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Provide emergency care
Assessment Strategies
Skill Demonstration, Scenario, and/or Exam
Criteria
Apply the emergency action steps
Implement the Check–Call–Care protocol to ensure scene safety and victim prioritization
Demonstrate scene size-up
Identify potential hazards, determine the number of victims, and don personal protective equipment (PPE) before approaching
Obtain consent
Use a standard verbal introduction to identify yourself, state your level of training, and ask a responsive victim for permission to assist
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Perform the complete cycle of care for breathing emergencies and choking
Assessment Strategies
Skill Demonstration, Scenario, and/or Exam
Criteria
Identify signs and symptoms of respiratory distress, such as gasping, wheezing, or cyanosis (bluish skin)
Demonstrate ventilations
Breaths are delivered using a resuscitation mask or face shield
Breaths last approximately one second and produce visible chest rise
Perform care for choking
Five back blows are delivered followed by five abdominal thrusts for responsive victims or transition to chest compressions if the victim becomes unresponsive
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Provide care for cardiac emergencies (CPR/AED)
Assessment Strategies
Skill Demonstration, Scenario, and/or Exam
Criteria
Describe the cardiac chain of survival
Recognize cardiac arrest
Confirm absence of responsiveness and absence of normal breathing (or presence of only gasping)
Perform the steps of High-Quality CPR
Maintain a compression rate of 100–120 bpm and a depth of at least two inches (adult) while allowing for full chest recoil
Power on an AED device, apply pads to bare skin in the specified anatomical positions, and clear the victim during rhythm analysis and shock delivery
Minimize interruptions to less than 10 seconds
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Manage a victim of shock
Assessment Strategies
Skill Demonstration, Scenario, and/or Exam
Criteria
Recognize shock by identifying the signs and symptoms, including a rapid or weak pulse, skin that is pale, cool, or moist, and an altered mental status such as restlessness or irritability
Activate Emergency Medical Services (EMS) by calling 911 or the local emergency number immediately upon the recognition of shock
Place the victim in a supine position (flat on back) to assist circulation, unless breathing difficulties or injuries suggest otherwise
Maintain the victim’s normal body temperature by covering them with a blanket or insulation to prevent heat loss
Monitor the victim's level of consciousness and breathing, ensuring the airway remains open, and refrain from giving the victim anything to eat or drink
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Control bleeding
Assessment Strategies
Skill Demonstration, Scenario, and/or Exam
Criteria
Classify external bleeding as arterial, venous, or capillary to determine the necessary level of intervention
Apply firm, localized pressure with a sterile dressing until the bleeding stops or is controlled
Bandage with a wrap tight enough to maintain pressure without cutting off distal circulation
Position the tourniquet two to three inches above the wound
Tighten the windlass until the bleeding stops completely
Record intervention time
Communicate information to EMS personnel, per instructor guidelines
Apply additional dressings directly over the first, per instructor guidelines
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Manage soft tissue and musculoskeletal injuries
Assessment Strategies
Skill Demonstration, Scenario, and/or Exam
Criteria
Identify specific signs of injury such as deformity, swelling, bruising, or protruding bone
Apply the principles of Rest, Immobilize, Cold, and Elevate (RICE) for closed soft tissue injuries
Demonstrate effective splinting and bandaging
Immobilize the joint above and below a bone injury, or the bone above and below a joint injury, ensuring the limb is secured in the position found
Verify distal circulation
Apply sterile dressings
Maintain stabilization of the injured area until the splint is fully secured or EMS personnel arrive
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Respond to medical emergencies
Assessment Strategies
Skill Demonstration, Scenario, and/or Exam
Criteria
Identify general signs of medical emergencies, including changes in level of consciousness, breathing difficulty, and skin color or temperature changes
Identify stroke using FAST
Manage diabetic emergencies
Provide seizure care
Execute environmental exposure protocols for heat stroke and hypothermia
Determine the necessity of advanced medical care
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Demonstrate emergency and rescue moves
Assessment Strategies
Skill Demonstration, Scenario, and/or Exam
Criteria
Determine the need to move a victim based on immediate environmental danger
Determine the need to move a victim based on the need to reach a more critical victim
Perform mechanical drags and carries per instructor guidelines