EMCR-325 Advanced EMT Critical Care Refresher

This course is designed for individuals who have been certified by the NYS Department of Health as an Emergency Medical Technician - Critical Care for the purpose of maintaining their competency in providing emergency medical care. The content reviews the concepts and materials covered in the Critical Care course. After successful completion of this course, students are eligible to take the NYS certification exam. Recertification is required every three (3) years. Persons will only be able to receive college credit for this course once.

Credits

3

Prerequisite

Proof of certification as a Critical Care Technician.

Lecture Contact Hours

3

Lab Contact Hours

1

Other Contact Hours

0

Department

• Health Science and Human Performance

Grading Scheme

• Letter

SUNY Gen Ed Credit

• No

Course Learning Outcomes

1. Identify life threatening emergencies
2. Review all general pharmacology as taught at the NYS EMT level
3. Discuss the foundation material in pharmacology including names and sources of drugs, drug classification, sources of information about drugs, drug legislation, schedules of controlled drugs, and standardization of drugs. Other topics will include general properties of drugs, drug forms, routes of drug administration, interactions and drug storage. Special considerations in drug therapy for pregnant patients, pediatrics and geriatrics are also discussed and reviewed
4. Review and understand the autonomic nervous system, essential to understanding the mechanism of action of drugs. Pharmacokinetics and pharmacodynamics will be integrated into this section
5. Perform safe and precise venous access while gaining knowledge and awareness relative to medical/legal aspects of invasive procedures and medication administration. Perform mathematical calculations regarding medication calculations and administration. Methods for calculating dosages include those for intravenous parenteral medications, intravenous infusions, and administration of oral medications,. Methods for calculating doses for infants and children will be discussed and performed
6. Establish and/or maintain a patent airway, and oxygenate and ventilate a patient Recognize and explain anatomy and physiology of the respiratory system and present the upper and lower airways
7. Differentiate the differences in the airway between adults and pediatrics
8. Recognize lung/respiratory volumes in detail, ventilation and respiration, measurement of gases and causes of decreased oxygen concentrations in the blood. Discuss the pathophysiology of airway obstruction and its negative impact on a patient's condition
9. Perform airway management including assessment, manual maneuvers, various adjunctive equipment and procedures for adults and pediatrics
10. Discuss and perform appropriate oxygenation procedures, delivery equipment and devices and special considerations for patients with stoma. This includes various suctioning devices, adjunctive equipment and techniques
11. Discuss the pathophysiology of airway obstruction (laryngeal spasm and edema, aspiration, etc.) and recognizing the appropriate management which many include manual maneuvers, adjunctive equipment (oral and nasal airways, endotracheal tub, lighted stylet and multilumen airways), and procedures (orogastric/nasogastric decompression, orotracheal/nasotracheal intubations digital intubations)
12. Take immediate steps to correct any life threatening emergencies
13. Recognize and identify respiratory compromise, technique and adjunctive equipment. This includes basic ventilation, adjuncts, the automatic transport ventilator, cricoid pressure and ventilating pediatric and patients with stomas
14. Perform a more detailed patient assessment with emphasis on a more complete approach to history taking, techniques of the physical exam, scene size-up focuses, initial assessment, focused history and physical exam, a detailed physical exam ending with clinical decision making to develop and emergency care plan for both the trauma and medical patient
15. Recognize the various trauma systems and mechanism of injury to a patient. This covers principles of kinematics. Explain and differentiate the differences between trauma systems, trauma centers, and transportation considerations, Including detailed discussion of energy, how energy exchange occurs and its relationship to blunt and penetrating injuries by body system and cavity
16. Explain the pathophysiological principles and assessment finding to formulate a field impression and implement a treatment plan for the trauma patients with suspected head and/or facial injuries
17. Recognize the various causes of hemorrhage and various types of shock along with the management of shock
18. The student will be able to recognize and explain treatment and management of the medical patients with the following conditions: respiratory emergencies, cardiovascular emergencies, diabetic emergencies, allergic reactions, poison/overdose, neurological emergencies, non-traumatic abdominal emergencies, environmental emergencies, behavioral emergencies, gynecological emergencies, obstetrical emergencies, neonatal resuscitations, pediatric emergencies, and geriatric emergencies
19. Perform CPR and use an AED
20. Administer oxygen
21. Prevent the patient's condition from worsening before higher trained EMS providers arrive
22. Treat shock, stabilize fractures, bandage wounds and provide other needed care
23. Explain the EMS Systems/Role and Responsibilities, Medical Director, Well-Being, Illness and Injury
24. Prevention, Medical/Legal and Ethical Issues
25. Identify the major aspects of anatomy and physiology including body organization, anatomical terminology, cell transport mechanisms, metabolism, tissue types and basic fluid and electrolyte information