Title: Lesson 10-8 Cardiovascular
Course: EMS 1119 Emergency Medical Technician > Section: Module X Medicine

Apply knowledge to provide care for patients with a cardiovascular emergency

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

Cognitive Learning Objectives

- 10-8.1 Review the basic anatomy, physiology and pathophysiology of the cardiovascular system.
- 10-8.2 Describe the anatomy, physiology, pathophysiology and demonstrate the assessment & management of:
  - a. Angina pectoris
  - b. Thromboembolism
  - c. Myocardial infarction
  - d. Hypertensive emergencies
  - e. Aortic aneurysm/dissection
  - f. Heart Failure
- 10-8.3 Discuss the ability to assess and treat a patient with signs and symptoms of cardiac issues, including airway, medication administration, position of comfort and life span considerations
- 10-8.4 List the indications & contraindications for automated external defibrillation (AED)
- 10-8.5 Explain the impact of age and weight on defibrillation
- 10-8.6 Discuss the position of comfort for patients with various cardiac emergencies
- 10-8.7 Explain the rationale for early defibrillation
- 10-8.8 Explain that not all chest pain patients result in cardiac arrest and do not need to be attached to an automated external defibrillator
- 10-8.9 Discuss the various types of automated external defibrillators
- 10-8.10 Differentiate between the fully automated and the semi-automated defibrillator
- 10-8.11 Understand the importance of maintenance and operators check list for AED’s
- 10-8.12 Explain the role medical direction plays in the use of automated external defibrillation

Affective Objectives

- 10-8.1 Defend the reasons for obtaining initial training in automated external defibrillation and the importance of continuing education
- 10-8.2 Defend the reason for maintenance of automated external defibrillators
- 10-8.3 Explain the rationale for administering nitroglycerin to a patient with chest pain or discomfort

Psychomotor Objectives

- 10-8.1 Demonstrate the assessment & medical care of a patient with signs and symptoms of cardiac issues, including airway, medication administration, position of comfort and life span considerations
- 10-8.2 Demonstrate the application and operation of the automated external defibrillator
- 10-8.3 Discuss the maintenance of an automated external defibrillator
- 10-8.4 Demonstrate the assessment and documentation of patient response to the automated external defibrillator
- 10-8.5 Discuss the skills necessary to complete the Automated Defibrillator Operator's Shift Checklist
- 10-8.6 Perform the steps in facilitating the use of aspirin and nitroglycerin for chest pain or discomfort
- 10-8.7 Demonstrate the assessment and documentation of patient response to nitroglycerin

Psychomotor Skills

- Cardiac Arrest AED.pdf

Online Video

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.

- Cardiac Arrest (5:13)
https://www.youtube.com/watch?v=rNJYCtbcLH4
Comments: Actual video of cardiac arrest and chain of survival of spontaneous cardiac arrest.

- How the Heart Works (3:29)
http://www.youtube.com/watch?v=oZ1_TAwCUWw
Comments: Overview of how the structure and function of the hear and blood flow.

- Cardiac Cycle (1:51)
https://www.youtube.com/watch?v=rguztY8aqpk
Comments: Animated overview of the cardiac cycle.  Includes vascular anatomy, valvular anatomy, heart chamber and blood flow sequence.

- Oxygen Transport (3:09)
https://www.youtube.com/watch?v=WXOBJEXxNEo
Comments: Review of oxygen transport and exchange within the lungs to body.

- Cardiac Conditions Overview (3:56)
https://www.youtube.com/watch?v=T8zkvdkzU7A
Comments: CAD (Atherosclerosis/Arteriosclerosis), Embolism, Acute MyOcardial Infarction, Cardiac Rupture, Aneurysm, Arrhythmias and CHF.

- Atherosclerosis (3:25)
https://www.youtube.com/watch?v=OHE1ig4k64M
Comments: Nucleus Medical animation video of atherosclerosis and risk factors.

- Arterial Hypertension (2:12)
http://www.youtube.com/watch?v=aWu71fo5BM0
Comments: Animation review of the BP formula and effects of high blood pressure.

- Heart Failure (5:51)
https://www.youtube.com/watch?v=mhYeO2fwSps
Comments: Nucleus Medial animation of heart failure.

- Acute Coronary Syndrome and Heart Attack (5:17)
https://www.youtube.com/watch?v=afYCN3Upy_w
Comments: Nucleus Medical animation of ACS.

- Aortic Aneurysm (4:14)
http://www.youtube.com/watch?v=Bnoo5insrUQ
Comments: Nucleus Medical animation of normal anatomy of aorta.

- Zoll AED Training Video (5:40)
https://www.youtube.com/watch?v=0MY-pC52wv4
Comments: Review of fully automatic AED.

- Zoll AutoPulse (7:57)
https://www.youtube.com/watch?v=Kvs8LNXnNlg
Comments: BlueJFilms demonstration of Zoll AutoPulse.
Start video at 7 seconds.

Supplemental Reading Material

- ZOLL Autopulse
http://www.zoll.com/uploadedFiles/Public_Site/Products/AutoPulse/AutoPulse_Brochure_0409(1)