EMT-Basic/Medical/OBGYN

Lesson 4.9: Obstetrics/Gynecology

Objectives
By the end of this lesson, the EMT-Basic should be able to:
 * 1) Identify the following structures: uterus, vagina, fetus, placenta, umbilical cord, amniotic sac, perineum.
 * 2) Identify and explain the use of the contents of an obstetrics kit.
 * 3) Identify pre-delivery emergencies.
 * 4) State indications of an imminent delivery.
 * 5) Differentiate the emergency medical care provide to a patient with pre-delivery emergencies from a normal delivery.
 * 6) State the steps in pre-delivery preparation of the mother.
 * 7) Establish the relationship between body substance isolation and childbirth.
 * 8) State the steps to assist in the delivery.
 * 9) Describe care of the baby as the head appears
 * 10) Describe how and when to cut the umbilical cord.
 * 11) Discuss the steps in the delivery of the placenta.
 * 12) Describe the procedures for the following abnormal deliveries: Breech birth, prolapsed cord, limb presentation.
 * 13) Differentiate the special considerations for multiple births.
 * 14) Describe special considerations of meconium.
 * 15) Describe special considerations of a premature baby.
 * 16) Discuss the emergency medical care of a patient with a gynecological emergency.
 * 17) Explain the rationale for understanding the implications of treating two patients (mother and baby)
 * 18) Demonstrate the steps to assist in the normal cephalic delivery.
 * 19) Demonstrate the necessary care procedures of the fetus as the head appears.
 * 20) Demonstrate infant neonatal procedures.
 * 21) Demonstrate post delivery care of the infant.
 * 22) Demonstrate how and when to cut the umbilical cord.
 * 23) Attend to the steps in the delivery of the placenta.
 * 24) Demonstrate post-delivery care of the mother.
 * 25) Demonstrate the procedures for the following abnormal deliveries: vaginal bleeding, breech birth, prolapsed cord, limb presentation.
 * 26) Demonstrate the steps in the emergency medical care of the mother with excessive bleeding.
 * 27) Demonstrate completing a prehospital care report for patients with obstetrical/gynecological emergencies.