KNOWLEDGE AND ATTITUDE
- Describe the structure and function of the cardiovascular system. (p. 367)
- Describe the emergency medical care of the patient experiencing chest pain or discomfort. (pp. 369, 372) (Scan 17-1, pp. 370-371)
- List the indications for automated external defibrillation (AED). (pp. 380-381, 384-385, 388, 390)
- List the contraindications for automated external defibrillation. (pp. 393-394)
- Define the role of EMT-B in the emergency cardiac care system. (pp. 369-372, 378-381, 392)
- Explain the impact of age and weight on defibrillation. (p. 388)
- Discuss the position of comfort for patients with various cardiac emergencies. (p. 369)
- Establish the relationship between airway management and the patient with cardiovascular compromise. (pp. 372, 392)
- Predict the relationship between the patient experiencing cardiovascular compromise and basic life support. (pp. 378-380, 385, 388, 391)
- Discuss the fundamentals of early defibrillation. (p. 380)
- Explain the rationale for early defibrillation. (pp. 378, 380)
- Explain that not all chest pain patients result in cardiac arrest and do not need to be attached to an automated external defibrillator. (pp. 367-372)
- Explain the importance of prehospital ACLS intervention if it is available. (pp. 380-381, 392)
- Explain the importance of urgent transport to a facility with advanced cardiac life support if it is not available in the prehospital setting. (pp. 380-381)
- Discuss the various types of automated external defibrillators. (pp. 381-382)
- Differentiate between the fully automated and the semiautomated defibrillator. (pp. 383-384, 396)
- Discuss the procedures that must be taken into consideration for standard operations of the various types of automated external defibrillators. (pp. 385-399)
- State the reasons for assuring that the patient is pulseless and apneic when using the automated external defibrillator. (p. 383)
- Discuss the circumstances which may result in inappropriate shocks. (p. 383)
- Explain the considerations for interruption of CPR when using the automated external defibrillator. (p. 384)
- Discuss the advantages and disadvantages of automated external defibrillators. (p. 397)
- Summarize the speed of operation of automated external defibrillation. (pp. 397-399)
- Discuss the use of remote defibrillation through adhesive pads. (p. 397)
- Discuss the special considerations for rhythm monitoring. (pp. 383-384, 397)
- List the steps in the operation of the automated external defibrillator. (pp. 388-391) (Scan 17-4, pp. 386-388)
- Discuss the standard of care that should be used to provide care to a patient with persistent ventricular fibrillation and no available ACLS. (pp. 383, 385-394)
- Discuss the standard of care that should be used to provide care to a patient with recurrent ventricular fibrillation and no available ACLS. (p. 393)
- Differentiate between single rescuer and multi-rescuer care with an automated external defibrillator. (p. 392)
- Explain the reason for pulses not being checked between shocks with an automated external defibrillator. (p. 392)
- Discuss the importance of coordinating ACLS trained providers with personnel using automated external defibrillators. (p. 392)
- Discuss the importance of post-resuscitation care. (p. 392)
- List the components of post-resuscitation care. (pp. 392)
- Explain the importance of frequent practice with the automated external defibrillator. (pp. 383, 399)
- Discuss the need to complete the Automated Defibrillator: Operator's Shift Checklist. (p. 399)
- Discuss the role of the American Heart Association (AHA) in the use of automated external defibrillation. (pp. 378-381)
- Explain the role medical direction plays in the use of automated external defibrillation. (p. 399)
- State the reasons why a case review should be completed following the use of the automated external defibrillator. (pp. 399-400)
- Discuss the components that should be included in a case review. (pp. 399-400)
- Discuss the goal of quality improvement in automated external defibrillation. (pp. 399-400)
- Recognize the need for medical direction of protocols to assist in the emergency medical care of the patient with chest pain. (pp. 370, 372)
- List the indications for the use of nitroglycerin. (p. 372) (Scan 17-2, p. 373)
- State the contraindications and side effects for the use of nitroglycerin. (p. 373)
- Define the function of all controls on an automated external defibrillator, and describe event documentation and battery defibrillator maintenance. (pp. 386-388, 396, 399-400)
- Defend the reasons for obtaining initial training in automated external defibrillation and the importance of continuing education. (p. 400)
- Defend the reason for maintenance of automated external defibrillators. (p. 399)
- Explain the rationale for administering nitroglycerin to a patient with chest pain or discomfort. (p. 372)
SKILLS
- Demonstrate the assessment and emergency medical care of a patient experiencing chest pain or discomfort.
- Demonstrate the application and operation of the automated with external defibrillator.
- Demonstrate the maintenance of an automated external defibrillator.
- Demonstrate the assessment and documentation of patient response to the automated external defibrillator.
- Demonstrate the skills necessary to complete the Automated Defibrillator: Operator's Shift Checklist.
- Perform the steps in facilitating the use of nitroglycerin for chest pain or discomfort.
- Demonstrate the assessment and documentation of patient response to nitroglycerin.
- Practice completing a prehospital care report for patients cardiac emergencies.
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