Official Course Description: MCCCD Approval: 05/23/00
EMT245 20006-20045	L+L	3 Credit(s)	3 Period(s)
Trauma Management I
Designed to instruct prehospital care personnel in the critical skills necessary to manage the trauma victim and the emergency scene through the Incident Command System (ICS). Enhances basic emergency medical technology (EMT) skills by focusing on emergency care interventions. Provides exposure to victim assessment, initial treatment, resuscitative techniques, victim stabilization, transportation of the victim to an emergency care facility, and documentation. Prerequisites: Basic EMT certification or nurse with emergency room experience, or permission of department.

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MCCCD Official Course Competencies:
EMT245   20006-20045	Trauma Management I

1.	Identify kinematics of trauma relative to vehicular mechanisms of injury and other types of trauma. (I, II, VI, VIII, IX, XI)
2.	Identify and apply emergency medical scene management skills to include size-up, multi-victim situations, hazardous materials and integration of local Emergency Medical Services (EMS) standard operating procedures and/or the ICS to selected victim scenarios. (II, VI, VIII, X, XI)
3.	Demonstrate assessment and care management of the trauma victim to include primary survey, vital signs, secondary survey, stabilization, transportation, and documentation. (III, IV, VI, VIII, IX, X, XI)
4.	Demonstrate airway management for the trauma victim through use of basic manipulative skills, adjuncts, and oxygen therapy. (IV, VI, VIII, XI)
5.	Identify the physiology of shock and its relationship to management of the trauma victim. (V, VI, VIII< XI)
6.	Identify and demonstrate control of external hemorrhage and/or hypovolemia by use of the Pneumatic Anti-Shock Garment (PASG). (V, VI, VIII, XI)
7.	Identify and demonstrate care management for the multi-system trauma victim to include head, spinal, chest, abdominal, pelvic, extremity, and soft tissue injuries. (VI, VIII, XI)
8.	Identify the classification and depth of burn injuries and demonstrate care management of the burn victim. (VII, VIII, XI)
9.	Identify and demonstrate care management of the pediatric, pregnant, geriatric, diabetic, altered level of consciousness (ALOC), and crisis trauma victims. (VIII, IX, XI)
10.	Identify and demonstrate vehicular extrication in order to provide access to and care management of the trauma victim. (VIII, XI)
11.	Demonstrate emergency transportation criteria, communications, and operation of the emergency vehicle relative to care management of the trauma victim. (VIII, X, XI)
12.	Demonstrate trauma victim assessment, airway management, control of hemorrhage/hypovolemia, cervical spine immobilization, splinting, and PASG application according to local EMS protocols, the DOT Basic EMT curriculum, and the ICS. (VIII, IX, X, XI)
13.	Demonstrate ICS emergency scene management, extrication, assessment, care management, transportation, and documentation of the trauma victim in selected EMS scenarios. (VIII, IX, X, XI)
14.	Demonstrate 86 percent proficiency on a written examination and 95 percent accuracy of basic EMT practical skills in selected EMS scenarios. (XI)

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MCCCD Official Course Outline:
EMT245   20006-20045	Trauma Management I

I. Kinematics of Trauma II. Emergency Medical Scene Management A. Size-up B. Multi-victim situations C. Triage D. Hazardous materials incidents E. Local EMS standard operating procedures F. The ICS III. Assessment and Care Management of the Trauma Victim A. Primary survey B. Vital signs C. Secondary survey D. Trauma victim 1. Stabilization 2. Transportation IV. Airway Management A. Basic manipulative skills B. Airway adjuncts C. Oxygen therapy V. Physiology of Shock and the Trauma Victim A. Control of external hemorrhage B. Control of hypovolemia C. The PASG VI. Multi-System Trauma Victim Injuries A. Head B. Spinal C. Chest D. Abdominal E. Pelvic F. Extremity G. Soft tissue VII. Burn Injuries A. Classification of burns B. Depths of burns C. Burn injuries management 1. Thermal 2. Chemical 3. Electrical 4. Radiologic VIII. Special Trauma Victim Management A. Pediatric trauma victim B. Pregnant trauma victim C. Geriatric trauma victim D. The ALOC trauma victim E. Diabetic trauma victim F. Crisis intervention IX. Extrication A. Disentaglement and/or access B. Management C. Extrication and stabilization D. Transportation and documentation X. Other Considerations for the Trauma Victim A. Emergency transportation criteria B. Communications C. Operation of the emergency vehicle XI. Evaluation A. Written examination B. Skills performance

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