Evergreen Fire EMT CE Refresher Gastro, Endocrine and Hematologic Emergencies, Midterm Review - Jan-31-2026
This is a skills session demonstrating the following General malaise, low-acuity respiratory issues, gastroenteritis, stable diabetic, severe chest pain, appendicitis, CVA and sick COPD. Each session concluded with a review.
Students who complete this chapter presentation and the related course work will understand the anatomy and physiology of the gastrointestinal, genitourinary, and renal systems. Students should be able to assess and manage various patient populations with numerous related gastrointestinal/genitourinary complaints, which include, but are not limited to, direct or referred abdominal pain, hypoglycemia, hyperglycemia, shock related to acute (medical versus trauma) or chronic gastrointestinal disorders, hemorrhage, peritonitis, and complications related to the renal system (renal dialysis).
After students complete this chapter and the related course work, they will understand the significance and characteristics of diabetes, sickle cell disease, clotting disorders, and the complications associated with each. Students should be able to demonstrate knowledge of the characteristics of type1 and type 2 diabetes. They should be able to list the appropriate steps for assessment and prehospital treatment of diabetic emergencies. Students should also be able to discuss hematologic emergencies and describe sickle cell disease, hemophilia, thrombophilia, and deep vein thrombosis.
Target Audience
Evergreen EMS providers
Learning Objectives
1. Describe the basic anatomy and physiology of the gastrointestinal, genital, and urinary systems. (pp 756–758)
2. Define the term acute abdomen. (p 758)
3. Describe pathologic conditions of the gastrointestinal, genital, and urinary systems. (pp 758–766)
4. Explain the concept of referred pain. (p 760)
5. Describe other organ systems that can cause abdominal pain. (pp 759–760, 765–766)
6. Identify the signs and symptoms, and common causes, of an acute abdomen. (pp 760–64)
7. Describe the assessment and management of acute and chronic gastrointestinal hemorrhage, peritonitis, and ulcerative diseases. (pp 758–764, 766–770)
8. List the most common abdominal emergencies, with the most common locations of direct and referred pain. (p 760)
9. Describe the assessment of a patient with a gastrointestinal and urologic emergency. (pp 766–770)
10. Describe the procedures to follow in managing the patient with shock associated with abdominal emergencies. (p 767–768)
1. Describe the anatomy and physiology of the endocrine system and its main function in the body. (pp 778–780)
2. Discuss the role of glucose as a major source of energy for the body and its relationship to insulin. (pp 778–780)
3. Define the terms diabetes mellitus, hyperglycemia, and hypoglycemia. (pp 780–781)
4. Describe the differences and similarities between hyperglycemic and hypoglycemic diabetic emergencies, including their onset, signs and symptoms, and management considerations. (pp 780–781)
5. Distinguish between the individual types of diabetes and how their onset and presentation are different. (pp 782–784)
6. Describe the interventions for providing emergency medical care to both a conscious and unconscious patient with an altered mental status and a history of diabetes who is having symptomatic hyperglycemia. (pp 784–785)
7. Describe the interventions for providing emergency medical care to both a conscious and unconscious patient with an altered mental status and a history of diabetes who is having symptomatic hypoglycemia. (pp 785–786)
8. Explain the process for assessing and managing the airway of a patient with an altered mental status, including ways to differentiate a hyperglycemic patient from a hypoglycemic patient. (pp 784–786, 792)
9. Explain some age-related considerations when managing a pediatric patient who is experiencing symptomatic hypoglycemia. (p 786)
10. Discuss the steps the EMT should follow when conducting a primary and secondary assessment of a patient with an altered mental status who is a suspected of having diabetes. (pp 786–788)
Primary Instructors
Annie Dorchak, Course Coordinator, completed CO EMS edu admin class & EMS Primary Instructor, EMS Capt.
Quatro (Dorrence) Roderick - unknown if completed CO EMS edu admin class, EMS Primary instructor, EMS Capt.
Sarah Provins - EMS Primary instructor, Paramedic/Community Paramedic
Julian Masnicki - EMS Primary instructor, Paramedic
Tony Shepperdson - EMS Primary instructor, Paramedic
EMS Continuing Education approved by the State of Colorado through Common Spirit Prehospital Services Training Center and Group # CO 039 (SAH), #CO 040 (PSF)
Available Credit
- 1.00 Airway, Ventilation, Respiratory
- 1.00 Cardio
- 4.00 Medical

Facebook
X
LinkedIn
Forward