicin the pre-hospital workingenvironment in the roles ofTeamLeaderand Team Member.

Disabilities Support Statement

The College is committed to providing reasonable accommodations for students with disabilities. You are encouraged to schedule an appointment with your campus Disabilities Support Counselor if you feel that you may need an accommodation based on the impact of a disability. A listing of campus Disabilities Support Counselors and contact information can be found at go.dtcc.edu/DisabilityServices or visit the campus Advising Center.