Title: Lesson 10-10 Respiratory
Course: EMS 1119 Emergency Medical Technician > Section: Module X Medicine

Apply knowledge to provide care for a patient with a respiratory emergency

At the end of this lesson and the associated lab activities students will be able to:

Cognitive Learning Objectives

- 10-10.1 List the structure, function and pathophysiology of the respiratory system
- 10-10.2 List signs of adequate air exchange
- 10-10.3 State the signs and symptoms of a patient with respiratory distress
- 10-10.4 Describe the assessment & medical care of the infant, child, adult and geriatric patient with a respiratory emergency
- 10-10.5 State the generic name, medication forms, dose, administration, action, indications and contraindications for the metered-dose inhaler
- 10-10.6 Describe the steps in facilitating the use of an inhaler and small volume nebulizer
- 10-10.7 Differentiate between upper airway obstruction and lower airway disease in the pediatric and geriatric patient

Affective Objectives

- 10-10.1 Defend EMT treatment regimens for various respiratory emergencies
- 10-10.2 Explain the rationale for administering an inhaler

Psychomotor Objectives

- 10-10.1 Demonstrate the assessment & medical care of all age groups with a respiratory emergency
- 10-10.2 Perform the steps in facilitating the use of a metered dose inhaler
- 10-10.3 Perform the steps in facilitating the use of a small volume nebulizer

Readings (PDF)

- How to Treat Shortness of Breath.pdf
- Many Benefits of CPAP - Printable Version - Jems.com.pdf
- The Use of CPAP in Prehospital Care.pdf

Online Videos

Your instructor will recommend which videos to view for this lesson. All videos are valuable resources. Students may wish to view more to enhance their learning.

- Lung Sounds - Rales, Rhonchi, Wheezes (1:09)
http://www.youtube.com/watch?v=gOB0nM0PRTc

CPAP:  The videos below represent the different types of CPAP that are available for pre hospital use:  Review product and instructional videos for the Flow-Safe, Boussignac and O2Max CPAP devices.

- Flow-Safe CPAP 1 Lecture on Use of Flow Safe (7:26)
https://www.youtube.com/watch?v=qp59WUexb30

- Flow-Safe CPAP 2 Emergency Transport (8:37)
https://www.youtube.com/watch?v=uvAp9t2w3sI&list=PLGha-qJpm8UD7N19c6h_9c6PW6v_bag7p&index=2

- Flow-Safe CPAP 3 - Hands On Demonstration (8:10)
https://www.youtube.com/watch?v=MVB-xlLTYfU

Boussignac CPAP

- Reviewing Boussignac CPAP (8:30)
https://www.youtube.com/watch?v=t1ftWsVGnvQ

Comments:  This video reviews the differences between intubation and CPAP, indications and contraindications of CPAP and how to put the system together.

Pulmodyne O2 Max CPAP Training Videos

- O2 ResQ1 CPAP (5:21)
https://www.youtube.com/watch?v=e9EmvjX6P24&list=PL1FAC5A246F9B37C8

- O2Max Fixed CPAP (5:07)
https://www.youtube.com/watch?v=qQdIG-cn9do&list=PL1FAC5A246F9B37C8

- O2 Max Variable CPAP (6:05)
https://www.youtube.com/watch?v=Enm-CStcVl0&list=PL1FAC5A246F9B37C8

- Types of Pulmonary Diseases (11:50)
https://www.youtube.com/watch?v=-oHlcuS7AeU
Kahnacademymedicine.org

- COPD (4:00)
https://www.youtube.com/watch?v=2nBPqSiLg5E
Nucleus Medical

- Asthma (3:35)
https://www.youtube.com/watch?v=4aK76DoxKGk
Nucleus Medical

- Asthma & COPD (7:57)
https://www.youtube.com/watch?v=sCgah1rO2ik

- Pneumonia (4:44)
https://www.youtube.com/watch?v=aKduNgfePLU
Nucleus Medical

- Influenza (5:31)
- https://www.youtube.com/watch?v=jZk_hVTEXlc
- Nucleus Medical

- Pediatric Respiratory Failure
- https://www.youtube.com/watch?v=iWhhbzymPnA

Advanced Level Video (optional)

- COPD (Empysema) Explained Clearly Pt 1 (9:40)
https://www.youtube.com/watch?v=taPLOQIY8Vo
Roger Seheult, MD
- Comments:  Includes discussion on the prevalence, symptoms, incentive spirometry, and diagnosis of this important disease.

- COPD Part 2 (9:27)
https://www.youtube.com/watch?v=YwTbNZ2e13A

- COPD Part 3 (9:14)
https://www.youtube.com/watch?v=pX7Ow-RMlQM

Supplemental Reading

- How to Treat Shortness of Breath - JEMS
http://www.jems.com/article/patient-care/how-treat-shortness-breath

- Many Benefits of CPAP - JEMS
http://www.jems.com/article/patient-care/many-benefits-cpap

- The Use of CPAP in Pre Hospital Care
http://www.ems1.com/print.asp?act=print&vid=1595005
EMS1.com