EMC 420
OBSTETRIC
AND PEDIATRIC
EMERGENCIES ( 3 hr)
Faculty:
David C. Trigg, M.D.
Medical Director
Emergency Medical Care Program
125 Moore Hall
(W) 828.227.3532 ; (M)
828.508.0578
Office
Hours
You
may try to call me at any reasonable hour, but during the times posted below, I
should usually be available to you by phone or email.
Online
Office Hours:
MTuWThr 10-11:30. ET (Eastern Time Zone)
Course Description:
This
course will cover the assessment and the prehopsital
management of trauma and medical emergencies in obstetric and pediatric
patients. Background anatomy, physiology
and pathophysiology is
presented to achieve the appropriate knowledge base for assessment and
treatment skills. Basic and Advanced
Pediatric Life Support in the prehospital setting
will be presented.
Course
Objectives:
At the
completion of the course, the student will:
1. The student will be able to accurately
assess common obstetric and
pediatric
emergencies.
2. The student will demonstrate proficiency in
the management of these emergencies.
3. The course will cover the large portion of
the NRP, PALS, and ALSO curricula
4. With each presentation, individual lecture
objectives will be elaborated
Texts:
1. Comprehensive Pediatric Emergency Care, Aehlert, B. Mosby, St. Louis, MO, 2007, [ A ]
ISBN 13:
978-0-323-04746-3
2. The Pregnany
Trauma chapter in Dr. Hubble’s text will be posted for you as a pdf file. [ H ]
Also see:
Brady's
Paramedic Emergency Care,
- or any other quality par textbook(s) will be referred [SPT ]
to as “SPT,”
standard paramedic textbook
Emergency Medicine
6 th ed. Companion Handbook, Ma, John O., McGraw
Hill, 2004 [ M ]
ISBN 0-07-141025-2
I will post a
reading list addendum with past references to texts below along with other
texts which you may already have available to you. [Optional.
Not required reading].
Emergency Care
of Children , E. Wertz. Delmar, Albany, NY, 2002, ISBN 0-7668-1986-3
Additional
Newborn references:
http://www.pppeso.on.ca/english/Telehealth/NRP%20handouts%20telehealth%2006.pdf
Evaluation:
There will be 4 written unit tests during the
semester, which will constitute 67% of the course grade. Quiz grade1. will
constitute 16.7%. And a cumulative
final written exam2.
will constitute 16.7% of the course. (See formula
below).
Quizzes.
You might consider the grading of and the type of quizzes in this course just plain WEIRD.
However, I think
that this course’s weird quiz-system is worth it – and that this system will
facilitate your learning
and retention.
So, let’s spend
a little time explaining some of the how and why.
My teaching
philosophy continues to evolve. My approach to teaching EMC courses continues
to be altered by distance learners’ life-circumstances, learning styles, and
performances in prior EMC courses.
There is some
evidence that weekly quizzes help students to keep-up and to avoid attrition.
There are
reasons for not leaving the weekly quizzes open indefinitely.
However,
students like to be able to continue to review – thus the review quizzes. The
unit review quizzes will have a different set of questions each time that you
test yourself. [The WebCat program should keep
“shuffling the deck”]. Each unit will have a summative quiz covering questions from each
lecture in that unit (as well as an occasional prior unit question that needs
re-emphasizing).
You can work on the review quizzes for the entire semester. You can work ahead on all weekly quizzes – but if you miss the deadline, you cannot revisit the weekly quizzes. (Under rare circumstances, weekly quiz deadlines may be re-opened. Requests to extend deadlines can reduce efficiency and impede your “staying involved in the course.” Therefore, a request to re-open a weekly quiz should: (1) give an explanation; (2) be written [WebCat mail].
Quiz deadlines.
So to review, please note the deadlines vary depending upon whether the quiz is a weekly quiz or a review quiz.
Each weekly
practice quiz will be due by 11:00 pm, each Sunday night.
On the other
hand, your review quizzes have NO deadline other than the end of the
semester.
All (4) review
quizzes will all be due by 11:00 pm, the night before the final.
1. Quiz
scoring.
On the weekly quizzes, you’ll have two attempts; your score(s) will be averaged.
On the review quizzes, you’ll have unlimited attempts; your review quiz score(s) will not be averaged – but rather, your highest attempt will be recorded (a sort of unlimited redemption).
The
review quizzes may be
weighted more heavily than the weekly quizzes [ the designations of quiz point totals will show
you their relative weights]
Your final quiz grade will be calculated by combining your weekly quiz score [10 points each] with your review quiz scores [50 points each].
2. Final
Exam
Because
the final is comprehensive, it may be a better reflection of what you have
retained from the course. Therefore, I reserve the option of counting the final
for greater than 16.7% if it would be to the student’s advantage.
Grading formula :
unit 1 Written # 1 Newborn [NRP] (16.7%)
unit 2 Written # 2 Ob
- 1 (16.7%)
unit 3 Written # 3 Ob
- 2 (16.7%)
unit 4 Written # 4 Peds. (16.7%)
Quizzes (16.7%)
Final Written # 5 cumulative (>16.7%)
Final grades will be based on the
following scale:
> 92. 49% = A
> 84. 49% = B
> 76. 49% = C
> 69. 49% = D
< 69. 50% = F
A score of > 76.5% is expected in order to demonstrate
minimal level of
mastery of the EMC curriculum
Accommodations for Students
with Disabilities:
Western Carolina University is committed to
providing equal educational opportunities for students with documented
disabilities. Students who require disability services or reasonable
accommodations must identify themselves as having a disability and provide
current diagnostic documentation to Disability Services. All information
is confidential. Please contact Disability Services for more information
at (828) 227-2716 or 144 Killian Annex. Requests for reasonable accommodations
should be presented to the instructor as early in the semester as possible
Academic Honesty
In accordance
with the academic honesty policy presented in the Western Carolina University student handbook, you should presently be notified that the
consequence of your failure to adhere to this honesty policy will result in a
grade of F for the course.
NB: academic
dishonesty includes knowingly allowing someone else to cheat.
Sexual Harassment
Western Carolina University
adheres to statutes and ethical principles regarding sexual harassment. If ever there is any inappropriate or unwelcomed
behavior that is of a sexual nature, on the part of the instructor or peers, it
should be attended to and it should cease. This may require effective
communication and may utilize a system for registering a complaint with
faculty, department head, +/or a liaison person. Students should have a familiarity with and
understanding of this policy and of the grievance procedures for individual
action. Actions may be in the manner of
a formal complaint procedure or in the manner of informal assistance. Students should also be aware of the
availability in Health Sciences of a liaison person with whom grievances can be
initially discussed.
Professional Behavior /
Internet Etiquette
The EMC program adheres to
standards and ethical principles of the health professions. Any on-line classroom communication or behavior that is
racially, ethnically, religiously, sexually or otherwise prejudiced will not be
tolerated in this course. Unprofessional prejudiced slurs or conversations may
be an indication for the need for psychological and career counseling. They may
also be evidence used for course dismissal of an uncontrite
student.
We have been
asked to include the following information in your syllabus:
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|
Week of |
Topic / Lecture |
Reading |
Assignment Due |
|
8/18 – 8/24 |
Introduction 1. Overview
of Pediatric Assessment 2. Neonatal
Resuscitation Overview |
Aehlert [BA] chapter
1 1.(slides) Aehlert [BA] chapter
3 Optional: SPT/
PALS: Assessing the Unstable Child 2.(slides) Aehlert [BA] chapter
16 |
Quiz
# 1 (complete quiz within WebCat by 23:00 ET* , 8/24/08 .
[ET*-
East. US Time Zone. Early in semester:
EDT. Then later in semester: EST. Both will be referred to as “ET”] |
|
8/25 – 8/31 |
3. Neonatal
Resuscitation Program
(NRP) 4. NRP
and special considerations |
3.(slides) Aehlert [BA] chapter
16 Optional: SPT/
PALS: newborn Ma
p.
30-31 4.(slides) |
Quiz
# 2 (complete quiz within WebCT by 23:00 ET, 8/31) |
|
9/1 – 9/7 |
5. Newborn
Exam |
5.(slides) |
Quiz
# 3 (complete quiz within WebCT by 23:00 ET, 8/31) |
|
9/8 – 9/14 |
unit test # 1.1 Schedule exam with your
community college / designated proctor.
Exam
will be available 9/7 thru 9/13 |
(test # 1 Study guide slide) |
Review
quiz # 1 (complete
by 23:00 ET, 12/5/08) |
|
9/8 – 9/14 |
(Prenatal record ; L+D type H+P) |
6.(slides) SPT; (optional: bates) 7.(slides) ; SPT |
Weekly Quiz # 4 (complete quiz within WebCat by 23:00 ET, 9/14) |
|
9/ 15 – 9/ 21 |
8. First
Trimester Complications 9. Medical
Complications of Pregnancy |
8.(slides) ; SPT 9.(slides) ; SPT |
Weekly Quiz # 5 (complete quiz within WebCat by 23:00 ET, 9/21) Weekly Quiz # 6 (complete quiz within WebCat by 23:00 ET, 9/28) |
|
9/ 22 – 9/ 28 |
11. Preterm
Labor |
10.(slides) ; SPT 11.(slides) ; SPT 12.(slides) ; SPT |
Weekly
Quiz # 7 (complete quiz within Webcat by 23:00 ET,
9/28) |
|
9/ 29 – 10/ 3 |
unit test # 21 Schedule exam with your community college /
designated proctor. Exam
will be available 9/29 thru 10/3 |
(test # 2 Study guide slide) |
Review
quiz # 2 (complete
by 23:00 ET, 12/5/08) |
|
10/ 6 – 10/ 12 |
13. OB
trauma I 14. OB
trauma II |
13.(slides) Preg.
Trauma chapter [ H ] 14.(slides)
|
Weekly Quiz # 8
(complete quiz within WebCat by 23:00 ET, 10/ 12) |
|
10/ 13 – 10/ 19 |
15. OB
injury types |
15.(slides) Preg.
Trauma chapter [ H ] 16.(slides) 17.(slides) |
Weekly Quiz # 9 (complete quiz within WebCat by 23:00 ET, 10/19) |
|
10/ 20 – 10/ 24 |
unit test # 31 Schedule exam with your community college /
designated proctor. Exam
will be available 10/20 thru 10/24 |
(test # 3 Study guide slide) |
Review
quiz # 3 (complete
by 23:00 ET, 12/5/08) |
|
10/ 20 – 10/ 26 |
|
18.(slides) Aehlert
[BA] chapters 2 ; 3 |
Weekly
Quiz # 10 (complete quiz within WebCat by 23:00 ET, 10/26) |
|
10/ 27 – 11/ 2 |
20. Respiratory
Emergencies II 21. Ped RSI |
19.(slides ) |
Weekly Quiz
# 11 (complete quiz within WebCat by 23:00 ET, 11/2/08) |
|
Weekly Quiz
# 12 (complete quiz within WebCat by 23:00 ET, 11/9/08) |
|||
|
Weekly Quiz
# 13 (complete quiz within WebCat
by 23:00, ET 11/16/08) |
|||
|
Weekly Quiz
# 14 (complete quiz within WebCat
by 23:00, ET 11/23/08) |
|||
|
unit test # 41 Schedule exam with your
community college / designated proctor.
|
All review Quizzes due: (complete both quizzes within WebCat by 23:00 ET, 12/5/08) |
||