Mar 28, 2024  
2020-2021 Course Catalog 
    
2020-2021 Course Catalog [ARCHIVED CATALOG]

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EMS 214 - Emergency Medical Technician

Credits: 6
Lecture Hours: 3
Lab Hours: 4
Practicum Hours: 0
Work Experience: 4
Course Type: Voc/Tech
This course is designed to educate students on how to provide basic emergency medical care and transportation for critical and noncritical patients who access the emergency medical system. EMTs possess the basic knowledge and skills necessary to provide patient care and transportation. These skills include but are not limited to airway management, bleeding control, cervical spine stabilization, vehicle extrication techniques and vital sign assessment. EMT’s function as part of a comprehensive EMS response, under medical oversight, and perform interventions with basic-level emergency equipment. This course is the required entry-level EMS certification course designed to prepare students for advanced-level EMS courses.
Prerequisite: High School Diploma or GED, American Red Cross BLS (Basic Life Support)Card or American Heart Association BLS (Basic Life Support) Card, 17 years of age
Competencies
  1. Define the role and responsibilities of an EMT.
    1. Discuss the legal responsibilities of the EMT.
    2. Discuss the ethical responsibilities of the EMT.
    3. Define and list the scope of practice by which an EMT is governed.
    4. Define and discuss the role that the EMT plays inside of the EMS system.
    5. Define and discuss the history of EMS.
  2. Identify and define basic body antomy and functions, using appropriate medical terminology.
    1. Define and discuss the features and roles of the musculoskeletal system.
    2. Define and disucss the features and roles of the respiratory system.
    3. Define and discuss the features and roles of the nervous system.
    4. Define and discuss the features and roles of the endocrine system.
    5. Define and discuss the features and roles of the integumentary system.
    6. Define and discuss the features and roles of the digestive system.
    7. Define and discuss the features and roles of the urinary system.
    8. Define and discuss the features and roles of the reporductive system.
  3. Discuss and comprehend the role of aerobic versus anearobic metabolism.
    1. Define the composition of ambient air.
    2. Define and discuss blood components and the transport and oxygenation of blood.
    3. Define and understand the mechanics of ventilation of functions of the myocardium.
    4. Define the role that vascular resistance plays in blood pressure and microcirculation.
  4. Perform initial patient assessment and evaluation (primary survey) using diagnosis signs and symptoms.
    1. Discuss and understand the importance of scene safety.
    2. Discuss how to form a general impression of the patient.
    3. Discuss how to obtain a chief complaint.
    4. List the various life threats that can occur and their treatments.
    5. Discuss and demonstrate the management of C spine injuries.
    6. Discuss of various levels of consciousness and ways to grade a patien’ts level of consciousness.
    7. Define methods on how to assess and manage the airway.
    8. Explain and assess the quality, rate, and work of breathing.
    9. Explain and assess the pulse and perfusion of a patient.
    10. Define the criteria that classify a patient as critical versus non critical.
  5. Peform secondary assessment of the patient.
    1. Obtain and interpret baseline BP.
    2. Obtain and interpret baseline pulse.
    3. Obtain and interpret baseline respiration.
    4. Obtain and interpret baseline temperature.
    5. Obtain and interpret baseline pulse oxygen.
    6. Obtain a history of present illness from the patient.
    7. Define and perform a detailed hands-on-assessment of the patient.
    8. Discuss and review significant mechanisms of injury.
    9. Demonstrate a systematic rapid trauma examination.
    10. Demonstrate C spine immobilization methods.
    11. Define and obtain a SAMPLE/OPQRST history.
    12. Discuss what criteria transport decisions are based upon.
    13. Define and list the various treatment options available during transport.
  6. Perform basic life supoort according to American heart Standards/Red Cross healthcare Professional standards.
    1. Demonstrate the techniques and steps involved in chest compressions for all age groups.
    2. Demonstrate the correct use of a defibrillator on a pt in cardiac arrest with the review of the appropriate procedures and safety techniques.
  7. Demonstrate the use of mechanical aids to provide effective ventilation.
    1. Demonstrate how, when and why to use the BVM.
    2. Demonstrate how, when and why to use the nasal airway.
    3. Demonstrate how, when and why to use an oral airway.
  8. Discuss and define the various types of bleeding including.
    1. The management and identification of arterial bleeding.
    2. The management and identification of venous bleeding.
    3. The management and identification of capillary bleeding.
    4. The management and identification of external bleeding.
    5. The management and identification of internal bleeding.
  9. Demonstrate the various treatment methods for bleeding.
    1. Demonstrate how, when, and why to use direct pressure.
    2. Demonstrate how, when, and why to use elevation.
    3. Demonstrate how, when, and why to use a tourniquet.
    4. Demonstrate how, when, and why to use a pnuenomatic anti shock garment.
  10. Define and discuss the stages of shockincluding:
    1. Demonstration on how, when and why to manage hypovolemic shock.
    2. Demonstration on how, when and why to manage septic shock.
    3. Demonstration on how, when and why to manage distributive shock.
    4. Demonstration on how, when and why to manage cardiogenic shock.
  11. Discuss and list the various types of treatments available for shock patients in the pre hospital setting including:
    1. Demonstration of how, when and why to elevate the feet.
    2. Demonstration of how, when and why to use warming procedures.
    3. Demonstration of how, when, and why to use oxygen.
    4. Demonstration of how, when, and why to assist an advanced provider with IV access and the administration of with fluids.
  12. Define and discuss the various types of open and closed soft injuries.
    1. The management and treatment of abrasions.
    2. The management and treatment of lacerations.
    3. The management and treatment of avulsions.
    4. The management and treatment of penetrations/punctures.
    5. The management and treatment of crush injuries.
    6. The management and treatment of contusions.
    7. The management and treatment of hematomas.
    8. The management and treatment of burns.
  13. Define and demonstrate basic emergency care to patient with open and closed soft tissue injuries.
    1. Application of sterile dressings.
    2. Application of non sterile dressings and bandages.
    3. Stabilization of impaled objects.
    4. Application of occlusive dressings.
    5. Application of burn sheets.
    6. Irrigation of a wound.
    7. Application of a pressure dressing.
    8. Application of PASG.
  14. Define and provide basic emergency care to a person suspected of having open and closed fractures using the following methods:
    1. Application of a PASG.
    2. Application of a long back board.
    3. Application of a c collar.
    4. Application of manual C spine immobilization.
    5. Application of a vacuum splint.
    6. Application of an air splint.
    7. Application of a SAM splint.
    8. Application of a sling ans swathe.
  15. Assess and provide basic emergency care to the patient with head, neck, and/or spine injuries via immobilization devices.
  16. Assess and provide basic emergency care to the patient with injuries of the chest, abdomen and/or genitalia.
  17. Define the signs and symptoms of the following disease states along with the treatment and management of:
    1. Diabetes.
    2. Cardiac events.
    3. CVA/TIA
    4. Allergic reactions
    5. Heat and cold emergencies
    6. Water emergencies
    7. Psychological
    8. Abdominal
    9. Altered mental status
    10. Drug and alcohol
    11. Seizures
    12. Syncope
    13. Respiratory
  18. Evaluate the pregnant woman and provide assistance for emergency birth.
    1. Describe the anatomy of pregnancy.
    2. Describing the menstrual cycle.
    3. Describing and understanding the physical changes in pregnancy.
    4. Describe the various medical complications that can arrise prior to delivery: vaginal bleeding and discharge; seizures and blood pressure issues.
    5. Describe the stages of labor.
    6. Describe the signs and symptoms of a normal vaginal delivery versus an abnormal delivery.
    7. Discuss the various field procedures and treatments for dealing with both the normal and abnormal delivery.
    8. Discuss the methods of care of the newborn population as well as assessment criteria for this population.
  19. Discuss the care and management of the pediatric and infant populations.
    1. Demonstrating techniques for interacting with care givers.
    2. Defining the physical, emotional and psychosocial characteristics of these populations.
    3. Define the various anatomical differences between child, ingants and adults.
    4. Define the changes in methods of assessment for this population including the primary and secondary assessment.
    5. Discuss the special considerations that must be remembered when assessing children and infants in terms of vital signs, medical events, trauma events, SAMPLE/OPQRST history, and pain scale assessment.
    6. Discuss the overview of the assessment and management of respirator emergencies including: early respiratory distress, decompensated respiratory failure, respiratory arrest, airway obstruction, FBAO, Croup, epiglottitis, Bronchiolitis, and Asthma.
    7. Discussion and overview of various other medical and trauma emergencies effecting this population including: seizures, cardiac arrest, drowning, altered mental status, fever, poisoning,and multi systems trauma from car crashes, abuse and falls.
  20. Discuss and review the signs and symptoms of environmental emergencies along with the management and treatment of environmental emergency conditions.
    1. Heat and cold emergencies for generalized hypothermia, Pathophysiology of hypothermia, localized cold injuries, Hyperthermia, and pathophysiology of heat emergencies.
    2. Bites and stings.
    3. Lighting strikes.
    4. High altitude sickness.
  21. Define and demonstrate triage in emergency situations/disasters.
    1. Define and list the various forms of triage including Jumpstart and Start.
    2. Define primary versus secondary triage.
    3. Define and demonstrate the patient tagging system.
    4. Define the roles and responsibilities of the various sectors including staging, treatment, transport and incident command.
  22. Demonstrate how to position, lift and move emergency patients efficiently and safely.
    1. Demonstrate the various techniques for moving a patient including: cot, drawsheet, stair chair, LBB/scoop, Fireman’s carry, two man carry, power lift, pwer squat, push/pull, two person carry and one person carry.
    2. Discuss the four principles of a safe moving and lifting.
    3. Discuss the need for teamwork and physical fitness.
    4. Differentiage between the different types of moves available to EMS providers and define when and where they should be used including: emergency moves, urgent moves, and non urgent moves.
    5. Discuss and define the requirements and prcedures for pt transports via ground and air ambulance.
  23. Demonstrate how to extircate, stablize, package and transport an emergency patient.
    1. Practice the various forms of extication including rapid and normal.
    2. Discuss and define the most common types of trauma present in pt’s involved in car crashes and methods to treat these injuries.
  24. Discuss ambulance operations with regard to state laws and safety.
    1. Define who should be driving the ambulance.
    2. Define the need to vehicle inspections at the start of every shift.
    3. Define applicable state laws regarding the operations of lights and siren.
    4. Define and discuss principles of safe driving.
    5. Define and discuss state laws pertaining to the operation of an ambulance responding emergent to the scene or hospital.
  25. Record and report patient information systematically.
    1. Discuss and define the various methods of documentation and data management including CHART and SOAP.
    2. Discuss the importance of the accurate collection and documentation of information.
    3. Discuss the notion of the PCR as a legal document.
    4. Define the confidentially aspects of documentation.
    5. Define and disucss the various accepted forms of medical abbreviations.
  26. Identify the various signs and symptoms of dependent adult and child abuse.
    1. Define and list the legal requirements as to reporting these suspicions.
    2. Define and list the procedures and methods for interacting with parents or care givers suspected of child or dependant adult abuse.
  27. Define the importance and rational of body substance isolation (BSI).
    1. Define and list the various forms of BSI.
    2. Define and list the various commerical products available for BSI.
    3. Define the reasons as to why BSI is needed and also the various diseases an EMS provider may be exposed to including: Hep B, Hep A, Hep C; AIDS/HIV, TB, MRSA/VRSA and SARS.
  28. Define the EMT’s role in medication administration.
    1. Define and list various medications that the EMT may assist a pt in administering including: Aspirin, epi pens and oral glucose.
  29. Define the signs and symptoms that would warrant the administration of these drugs.
    1. Discuss the effects, side effects and contraindications of these drugs.
    2. Discuss and review the 5 “R”s of medication administration.
    3. Discuss and list the various medication names that a drug may be referred to.
    4. Define and discuss the various routes of administration for medications.
    5. Define and discuss the concept of standing orders versus online medical direction for medication administration.
  30. Special needs population.
    1. Discuss and review the assessment and treatment techniques for patients who are hearing impaired, vision impaired, speech impaired, sensory impaired, mentally or emotional impaired, brain injured, paralyzed, obses, and homeless.
    2. Review and define the various pieces of technology that may be encountered by EMS providers including medical oxygen, Apnea monitors, pulse ox, tracheostomy tubes, CPAP and BiPAP, home mech ventilators, central lines, implanted ports, dialysis pts, feedin



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