Overview
In this unit, you will study the pathophysiology, presentation, and pre-hospital management of various environmental, toxicological and toxinological emergencies. You will learn how to discriminate between similar conditions and confounding presentations. Through case-based learning, you will develop the critical thinking and clinical judgement skills to confidently reach diagnoses and determine the most appropriate clinical management in accordance with contemporary industry guidelines and protocols. A residential school consolidates knowledge with practice in high-fidelity simulation case management exercises.
Details
Pre-requisites or Co-requisites
Pre-requisites - PMSC12005 Paramedic Medical Emergencies 2PMSC12004 Advanced Electrophysiology and Coronary Care
Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).
Offerings For Term 1 - 2021
Attendance Requirements
All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).
Residential Schools
This unit has a Compulsory Residential School for distance mode students and the details are:
Click here to see your Residential School Timetable.
Recommended Student Time Commitment
Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.
Class Timetable
Assessment Overview
Assessment Grading
This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Policy for more details of interim results and final grades.
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:
- Grades and Results Policy
- Assessment Policy and Procedure (Higher Education Coursework)
- Review of Grade Procedure
- Student Academic Integrity Policy and Procedure
- Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
- Monitoring Academic Progress (MAP) Policy and Procedure – International Students
- Student Refund and Credit Balance Policy and Procedure
- Student Feedback – Compliments and Complaints Policy and Procedure
- Information and Communications Technology Acceptable Use Policy and Procedure
This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.
Feedback, Recommendations and Responses
Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.
Feedback from Student Unit and Teaching Evaluation
I loved the case studies to get me thinking which assisted with my clinical decision making skill.
Students appear to appreciate the case studies as a learning tool; hence additional case studies will be embedded in future deliveries.
Feedback from Student Unit and Teaching Evaluation
Possibly the quiz could be split into 2 x 4-week quizzes. But in fairness, it wasn't too bad if you prepared for it.
Two online exams will be implemented in future deliveries of this unit to assist in implementing feedback received.
- Evaluate patients systematically and comprehensively, to formulate a provisional diagnosis associated with toxicology, toxinology and environmental emergencies
- Justify the provisional diagnosis by applying knowledge of underpinning physiological changes associated with acute toxicology, toxinology and environmental presentations
- Utilise critical thinking in case management, justifying clinical decisions with an evidence-based rationale
- Demonstrate the appropriate level of clinical management through comprehensive knowledge and implementation of best-practice clinical interventions.
The justification for the new unit is strongly influenced by industry feedback from Central Queensland University graduate paramedics and industry stakeholders. By increasing the paramedic-specific focus of this course, the graduates will be better prepared for independent on-road practice without additional educational support from the ambulance services. This is extremely important due to the nature of Paramedicine as graduates can work in isolated environments shortly after graduation and shortly after employment. This unit will strengthen the paramedic course's position when seeking accreditation through proactively seeking industry feedback and demonstrating positive and prompt responsiveness to that feedback. It will also assist paramedics with full registration through the Australian Health Practitioners Regulation Agency (AHPRA) by instilling a core base knowledge that will aid with ongoing professional development into the future.
Alignment of Assessment Tasks to Learning Outcomes
Assessment Tasks | Learning Outcomes | |||
---|---|---|---|---|
1 | 2 | 3 | 4 | |
1 - Written Assessment - 50% | ||||
2 - Practical Assessment - 0% | ||||
3 - Online Test - 50% |
Alignment of Graduate Attributes to Learning Outcomes
Graduate Attributes | Learning Outcomes | |||
---|---|---|---|---|
1 | 2 | 3 | 4 | |
1 - Communication | ||||
2 - Problem Solving | ||||
3 - Critical Thinking | ||||
4 - Information Literacy | ||||
5 - Team Work | ||||
6 - Information Technology Competence | ||||
7 - Cross Cultural Competence | ||||
8 - Ethical practice | ||||
9 - Social Innovation | ||||
10 - Aboriginal and Torres Strait Islander Cultures |
Alignment of Assessment Tasks to Graduate Attributes
Assessment Tasks | Graduate Attributes | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |
1 - Written Assessment - 50% | ||||||||||
2 - Practical Assessment - 0% | ||||||||||
3 - Online Test - 50% |
Textbooks
Textbook of Adult Emergency Medicine
Edition: 5th (2020)
Authors: Cameron, P. , Little, M. ,Mitra, B. & Conor, D.
Elsevier
Sydney Sydney , NSW , Australia
ISBN: 9780702076244
Binding: Paperback
Additional Textbook Information
eReading Lists will also be available
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
All submissions for this unit must use the referencing style: American Psychological Association 7th Edition (APA 7th edition)
For further information, see the Assessment Tasks.
g.cousens@cqu.edu.au
Module/Topic
Review
Systematic Approach and Resuscitation
Unit Specific Pharmacology
Chapter
Textbook of Adult Emergency and Trauma Care 5th ed- Section One Pg 1 - Pg 11
Drug Therapy Protocols and Clinical Practice Guidelines as outlined.
Events and Submissions/Topic
Online Lecture/Tutorial
Module/Topic
Toxicological Emergencies
Approach to the Poisoned Patient
Toxidromes
Chapter
Textbook of Adult Emergency and Trauma Care 5th ed- Section 25
Drug Therapy Protocols and Clinical Practice Guidelines as outlined.
Events and Submissions/Topic
Online Lecture/Tutorial
Module/Topic
Toxicological Emergencies
Cardiovascular Drugs
Antipsychotic Drugs
Antidepressant Drugs
Lithium
Anticonvulsant Drugs
Antidiabetic Drugs
Anticonvulsant Drugs
Chapter
Textbook of Adult Emergency and Trauma Care 5th ed- Section 25
Drug Therapy Protocols and Clinical Practice Guidelines as outlined.
Events and Submissions/Topic
Online Lecture/Tutorial
Module/Topic
Toxicological Emergencies
Drugs of Abuse
Cocaine
Benzodiazepines
Psychostimulants
Opioids
Chapter
Textbook of Adult Emergency and Trauma Care 5th ed- Section 25
Drug Therapy Protocols and Clinical Practice Guidelines as outlined.
Events and Submissions/Topic
Online Lecture/Tutorial
Module/Topic
Toxicological Emergencies
Ethanols
Paracetamol
Salicylates
Theophylline and Caffeine
Oral Anticoagulants
Chapter
Textbook of Adult Emergency and Trauma Care 5th ed- Section 25
Drug Therapy Protocols and Clinical Practice Guidelines as outlined.
Events and Submissions/Topic
Online Lecture/Tutorial
Module/Topic
No new content this week.
Chapter
Events and Submissions/Topic
Module/Topic
Toxicological Emergencies
Pesticides/Herbicides
Carbon Monoxide
Cyanide
Hydrofluoric Acid
Fluid Injection Injury
Chapter
Textbook of Adult Emergency and Trauma Care 5th ed- Section 25
Drug Therapy Protocols and Clinical Practice Guidelines as outlined.
Events and Submissions/Topic
Online Lecture/Tutorial
Module/Topic
Toxinology Emergencies
Snakebite
Spider Bite
Hymenoptera Sting
Marine Envenomation
Chapter
Textbook of Adult Emergency and Trauma Care 5th ed- Section 26 & 25.20
Drug Therapy Protocols and Clinical Practice Guidelines as outlined.
Events and Submissions/Topic
Online Lecture/Tutorial
Module/Topic
Environmental Emergencies
Chemical, Biological, Radiological, Incendiary or Explosive (CBRIE)
Heat-Related Illnesses
Hypothermia
Dybarism
Near Drowning
Electrical Shock and Lightning Injury
Altitude Illness
Chapter
Textbook of Adult Emergency and Trauma Care 5th ed- Section 24
Drug Therapy Protocols and Clinical Practice Guidelines as outlined.
Events and Submissions/Topic
Online Lecture/Tutorial
Written Assessment Due: Week 8 Monday (3 May 2021) 8:00 am AEST
Module/Topic
Preparation for Residential School
Chapter
All material covered
Events and Submissions/Topic
Zoom Session TBA
Module/Topic
Residential School A/01 A/02 A/03
17/05/2021 - 20/05/2012
Chapter
Events and Submissions/Topic
Rockhampton
Cairns
Townsville
Module/Topic
Residential School
A/04 A/05 A0/6
24/05/2021 - 27/05/2021
Chapter
Events and Submissions/Topic
Rockhampton
Cairns
Townsville
Module/Topic
Online Test
Opens 31 st May 2021 08:00am for exactly seven (7) days
Chapter
All material covered
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Residential School
A/07
14/06/2021 - 17/06/2021
Chapter
Events and Submissions/Topic
Townsville Only
Student Numbers dependant
Residential School Due: Exam Week Thursday (17 June 2021) 5:00 pm AEST
1 Written Assessment
In recent years, methamphetamine-related hospitalisations have increased 13-fold in NSW alone. Unfortunately, this is a national trend: deaths involving methamphetamine have overtaken alcohol to become the third most common substance implicated in accidental drug deaths in Australia, rising from 175 in 2013 to 442 in 2016. These statistics are reflected in an increasing prevalence of prehospital cases involving acute behavioural disturbances (ABD) secondary to psychostimulant use.
This task requires you to complete a 2,000-word report on the prehospital management of psychostimulant emergencies. You will analyse peer-reviewed literature for evidence on current best-practice in managing these presentations, and compare these recommendations against current protocols employed by Australian statutory ambulance services.
Week 8 Monday (3 May 2021) 8:00 am AEST
Week 10 Monday (17 May 2021)
Results and rubrics will be posted in grade book
This task is worth 50% of your overall mark. You must attain a minimum mark of 50% for this task to pass, and you must pass this task to pass the unit.
· Presentation and layout: Layout formatting of report body is consistent and correct APA style as stipulated; cover page includes name and student number, unit ID, due date and any extension status, and calculated word count (excluding citations, reference list).
- Content: All required subsections are present and completed as directed; at least six current relevant peer-reviewed papers are used.
- Style: This task requires writing at the standard of a third-year undergraduate student. Information is presented in a clear & logical sequence; written in academic style; conforms to word count; and demonstrates correct grammar and spelling.
- Referencing: All sources are cited and referenced appropriately throughout this task in correct APA 7th edition style.
- File format: Submitted as a Word document.
- Word count: 2,000 words +/-10%, excluding cover page, in-text citations, and reference list. Calculate your word count before submission and include this on the cover page.
- Late submissions: Late submissions will be accepted, but penalties will accrue at 5% for every calendar day past the due date in the absence of an approved extension.
- Academic integrity: All submissions are subject to review of the associated Turnitin report.
Report formatting:
You must format your written report using APA formatting style. The APA doesn't just set citation and reference styles, but have layout requirements too; these stipulate rules on the font, margins, headings and subheadings, spacing and returns, and how we layout our reference list. Please apply the following formatting to your layout:
- Cover page shows your paper's title, name and student number, this unit code, and the word count excluding the exclusions (title page, in-text citations, and reference list). Start these 1/3 down from the top, and make them horizontally centred.
- No fancy templates on the cover page or on the sides of each page of the report; keep the background plain and white.
- One inch margins (2.54cm) on all sides (usually MS Word default margins).
- Left margin alignment; NOT justified margins.
- First line of each paragraph of the report body is indented 3-5 characters.
- Times New Roman or Arial font, size 12. Either is fine, but use just one font for the entire document.
- Double spacing throughout the entire document.
- Section headings are centred and bolded in sentence case; use the headings provided for each question within the content section of this assessment task.
- No extra returns after each paragraph or reference (this is why we have the indentations, headings, and hanging indents).
- Reference list starts on a new page and is strictly alphabetised.
- Each reference has a hanging indent of 5-7 characters.
Report content:
Your report will comprise the following content. Utilise current peer-reviewed literature to support your statements at all times, and review this literature when contrasting published evidence with current ambulance protocols.
- Definition: Identify what substances are classed as psychostimulants and outline the differences between illicit and prescribed substances.
- Epidemiology: What is the prevalence of psychostimulants in Australia? What is the relevance to pre-hospital care?
- Pathophysiology: What are the specific body systems involved with psychostimulant use and explain their systematic effects.
- Review of current protocols: Discuss the treatment options and considerations in the treatment of psychostimulant emergencies
- Pharmacological interventions: Compare the use of midazolam, droperidol, ketamine and other sedation methods for safety and effectiveness.
- Safety concerns: What are the critical considerations of patient safety and appropriate paramedic thought processes when sedating patients under the influence of a psychostimulant.
- Conclusion: Does the evidence found within your research support or refute current ambulance service protocols to manage psychostimulant emergencies.
- Evaluate patients systematically and comprehensively, to formulate a provisional diagnosis associated with toxicology, toxinology and environmental emergencies
- Utilise critical thinking in case management, justifying clinical decisions with an evidence-based rationale
- Communication
- Problem Solving
- Critical Thinking
- Information Literacy
- Information Technology Competence
- Cross Cultural Competence
- Ethical practice
2 Practical Assessment
For this assessment, students will be required to attend each day of a compulsory residential school.
There will be a total of two (2) assessment tasks in the format of Objective Structured Clinical Examination (OSCE). These tasks are designed to test your theoretical knowledge combined with your clinical assessment and patient management skills. All assessment tasks align with the learning outcomes for this unit, as described in the Unit Profile.
The two (2) OSCEs will take the format of a structured scenario where you will be allocated 20 minutes to complete each task. The OSCE is designed to assess your knowledge and understanding of the material covered throughout the unit in a structured practical environment. Furthermore, the OSCE will assess your ability to perform a thorough patient assessment and history and use this information to formulate a provisional diagnosis. In combination with your patient assessment and provisional diagnosis, you will implement appropriate and timely interventions, procedures and/or skills. Your ability to communicate effectively and overall scene management will also be assessed. Finally, you will be required to demonstrate your ability to give a patient handover to a senior clinician or other health professional.
Exam Week Thursday (17 June 2021) 5:00 pm AEST
Due at the completion of the residential school students attend.
Exam Week Thursday (17 June 2021)
Students will be aware of their grade prior to departing the residential school they attend.
Critical Points
· You must achieve a pass mark on each individual OSCE to be awarded an overall pass for the residential school.
· The pass mark for each OSCE is 50%.
· Only one reattempt will be provided should a student fail one of the two OSCE's
· The inability to achieve a pass mark for two (2) OSCE's will result in a fail for the unit as no reattempt will be offered.
· Failure to undertake or achieve a pass mark for two OSCE's will result in a fail for this assessment and the unit.
Students will be assessed on the Clinical Practice Guidelines, Clinical Practice Procedures and Drug Therapy Protocols as per the Queensland Ambulance Service Clinical Practise Manual. This will be explored in more depth throughout the unit. Any concerns surrounding these criteria will need to be discussed with the Unit Coordinator at the unit's commencement.
Students are responsible for allocating themselves for a residential school. Failure to allocate appropriately before arrival may lead to academic penalties. Numbers at residential schools will be capped, and a position at your preferred location is not guaranteed regardless of geographical location or previous attendances. Preferences will be given in order of student allocation. The Unit Coordinator will not be responsible for assisting with residential school allocation changes.
Critical Errors
Critical errors in this unit will be classed as anything, by act or omission, that causes immediate harm or the potential to cause harm yourself, partner, patient or bystanders, or any procedure performed outside your scope of practice. During any form of assessment, if any of the following critical errors are witnessed, if safety permits, the scenario will continue; however, the assessment will be graded as a fail. Furthermore, any critical error discovered on review or moderation will also result in no marks being given for that particular assessment:
· Unsafe defibrillation.
· Incorrect joules delivered during defibrillation.
· Defibrillation of a non-shockable rhythm.
· Failure to recognise cardiac arrest (>1minute).
· Failure to shock a shockable rhythm in a timely manner (<2 minutes).
· Failure to perform a complete drug check.
· Incorrect sharps disposal or unsafe practice with a sharp.
· Performing a skill or procedure or administering an incorrect drug/drug dosage outside your scope of practice.
· Any grossly unsafe practice, as determined by the assessing academic.
If you do not understand any of the above, please do not hesitate to clarify with your unit coordinator.
- Evaluate patients systematically and comprehensively, to formulate a provisional diagnosis associated with toxicology, toxinology and environmental emergencies
- Justify the provisional diagnosis by applying knowledge of underpinning physiological changes associated with acute toxicology, toxinology and environmental presentations
- Utilise critical thinking in case management, justifying clinical decisions with an evidence-based rationale
- Demonstrate the appropriate level of clinical management through comprehensive knowledge and implementation of best-practice clinical interventions.
- Communication
- Problem Solving
- Critical Thinking
- Information Literacy
- Team Work
- Information Technology Competence
- Cross Cultural Competence
- Ethical practice
3 Online Test
The online quiz will incorporate multiple-choice questions, short and medium-length answer responses, and case studies to assess your theoretical knowledge of topics covered throughout the unit.
The online test will incorporate any topics covered in this unit including anatomy and pathophysiology, toxicological, toxinological or environmental emergency processes, presentations and appropriate pre-hospital management of the various condition covered.
Students will be assessed on the Clinical Practice Guidelines, Clinical Practice Procedures and Drug Therapy Protocols as per the Queensland Ambulance Service Clinical Practise Manual. This will be explored in more depth throughout the unit. Any concerns surrounding these criteria will need to be discussed with the Unit Coordinator at the unit's commencement.
The assessment aligns with the learning outcomes for this unit, as described in the Unit Profile.
Review/Exam Week Monday (7 June 2021) 8:00 am AEST
Exam Week Friday (18 June 2021)
Results will be posted in Grade Book.
This is a 90 minute timed quiz with a pass mark of 50% and you must pass this task to pass the unit.
You must complete the quiz in the allocated time. There will be no opportunity to save your answers and return to the quiz at a later time.
The test will be opened for exactly seven (7) days.
Only one (1) attempt will be granted to achieve a pass mark for this assessment.
In the absence of an approved extension, there will be no opportunity to complete this assessment after the due date.
This quiz is an individual assessment task. You are not permitted to collaborate with other students whilst undertaking this assessment. Any attempt or evidence of collaboration will result in an academic misconduct investigation.
- Justify the provisional diagnosis by applying knowledge of underpinning physiological changes associated with acute toxicology, toxinology and environmental presentations
- Demonstrate the appropriate level of clinical management through comprehensive knowledge and implementation of best-practice clinical interventions.
- Communication
- Problem Solving
- Critical Thinking
- Information Literacy
- Information Technology Competence
- Cross Cultural Competence
- Ethical practice
As a CQUniversity student you are expected to act honestly in all aspects of your academic work.
Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.
When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.
Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.
As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.
What is a breach of academic integrity?
A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.
Why is academic integrity important?
A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.
Where can I get assistance?
For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.