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Given an ECG, identify the arrhythmia. (C-3) Identify the limitations to the ECG. (C-1) Differentiate among the primary mechanisms responsible for producing cardiac arrhythmias. (C-1) Describe a systematic approach to the analysis and interpretation of cardiac arrhythmias. (C-2) Describe the arrhythmias originating in the sinus node, the AV junction, the atria, and the ventricles. (C-3) Describe the arrhythmias originating or sustained in the AV junction. (C-3) Describe the abnormalities originating within the bundle branch system. (C-3) Describe the process of differentiating wide QRS complex tachycardias. (C-3) Recognize the pitfalls in the differentiation of wide QRS complex tachycardias. (C-1) Describe the conditions of pulseless electrical activity. (C-3) Describe the phenomena of reentry, aberration and accessory pathways. (C-1) Identify the ECG changes characteristically produced by electrolyte imbalances and specify the clinical implications. (C-2) Identify patient situations where ECG rhythm analysis is indicated. (C-1) Recognize the changes on the ECG that may reflect evidence of myocardial ischemia and injury. (C-1) Recognize the limitations of the ECG in reflecting evidence of myocardial ischemia and injury. (C-1) Correlate abnormal ECG findings with clinical interpretation. (C-2) Identify the major therapeutic objectives in the treatment of the patient with any arrhythmia. (C-1) Identify the major mechanical, pharmacological and electrical therapeutic interventions. (C-3) Based on field impressions, identify the need for rapid intervention for the patient in cardiovascular compromise. (C-3) Describe the incidence, morbidity and mortality associated with myocardial conduction defects. (C-1) Identify the clinical indications for transcutaneous and permanent artificial cardiac pacing. (C-1) Describe the components and the functions of a transcutaneous pacing system. (C-1) Explain what each setting and indicator on a transcutaneous pacing system represents and how the settings may be adjusted. (C-2) Describe the techniques of applying a transcutaneous pacing system. (C-1) Describe the characteristics of an implanted pacemaking system. (C-1) Describe artifacts that may cause confusion when evaluating the ECG of a patient with a pacemaker. (C- 2) List the possible complications of pacing. (C-3) List the causes and implications of pacemaker failure. (C-2) Identify additional hazards that interfere with artificial pacemaker function. (C-1) Recognize the complications of artificial pacemakers as evidenced on ECG. (C-2) Describe the epidemiology, morbidity and mortality, and pathophysiology of angina pectoris. (C-1) List and describe the assessment parameters to be evaluated in a patient with angina pectoris. (C-1) Identify what is meant by the OPQRST of chest pain assessment. (C-3) List other clinical conditions that may mimic signs and symptoms of coronary artery disease and angina pectoris. (C-1) Identify the ECG findings in patients with angina pectoris. (C-3) Identify the paramedic responsibilities associated with management of the patient with angina pectoris. (C- 2) Based on the pathophysiology and clinical evaluation of the patient with chest pain, list the anticipated

clinical problems according to their life-threatening potential. (C-3) 5-2.72 Describe the epidemiology, morbidity and mortality of myocardial infarction. (C-1) 5-2.73 List the mechanisms by which an MI may be produced by traumatic and non-traumatic events. (C-2) 5-2.74 Identify the primary hemodynamic changes produced in myocardial infarction. (C-1) 5-2.75 List and describe the assessment parameters to be evaluated in a patient with a suspected myocardial



────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum


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