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October 3 - October 21, 2011

Emergency Medical Training Curriculum 

with Advanced Skills

MODULE 1  PREPARATORY

Lesson 1-1             Introduction to Emergency Medical Care

Familiarizes the Basic Medic candidate with the introductory aspects of emergency medical care.  Topics covered include the Emergency Medical Services system, roles and responsibilities of the Basic Medic, quality improvement, and medical direction.

Lesson 1-2             Well-Being of the Medic

Covers the emotional aspects of emergency care, stress management, introduction to Critical Incident Stress Debriefing (CISD), scene safety, body substance isolation (BSI), personal protection equipment (PPE), and safety precautions that can be taken prior to performing the role of a Basic Medic.

 Lesson 1-3             Medical/Legal and Ethical Issues

Explores the scope of practice, ethical respon­sibilities, advance directives, consent, refusals, abandonment, negligence, duty to act, confidentiality, and special situations such as organ donors and crime scenes.  Medical/legal and ethical issues are vital elements of the Basic Medic's daily life.

Lesson 1-4             The Human Body

Enhances the Basic Medic's knowledge of the human body.  A brief overview of body systems, anatomy, physiology and topographic anatomy will be given in this session.

 Lesson 1-5             Baseline Vital Signs and SAMPLE History

Teaches assessing and recording of a patient's vital signs and a SAMPLE history.

 Lesson 1-6             Lifting and Moving Patients

Provides students with knowledge of body mechanics, lifting and carrying techniques, principles of moving patients, and an overview of equipment.  Practical skills of lifting and moving will also be developed during this lesson.

 Lesson 1-7             Evaluation: Preparatory Module

Conduct a written and skills evaluation to determine the student's level of achieve­ment of the cognitive, psychomotor and affective objectives from this module of instruction.

 MODULE 2  AIRWAY

 Lesson 2-1             Airway                                                           Top of Page

Teaches airway anatomy and physiology, how to maintain an open airway, pulmonary resuscitation, and patients with laryngectomies.  The use of airways, suction equipment, oxygen equipment and delivery systems, and resuscitation devices will be discussed in this lesson.

 Lesson 2-2             Practical Skills Lab: Airway

Provides supervised practice for students to develop the psycho­mo­tor skills of airway care.  The use of airways, suction equipment, oxygen equip­ment and delivery systems, and resuscitation devices will be included in this lesson.

 Lesson 2-3             Evaluation: Airway Module

Conduct a written and skills evaluation to determine the student's level of achieve­ment of the cognitive, psychomotor and affective objectives from this module of instruction.

MODULE 3  PATIENT ASSESSMENT

Lesson 3-1             Scene Size-Up                                              Top of Page

Enhance the Basic Medic's ability to evaluate a scene for potential hazards, determine by the number of patients if additional help is necessary, and evaluate mechanism of injury or nature of illness.  This lesson draws on the knowledge of Lesson 1-2.

 Lesson 3-2             Initial Assessment

Provides the knowledge and skills to properly perform the initial assessment.  In this session, the student will learn about forming a general impression, determining responsiveness, assessment of the airway, breathing and circulation.  Students will also discuss how to determine priorities of patient care.

 Lesson 3-3             Focused History and Physical Exam - Trauma Patients

Describes and demonstrates the method of assessing patients' traumatic injuries.  A rapid approach to the trauma patient will be the focus of this lesson.

 Lesson 3-4             Focused History and Physical Exam - Medical Patients

Describes and demonstrates the method of assessing patients with medical complaints or signs and symptoms.   This lesson will also serve as an introduction to the care of the medical patient.

 Lesson 3-5             Detailed Physical Exam

Teaches the knowledge and skills  required to continue the assessment and treatment of the patient. 

 Lesson 3-6             On-Going Assessment

Stresses the importance of trending, recording changes in the patient's condition, and reassessment of interventions to assure appropriate care.

 Lesson 3-7             Communications

Discusses the components of a communication system, radio communications, communication with medical direction, verbal communication, interpersonal communication, and quality improvement.

 Lesson 3-8             Documentation

Assists the Basic Medic in understanding the components of the written report, special considerations regarding patient refusal, the legal implica­tions of the report, and special reporting situations.  Reports are an important aspect of prehospital care.  This skill will be integrated into all student practices.

 Lesson 3-9             Practical Skills Lab: Patient Assessment

Integrates the knowledge and skills learned thus far to assure that the student has the knowledge and skills of assessment neces­sary to continue with the management of patients with medical complaints and traumatic injuries.

 Lesson 3-10             Evaluation: Patient Assessment Module

Conduct written and skills evaluation to determine the student's level of achieve­ment of the cognitive, psychomotor and affective objectives from this module of instruction.

MODULE 4  MEDICAL EMERGENCIES  

Lesson 4-1             General Pharmacology                                  Top of Page

Provides the student with a basic knowledge of pharmacology, providing a foundation for the administration of medications given by the Basic Medic and those used to assist a patient with self-administration.

 Lesson 4-2             Respiratory Emergencies

Reviews components of the lesson on respiratory anatomy and physiolo­gy.  It will also provide instruction on assessment of respiratory difficulty and emergency medical care of respiratory problems, administration of nebulized inhaler with albuterol, and the administration of prescribed inhalers.

 Lesson 4-3             Cardiovascular Emergencies

Reviews of the cardiovascular system, an introduction to the signs and symptoms of cardiovascular disease, administration of aspirin and prescribed nitroglycerin, and use of the automated external defibrillator. 

Lesson 4-4             Diabetes/Altered Mental Status

Reviews of the signs and symptoms of altered level of consciousness, the emergency medical care of a patient with signs and symptoms of altered mental status and a history of diabetes, blood sugar levels utilizing glucometers, intramuscular injection of glucogon, and the administration of oral glucose.

 Lesson 4-5             Allergies

Teaches the student to recognize the signs and symptoms of an allergic reaction, and to assist the patient with a prescribed epinephrine auto-injector, and draw and inject epinephrine for intramuscular injection.

Lesson 4-6             Poisoning/Overdose

Teaches the student to recognize the signs and symptoms of poisoning and overdose.  Information on the administration of activated charcoal is also included in this section.

 Lesson 4-7             Environmental Emergencies

Covers recognizing the signs and symptoms of heat and cold exposure, as well as the emergency medical care of these conditions.  Information on aquatic emergencies and bites and stings will also be included in this lesson.

 Conduct written and skills evaluation to determine the student's level of achieve­ment of the cognitive, psychomotor and affective objectives from this module of instruction.

 MODULE 5  TRAUMA

 Lesson 5-1             Bleeding and Shock                                     Top of Page

Reviews the cardiovascular system, describes the care of the patient with internal and external bleeding, signs and symptoms of shock (hypo perfusion), and the emergency medical care of shock (hypo perfusion).

 Lesson 5-2                      Soft Tissue Injuries

Continues with the information taught in Bleeding and Shock, discussing the anatomy of the skin and the management of soft tissue injuries and the management of burns.  Techniques of dressing and bandaging wounds will also be taught in this lesson.

 Lesson 5-3                      Musculoskeletal Care

Reviews of the musculoskeletal system before recognition of signs and symptoms of a painful, swollen, deformed extremity and splinting are taught in this section.

 Lesson 5-4             Injuries to the Head and Spine

Reviews the anatomy of the nervous system and the skeletal system.  Injuries to the spine and head, including mechanism of injury, signs and symptoms of injury, and assessment.  Emergency medical care, including the use of cervical immobilization devices and short and long back boards will also be discussed and demonstrated by the instructor and students.  Other topics include helmet removal and infant and child considerations.

 Lesson 5-5             Practical Skills Lab: Trauma

Provides practice of the assessment and management of patients with traumatic injuries.

 Lesson 5-6             Evaluation: Trauma Module

Conducts a written and skills evaluation to determine the student's level of achievement of the cognitive, psychomotor and affective objectives from this module of instruction.

 MODULE 6  OPERATIONS

Lesson 6-1             Ambulance Operations                                  Top of Page

Presents an overview of the knowledge needed to function in the prehospital environment.  Topics covered include responding to a call, emergency vehicle operations, transferring patients, and the phases of an ambulance call.

 Lesson 6-2             Gaining Access

Provides the Basic Medic student with an overview of rescue operations.  Topics covered include roles and responsibilities at a crash scene, equipment, gaining access, and removing the patient.

 Lesson 6-3             Overviews

Provides the Basic Medic student with information on hazardous materials, incident management systems, mass casualty situations, and basic triage.

 Lesson 6-4             Evaluation: Operations

Conduct a written and skills evaluation will be done to determine the student's level of achieve­ment of the cognitive, psychomotor and affective objectives from this module of instruction.

MODULE 7  ADVANCED AIRWAY

 Lesson 7-1             Advanced Airway                                          Top of Page

Instructs students on how to maintain an airway by means of orotracheal intubation.  Included is a review of basic airway skills, and orotracheal intubation of adults.  This lesson should be presented prior to the medical and trauma modules.

 Lesson 7-2             Practical Skills Lab: Advanced Airway

Demonstrates the skills of advanced airway techniques for the Basic Medic. 

 Lesson 7-3             Evaluation:  Advanced Airway

Conduct a written and skills evaluation to determine the student's level of achievement of the cognitive, psychomotor and affective objectives from this module of instruction.  Whenever possible, supervised clinical experience will be provided to the students.

This program is recognized by the National Board of Diving and Hyperbaric Medical Technology and International Marine Contractors Association as fulfillment of the Emergency Medicine Training requirement for Diver Medical Technician.

This program is not offered for recognition of the National Registry of Emergency Medical Technicians for certification.

This in NO way effects the Diver Medical Technicians abilities to practice their skills, DOMESTICALLY or INTERNATIONALLY.