Learning Objectives

Course Objectives - Introduction to Acute Care

 

Basic Life Support (BLS) | Advanced Cardiac Life Support (ACLS) | Airway and Respiration Management | Pediatric Skills

UNC SOM Core Competencies/Milestones

Basic Life Support (BLS) Certification:

Students will achieve American Heart Association, (AHA) Healthcare Provider Certification.  (Milestones 3002 & 3003) The following elements require demonstrated knowledge and ability:

  • Adult CPR---one and two person
  • Child CPR---one and two person
  • Infant CPR---one and two person
  • Defibrillation, of any age patient
  • Basic Management of the apneic or poorly ventilating patient to include:
      • Adult---one and two person
      • Child---one and two person
      • Infant---one and two person
  • Management a patient with an obstructed
      • Adult
      • Child
      • Infant

 

Students are expected to achieve certification for the Healthcare Provider through successful passing of the AHA written and practical exams.


Advanced Cardiac Life Support (ACSL) Certification
(Milestone 3031)

Students will build on the above BLS certification through successful completion, (thus certification) in the American Heart Association ACLS course.

Skills not taught in BLS that will require knowledge and demonstrated ability include: (Milestones 3018 & 3019)

  • Peripheral IV starts
  • Intraosseous Access
  • Medication Administration---specific for ACLS to include IV, SL, IM, SC, IO, and endotracheal routes.
  • Synchronized Cardioversion---and dosages specific for given arrhythmia
  • Transcutaneous Pacing
  • Advanced Airway management---Laryngeal Tube, LMA, Endotracheal Intubation,
  • Patient Care monitoring:  Blood pressure, Heart Rate, EKG rhythm interpretation, Respiration, Temperature, End Tidal CO2, Pulse Oximetry.
  • Lab Value interpretation:  ABG, Chem 7, CBC; H&H

 

Students will achieve and demonstrate knowledge for the care of: (Milestones 3014, 3021, 3023 3024, 3026, 3027, 3066, 3077)

  • Cardiac Arrest Patient---Ventricular fibrillation, Ventricular Tachycardia, PEA, & Asystole
  • Post Cardiac Arrest Patient
  • Cardiac Arrhythmia Patient---Atrial Fibrillation, Atrial Flutter, Sinus Ventricular Tachycardia, Bradycardia, and Wide Complex Tachycardia both regular and irregular.
  • Acute Coronary Syndrome Patient
  • Stroke Patient

 

Students will work within the context of a team both as a team member and as team leader.

(Milestones 3041, 3042, 3044 3072)

Certification will be achieved by written and practical AHA exams.


Airway and Respiration Management:
(Milestones 3018 & 3019)

The focus is primarily the adult patient.

Students will review anatomy and receive instruction on

  • Airway assessment
  • Oxygenation
  • Ventilation.
  • Anesthesia

 

Students will learn when and how to use various adjuncts to assist the management of airway, oxygenation and ventilation. These adjuncts include:

  • Bag Mask Ventilation---of the breathing and non-breathing patient.
  • Use of monitoring equipment to gauge effectiveness
  • Oral Airway
  • Nasal Pharyngeal Airway
  • Laryngeal Tube, (King Airway)
  • LMA
  • Endotracheal Intubation

 


Pediatric Skills:
(Milestones 3018 & 3019)

The differences between adult and the pediatric patient will be explored.    Students will then learn to place and appropriately use various pediatric:

1) Airway adjuncts:

  • Bag Mask Ventilation---of the breathing and non-breathing patient.
  • Use of monitoring equipment to gauge effectiveness
  • Oral Airway
  • Nasal Pharyngeal Airway
  • Laryngeal Tube, (King Airway)
  • LMA
  • Endotracheal Intubation

 

2) Vascular access for the pediatric patient.

  • Peripheral IV to include scalp and saphenous veins
  • Intraosseous to include proximal tibia, distal femur, distal tibia and proximal humerus.

 

3) Length – Weight based measurement.   Care of the pediatric patient requires accurate weight

measurement.  Use of the Broslow tape is covered.  Students will demonstrate how to

appropriately ‘weigh’ a patient through length measurement.