1. HiG
  2. Studiehåndbok
  3. Studiehåndbøker
  4. 2013-2014
  5. Emner
  6. Avdeling for helse, omsorg, sykepleie
  7. K1189 Prehospitalt arbeid modul 1 – Transportmedisin, luftveishåndtering og sirkulasjonssvikt.

Prehospitalt arbeid modul 1 – Transportmedisin, luftveishåndtering og sirkulasjonssvikt.
2013-2014 - K1189 - 5sp

Forventet læringsutbytte

Kunnskap

  • Kandidaten;
    • kan gjøre rede for luftveishåndtering, oksygenbehandling og ventilering av pasienter prehospitalt på avansert nivå
    • har avansert kunnskap om hjerte-lungeredning , sjokk- og væskebehandling prehospitalt
    • viser innsikt i spesielle utfordringer ved transportmedisin
    • viser innsikt i bruk av medisinsk teknisk utstyr, monitorering og sikkerhet i ambulansetjenesten
    • har kunnskap om kommunikasjon og samhandling prehospitalt
    • har kunnskap om juridiske rammer og etiske utfordringer og kan vurdere problemstillinger i grenselandet mellom etikk og jus i prehospitalt arbeid

Ferdigheter

  • Kandidaten kan på en forsvarlig måte;
    • anvende utstyr og ulike teknikker for luftveishåndtering, oksygenering og ventilering av pasienter prehospitalt
    • utføre korrekt væskebehandling prehospitalt
    • benytte medisinsk teknisk utstyr i ambulansen
    • utføre hjerte-lungredning etter gjeldende retningslinjer
    • kommunisere og samarbeide med ambulansepersonell, leger og annet personell prehospitalt

Generell kompetanse

  • Kandidaten;
    • erkjenner de spesielle rammene innen transportmedisin, luftveishåndtering og sirkulasjonssvikt prehospitalt
    • kan anvende kunnskaper og ferdigheter innenfor transportmedisin, luftveishåndtering og sirkulasjonssvikt i prehospitalt arbeid
    • kan begrunne valg ut fra juridiske og etiske rammer innen området transportmedisin, luftveishåndtering og sirkulasjonssvikt.
    • forstår betydningen av å jobbe i team
    • kan jobbe kunnskapsbasert 

Emnets temaer

  • Luftveishåndtering prehospitalt
  • Ventilering prehospitalt (manuell og ventilator)
  • Oksygenbehandling
  • Monitorering og overvåkning
  • HLR/DHLR/AHLR, spesielle HLR situasjoner, hjelpemidler ved HLR – barn/voksne
  • Sirkulasjonssvikt og væskeresuscitering
  • Medikamenter prehospitalt
  • Forberedelse til transport (medikamenter, utstyr osv.)
  • Utstyr i ambulansen
  • Sikkerhet (pasient, personell og utstyr)
  • Transportkuvøser, ventilator, sprøytepumper osv.
  • Forholdsregler ved ulike sykdomstilstander
  • Forflytningsteknikk
  • Etikk og jus

Pedagogiske metoder

Forelesninger

Pedagogiske metoder (fritekst)

  • Simulering
  • Selvstudie

Vurderingsformer

Annet

Vurderingsformer

  • Deleksamen – flervalgstest
  • Deleksamen – tester av praktiske ferdigheter og simulering
  • Begge deler må være bestått

Karakterskala

Bestått/Ikke bestått

Sensorordning

Flervalgstest – sensureres av én intern sensor
Simulering/ferdighetstest – sensureres av to interne sensorer

Utsatt eksamen (tidl. kontinuasjon)

Flervalgstest – gjennomføre ny flervalgstest i inneværende  semester
Simulering/ferdighetstest – gjennomføring av ny test i inneværende semester

Tillatte hjelpemidler (gjelder kun skriftlig eksamen)

Flervalgstest: Alle hjelpemidler er tillatt.
Simulering og tester: Utleverte hjelpemidler er tillatt.

Obligatoriske arbeidskrav

  • Innlevering av en problemstilling til diskusjon i plenum – Godkjent/ikke godkjent
  • Deltakelse på samlinger (minimum 80%)

Læremidler

Obligatorisk litteratur

Sanders, M J (2010).Sanders’ Paramedic Textbook. (First published 2010) UK: Elsevier Limited

  • Kap. 4:             Approaches to Assessment
  • Kap. 6:             Therapeutic Communication
  • Kap. 7:             Patient Assessment
  • Kap. 8:             History Taking
  • Kap. 9:             Techniques of Physical Examination
  • Kap.10:                        Differential Impressions and Clinical Decision Making
  • Kap. 12:           Pharmacology, venous access and drug administration
  • Kap. 13:           Airway Management and Ventilation
  • Kap. 14:           Respiratory Emergencies
  • Kap. 15:           Cardiology
  • Kap. 16:           Neurology
  • Kap. 18:           Allergies and Anaphylaxis
  • Kap. 21:           Toxicology
  • Kap. 23:           Environmental Conditions
  • Kap. 28:           Haemorrhage and Shock
  • Kap. 37:           Care of the Newborn
  • Kap. 38.           Pediatrics
  • Kap. 39:           Older Persons
  • Kap. 44:           Crime Scene Awarness  

Nordby, H (2010). Etikk og kommunikasjon – I prehospitalt medisinsk arbeid. Norge: Gyldendal Norsk Forlag AS

  • Kap. 3:  Etiske metodeverktøy
  • Kap. 4:  Etiske teorier
  • Kap. 5:  Etikk, medisin og juss
  • Kap. 6:  Praktisk kommunikasjon

Om norske retningslinjer – 2010
http://www.nrr.org/wp-content/uploads//2010/12/1-Om-norske-retningslinjer-2010.pdf

BHLR retningslinjer – 2010
http://www.nrr.org/wp-content/uploads//2010/12/2.-BHLR-retningslinjer-2010.pdf

DHLR retningslinjer – 2010
http://www.nrr.org/wp-content/uploads//2010/12/3.-DHLR-retningslinjer-2010.pdf
Fremmedlegeme retningslinjer – 2010
http://www.nrr.org/wp-content/uploads//2010/12/4.-Fremmedlegeme-retningslinjer-2010.pdf

AHLR retningslinjer – 2010
http://www.nrr.org/wp-content/uploads//2010/12/5.-AHLR-retningslinjer-2010.pdf

Barn retningslinjer – 2010
http://www.nrr.org/wp-content/uploads//2010/12/6.-Barn-retningslinjer-2010.pdf

Nyfødt retningslinjer – 2011
http://www.nrr.org/wp-content/uploads//2010/12/7.-Nyf%C3%B8dt-retningslinjer-2011.pd

Hvorfor er AHLR algoritmen annerledes i Norge
http://www.nrr.org/wp-content/uploads//2010/12/8.-Hvorfor-er-AHLR-algoritmen-i-Norge-annerledes.pdf

  • Berlac, P, Hyldmo, P K, Kongstad, P, Kurola, J, Nakstad, A R, Sandberg, M (2008)Pre-hospital airway management: guidelines from a task force from Scandinavian Society for Anaesthesiology and Intensiv Care Medicine.Acta Anaesthesiol Scand 2008; 52: 897-907
  • Braude, D, Richards, M (2007) Rapid Sequence Airway (RSA) – A Novel Approach To Prehospital Airway Management. Prehospital Emergency Care. 11:2, 250 – 252
  • Busch, M, Søreide E (2008)Prognostication after out-of-hospital cardiac arrest, a clinical survey. Scandinavnian Journal of Trauma, Resuscitation and Eergency Medicine16:9,doi:10.1186/1757-7241-16-9
  • Carr, B G, Bracchet, David, G, Duseja, R, Branas, C C (2008)The Time Cost of Prehospital Intubation and Intravenous Access in Trauma Patients.Prehsopital Emergency Care 12:3, 327 – 332
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  • Cole, C D, Wang, H E, Abo, B N, Yealy, D M (2006)Drug-Assisted Effects on Protective Airway Reflexes During Out-of-Hospital EndotrachealIntubation (Preliminary Report).Prehospital Emergency Care 10:4, 472 – 47
  • Elliot, E, Kiran, A (2006)Accidental hypothermia. BMJ 2006; 332; 706 – 709
  • Hoyle, J D, Jones, J S, Deibel, M, Lock, D T, Reischmann, D (2007)Comparative Study of Airway Management Techniques with RestrictedAccess to Patient Airway. Prehsoptial Emergency Care 2007; 11:330 – 336
  • Izsak, E, Moore, Janet L, Stringfellow, K, Oswanski, M F, Lindstrøm, D A, Stombaugh, H A (2008)Prehospital Pain Assessment in Pediatric Trauma. Prehospital Emergency Care, 12:2, 182 – 186
  • Krauss, B, Nagler, J (2008) Capnography:A Valuable Tool for Airway Management. Emerg Med Clin N Am 26 (2008) 881-897
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  • Nordby, H, Nøhr, Ø (2008)Communication and empathy in an emergency setting involving persons in crisis.Scandinavnian Journal of Trauma, Resuscitation and Emeregncy Medicine 2008, 16:5 doi:10.1186/1757-7241-16-5
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Helsebiblioteket – forgiftninger

Anbefalt litteratur

  • ALNSF (2006).Idegrunnlag og funksjonsbeskrivelse for anestesisykepleiere. http://www.alnsf.no
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  • Bérubé, M, Bernard, F, Marion, H, Parent, J, Thibault, M, Williamson, D R, Albert, M (2012)Impact of a preventive programme on the occurence of incidents during the transport of critically ill patientsIntensive and Critical Care Nursing (2012)
  • Brice, J H, Studnek, J R, Bigham, B L, Martin-Gill, C, Custalow, C B, Hawkins, E, Morrison, L J (2012)EMS provider and patient safety during response and transport: proceedings of an ambulance safety conference. Prehospital Emergency Care 2012, volume 16, number 1: 1-19
  • Crocco, T J, Grotta, J C, Jauch, E C, Kasner, S E, Kothari R U, Lamon,  R, Saver, J L, Sayre, M R, Davis, S M (2007)EMS Management of AcuteStroke – Prehospital Triage.Prehospital Emergency Care 11:3, 313 – 317
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  • Friberg, H (2008)Neurological prognostication after cardiac arrest. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2008
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