EMCR-260 Critical Care Emergency Medical Transport-Paramedic - Original
The Critical Care Emergency Medical Transport course is designed to prepare paramedics and nurses to function as members of a critical care transport team. Critical patients that must be transported between facilities require a different level of care from hospital or emergency field patients. Participants will gain an understanding of the special needs of critical care patients during transport, become familiar with the purpose and mechanisms of hospital procedures and equipment, and develop the skills to maintain the stability of hospital equipment and procedures during transport.
Prerequisite
CEEMTP is open to any paramedic or nurse who has a current professional license/certification and a recommended minimum of one year experience in thatrole.
Course Learning Outcomes
- Describe the history of ambulance/air medical transports
- Describe the history, signs, symptoms and management of the patient with acute respiratory distress syndrome (ARDS)
- Describe the history, signs, symptoms and management of the patient with disseminated intravascular coagulations (DIC)
- Describe the proper infection control procedures that the CCEMTP should take when treating patients
- Assess oxygen saturation using a pulse oximeter
- Assess carbon dioxide levels using an end tidal CO2detector
- dentify the categories of information obtained through an ABG analysis
- Describe important landmarks and anatomical structures of the chest wall and respiratory system
- Discuss methods and procedures for plural decompression assessment
- Identify transport complications associated with pleural decompression
- Identify indications, purpose and assessment for chest tubes. Identify transport complications for chest tubes
- Differentiate between routine and specialty equipment found on a Critical Care Transport unit
- Identify indications, procedures and complications for ET tube and tracheal suctioning
- Identify indications and purpose for portable ventilators. Discuss methods for ventilator assessment and transport complications for portable ventilators
- Identify indications, criteria and purposes for a tracheostomy
- Describe procedures to tracheostomy patients and transport complications
- Identify indications, criteria and purpose for needle and surgical cricothyrotomy. Describe procedures, complications and transport of each
- Discuss and identify indications, purpose, procedures, transport and complications for retrograde intubations
- Discuss between types, assessing, transport and complications of invasive lines
- Identify hemodynamic monitor controls
- Interpret hemodynamic readings and alarm indications along with troubleshooting procedures
- Identify transport complications of hemodynamic monitors
- Identify indications for critical care transport
- Identify the function of each component of a PA catheter
- Identify purposes for invasive hemodynamic monitoring
- Identify normal hemodynamic pressures and identify normal pressure waveforms
- Interpret SVO2 monitoring data and discuss appropriate therapeutic modalities to treat abnormal values
- Discuss indications of measuring cardiac output and cardiac index
- Describe problems encountered in measuring PA pressures, state appropriate interventions and describe complications involved
- Identify indications for blood administration, procedures for blood administration
- Identify signs and symptoms of transfusion reactions and management procedures for transfusion reactions
- Describe procedure for administration of whole blood or packed red cells
- Describe the difference between monitoring and assessing a patient using an ECG machine
- Describe the interfacility transfer process
- Demonstrate proper lead placement and identify wave changes relative to myocardial ischemia, injury and infarction
- Describe possible complications of various infarct locations
- Identify the complications associated with the ICD and location of placement in the chest wall
- Describe the procedures for deactivating an ICD with a magnet
- Understand the basic concepts underlying cardiac pacemaker technology
- Identify indication for IABP. Define the primary physiologic effects achieved by the inflation and deflations of the IAB
- Describe the set up and operation of an IABP
- Identify proper timing and appropriate corrective action as well as transportation complications of IABP
- Identify the indications, mechanism of action, pharmacokinetics, dosing and side effects of the following types of drugs: Sedatives, Analgesics, Paralytics, Antihypertensives, Volume Expanders, Vasopressors, Bronchodilators, Antiarrhythmics, Antianginals, Thrombolytics, Anticoagulants, Antibiotics, and Etomidate
- Identify assessment, indications, contraindications, placement, procedures and transport complications for the following: GI, GU and Renal Assessment, NG and OG Feeding Tubes, Urinary Catheters, Ostomies, Hemodialysis and Peritoneal Dialysis, Rectal Considerations
- Understand and apply the medicolegal aspects of Critical Care Transport
- Describe the major components of a neurological examination. Describe the differences in the neurological assessment between a brain injured or spinal injured patients. Perform a neurological exam. Identify transport considerations for patients with neurological injuries including intracranial pressure and intracranial pressure monitoring
- Differentiate operational aspects of critical care transport and conventional prehospital care. Recognize situations warranting diversion or interception
- Identify indications, complications and transportation of pediatrics, obstetrical/gynecological, moribund and burn patients
- Understand and interpret laboratory data
- Define shock, discuss the major pathophysiologies of shock, describe the assessment techniques to help identify shock. Describe the general management for the patient in shock and describe pharmacological intervention in different types of shock
- Define multisystem organ failure. List the history, signs and symptoms of the patient with sepsis
- Describe the management of the patient with sepsis