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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

cardiogenic shock. (C-3) 5-2.178 Integrate the pathophysiological principles to the assessment of the patient with cardiac arrest. (C-3) 5-2.179 Synthesize assessment findings to formulate a rapid intervention for a patient in cardiac arrest. (C-3) 5-2.180 Synthesize assessment findings to formulate the termination of resuscitative efforts for a patient in cardiac

arrest. (C-3) 5-2.181 Integrate pathophysiological principles to the assessment of a patient with vascular disorders. (C-3) 5-2.182 Synthesize assessment findings and patient history to form a field impression for the patient with vascular

disorders. (C-3) 5-2.183 Integrate pathophysiological principles to the assessment and field management of a patient with chest

pain. (C-3)

AFFECTIVE OBJECTIVES At the completion of this unit, the paramedic student will be able to:

5-2.184 Value the sense of urgency for initial assessment and intervention in the patient with cardiac compromise.

(A-3) 5-2.185 Value and defend the sense of urgency necessary to protect the window of opportunity for reperfusion in

the patient with suspected myocardial infarction. (A-3) 5-2.186 Defend patient situations where ECG rhythm analysis is indicated. (A-3) 5-2.187 Value and defend the application of transcutaneous pacing system. (A-3) 5-2.188 Value and defend the urgency in identifying pacemaker malfunction. (A-3) 5-2.189 Based on the pathophysiology and clinical evaluation of the patient with acute myocardial infarction,

characterize the clinical problems according to their life-threatening potential. (A-3) 5-2.190 Defend the measures that may be taken to prevent or minimize complications in the patient with a

suspected myocardial infarction. (A-3) 5-2.191 Defend the urgency based on the severity of the patient=s clinical problems in a hypertensive emergency.

(A-3) 5-2.192 From the priority of clinical problems identified, state the management responsibilities for the patient with a

hypertensive emergency. (A-3) 5-2.193 Value and defend the urgency in rapid determination of and rapid intervention of patients in cardiac arrest.

(A-3) 5-2.194 Value and defend the possibility of termination of resuscitative efforts in the out-of-hospital setting. (A-3) 5-2.195 Based on the pathophysiology and clinical evaluation of the patient with vascular disorders, characterize

the clinical problems according to their life-threatening potential. (A-3) 5-2.196 Value and defend the sense of urgency in identifying peripheral vascular occlusion. (A-3) 5-2.197 Value and defend the sense of urgency in recognizing signs of aortic aneurysm. (A-3)

PSYCHOMOTOR OBJECTIVES At the completion of this unit, the paramedic student will be able to:

5-2.198 5-2.199 5-2.200 5-2.201 5-2.202 5-2.203

5-2.204

Demonstrate how to set and adjust the ECG monitor settings to varying patient situations. (P-3) Demonstrate a working knowledge of various ECG lead systems. (P-3) Demonstrate how to record an ECG. (P-2) Perform, document and communicate a cardiovascular assessment. (P-1) Set up and apply a transcutaneous pacing system. (P-3) Given the model of a patient with signs and symptoms of heart failure, position the patient to afford comfort and relief. (P-2 ) Demonstrate how to determine if pulsus paradoxus, pulsus alternans or electrical alternans is present. (P-

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

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