Maricopa Community Colleges  EMT241   20006-20055 
Official Course Description: MCCCD Approval: 06/27/00
EMT241 20006-20055 L+L 0.50 Credit(s) 0.50 Period(s)
Adv Cardiac Life Support Refresher
Designed for all levels of emergency medical technicians, nurses, physicians, and physicians' assistants to assure maintenance of didactic and psychomotor skill training in techniques of Advanced Cardiac Life Support according to the 1994 Standards and Guidelines of the American Heart Association. Includes endotracheal intubation, ECG arrhythmia recognition, synchronized, unsynchronized and automated defibrillation, cardiovascular pharmacology, and electronic pacemaker. Prerequisites: Current American Red Cross or American Heart Association Basic Life Support Health Care Provider validation, current validation in Advanced Cardiac Life Support, EMT240, or permission of instructor.
Go to Competencies    Go to Outline
 
MCCCD Official Course Competencies:
 
EMT241   20006-20055 Adv Cardiac Life Support Refresher
1. Describe the concepts of the Chain-of- Survival according to American Heart Association Standards and Guidelines. (I)
2. List and describe the causes of sudden cardiac death. (I)
3. Perform the skills in basic life support to include one - and two- person CPR (Cardiopulmonary Resuscitation) for adult and child; conscious and unconscious obstructed airway maneuvers for adult, child, and infant; CPR for infant victims. (I)
4. Successfully insert oral and nasal airway. (I- II)
5. Correctly apply the face mask, nasal cannula, non-rebreathing mask, and bar-valve mask devices, noting the percentage of oxygen delivered for each adjunct; (I - II)
6. Correctly perform endotracheal intubation. (I - II)
7. Correctly perform nasal and tracheal suction techniques. (I -II)
8. Correctly interpret the basic ECG arrhythmias. (III)
9. Describe each of the steps in the universal algorithm for adult emergency cardiac care. (I- IV)
10. Describe each of the steps in the algorithm for early management of patients with chest pain, signs, and symptoms of myocardial infraction. (I -V)
11. Identify the indications, contraindications, actions, side effects, uses, and dosages of the following drugs: oxygen, morphine, nitroglycerin, atropine, isoproterenol, lidocaine, procainamide, bretylium, calcium chloride, furosemide, adenosine, verpamil, magnesium sulfate, propranalol, dopamine, dobutmaine, nitropusside, diltiazem, and amiodarone. (I - VI)
12. Describe indications, techniques, and complications for peripheral and central venous access. (V)
13. Given a patient simulation for stable and unstable superventricular tachycardia, ventricular tachycardia, ventricular fibrillation, asystole, and pulseless electrical activity, identify the steps in the algorithm associated with each, according two the 1992 American Heart Association Guidelines. (I - VII, XI)
14. Given a patient simulation for bradydysrhythmias, ventricular fibrillation, pulseless ventricular tachycardia, and asystole confirmed as ventricular fibrillation, manage each member of the team, evaluating CPR, airway management, electrical, and pharmacologic interventions. (I - VIII, XI)
15. Correctly perform transcutaneous pacing, defibrillation, synchronized cardioversion, and automated defibrillation. (I, VI, VIII - X)
16. Describe special resuscitation situations to include stoke, traumatic cardiac arrest, shock, congestive heart failure, near drowning, and hypothermia. (IX)
17. Describe the medical-legal aspects of advanced cardiac life support to include advanced directives, do- not-resuscitate orders, discontinuation of life support measures, and concepts of skills validation. (X)
18. Complete written and skills evaluation. (XI)
Go to Description    Go to top of Competencies
 
MCCCD Official Course Outline:
 
EMT241   20006-20055 Adv Cardiac Life Support Refresher
    I. Early Recognition and Chain-of- Survival
        A. Signs of cardiac crises
        B. Early access to the emergency medical system
        C. Sudden cardiac death
        D. CPR cardiopulmonary resuscitation
          1. Adult and child: one and two-person 2 Infant
        E. Adult, child and infant obstructed airway maneuvers
      II. Airway Management
          A. Oral airways
          B. Nasal airway
          C. Face mask
          D. Nasal cannula
          E. Non- breathing mask
          F. Bag-valve-mask devices
          G. Endotracheal intubation
          H. Suction techniques
        III. Basic ECG Arrhythmias
            A. Sinus rhythm, bradycardia and tachycardia
            B. Atrial tachycardia, flutter and fibrillation
            C. Ventricular tachycardia, flutter and fibrillation
            D. Torsade de pointes
            E. Atrial, junctional and ventricular octopics
            F. Asystole and pulseless electrical activity
          IV. Universal Algorithm for Adult Emergency Cardiac Care
              A. Arrhythmia
              B. Mechanical, pharmacologic and electrical interventions
            V. Early Management of Patients with Suspected Myocardial Infarction
                A. Arrhythmia
                B. Mechanical, pharmacologic and electrical interventions
                C. Peripheral and central venous access
              VI. Advanced Cardiac Life Support Pharmacology
                  A. Oxygen
                  B. Morphine
                  C. Nitroglycerin
                  D. Atropine
                  E. Isoproterenol
                  F. Lidocaine
                  G. Procainamide
                  H. Bretyllium
                  I. Calcium chloride
                  J. Adenosine, verapamil
                  K. Magnesium sulfate
                  L. Propranalol
                  M. Dopamine
                  N. Dobutamine
                  O. Nitropusside
                  P. Furosemide
                  Q. Diltiazem
                  R. Amiodarone
                VII. Therapeutic Modalities and Patient Management
                    A. Stable and unstable superventricular tachycardia
                    B. Stable and unstable ventricular tachycardia
                    C. Bradycardia
                    D. Ventricular fibrillation
                    E. Asystole and pulseless electrical activity
                  VIII. Mega Code
                      A. Ventricular fibrillation
                      B. Pulseless ventricular tachycardia
                      C. Asystole confirmed as ventricular fibrillation
                      D. Automated defibrillation
                      E. Transcutaneous pacing
                    IX. Special Resuscitation Situation
                        A. Stroke
                        B. Traumatic cardiac arrest
                        C. Shock
                        D. Congestive heart failure
                        E. Drowning and near drowning
                        F. Hypothermia
                      X. Medical-Legal Aspects
                          A. Advanced directives
                          B. Do-not-resuscitate orders
                          C. Discontinuation of life support measures
                          D. Concepts of skills validation
                        XI. Evaluation
                            A. Written multiple choice final exam
                            B. Critical actions scenario-based validations
                            C. Mega code testing
                        Go to Description    Go to top of Competencies    Go to top of Outline