Maricopa Community Colleges  FSC238   19952-20045 
Official Course Description: MCCCD Approval: 10/25/94
FSC238 19952-20045 LEC 2 Credit(s) 2 Period(s)
Vehicular Extrication and Patient Stabilization
Participative course designed for Emergency Medical Technicians (EMTs) and other prehospital care providers. Enhances the knowledge base of the EMT and incorporates new knowledge and skills necessary to access, extricate, and care for victims of crash incidents. Provides exposure to scene management skills to include size-up, disentanglement, victim stabilization for single and multi-victim situations, hazardous materials incidents, integration of local emergency medical services (EMS) for patient assessment and management, and standard operating procedures to selected victim scenarios. Prerequisites: Basic EMT certification, current enrollment in an EMT-Basic program, nurse with emergency department experience, or law enforcement personnel, or permission of instructor.
Cross-References: EMT238
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MCCCD Official Course Competencies:
 
FSC238   19952-20045 Vehicular Extrication and Patient Stabilization
1. Identify and apply emergency assessment and care to victims of single- or multi-vehicle crash incidents. (I)
2. Manage a scene where situations exist that pose a threat to a rescuer, patient, and/or bystanders. (I, II, III)
3. Utilize proper protective clothing and safety equipment during all procedures. (IV)
4. Gain access to a patient separated by adverse terrain, water, mountains, or structural damage. (IV)
5. Differentiate between gaining access and disentanglement. (IV, V)
6. Utilize the easiest proper entry technique to victims entangled in a wrecked vehicle as rapidly as possible. (V)
7. Disentangle a patient from a wrecked automobile using extrication tools. (V)
8. Protect, lift, carry, and immobilize the patient during all procedures. (VI)
9. Demonstrate patient care, immobilization, and stabilization skills according to local EMT's protocols and the U.S. DOT (Department of Transportation) Basic EMT curriculum. (VI)
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MCCCD Official Course Outline:
 
FSC238   19952-20045 Vehicular Extrication and Patient Stabilization
    I. EMT Skill Review
        A. Patient assessment
        B. Mechanism of injury
        C. Trauma patient management
      II. Scene Management
          A. Size-up and management
          B. Task assignments
          C. Support operations
          D. Emotional first aid
        III. Hazardous Incident Recognition
            A. Natural
            B. Manmade
            C. Protection of self, others, patient
            D. HAZMAT (hazardous materials response) resources
          IV. Gaining Access
              A. Protective clothing and devices
              B. Environmental hazards
              C. Vehicular stabilization
              D. Glass management
              E. Mechanical disassembly
                1. Access through undamaged, locked, and jammed doors
                2. Access through roof, windows, trunk, and body
              F. Access to patients trapped under a vehicle
                1. Determine exit route
                2. Stabilize, lift, or tunnel under
            V. Disentanglement
                A. Patient care and removal
                B. Selection, safe and accurate use of
                  1. HURSTª tools
                  2. Pneumatic chisel
                  3. Rescue Ram
                  4. Hydraulic cutters
                  5. Hydraulic jacks
                  6. Holmatro
                  7. Axe, sledge, prybars, and come-a-long
                  8. Assorted hand tools
                  9. Hooligan tool
                  10. Bolt cutters
                  11. Bailing hooks
                  12. Pry-axe
                  13. Pinch Point Crowbar
                  14. Air bags
              VI. Patient Care
                  A. Assessment
                  B. Management of ABCs
                  C. Immobilization
                  D. Packaging for transportation
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