Maricopa Community Colleges  EMT273   20006-20025 
Official Course Description: MCCCD Approval: 04/25/00
EMT273 20006-20025 LEC 3.50 Credit(s) 3.50 Period(s)
Advanced Life Support Refresher Course
Designed to meet requirements for EMT-Intermediate and EMT- Paramedic under guidelines of the U.S. Department of Transportation (U.S. DOT), National Registry of EMTs (NREMT) as recognized by the Arizona Department of Health Services (A- DHS) Bureau of Emergency Services (B-EMS). Provides updated knowledge and skills related to hypoperfusion states, respiratory arrest or insufficiency, seizure states, cardiovascular emergencies, unconscious of undetermined etiology, head injury with altered levels of consciousness, and chest trauma. Validates requisite knowledge, validates skills, reviews and informs students of new standards and technologies. Trains and educates out of state applicants in knowledge, procedures, medications, and skills specific to Arizona's system. Remediates students who have been unsuccessful three times on the certification examinations, and refreshes information for those who have expired certifications and desire re-entry into the EMS system. Prerequisites: EMT272, or EMT208, or current EMT-Advanced Paramedic, or Intermediate certification. Prerequisites or Corequisites: Current American Heart Association Basic Life Support Health Care Provider validation, or Advanced Cardiac Life Support validation, or Pediatric Life Support validation.
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MCCCD Official Course Competencies:
 
EMT273   20006-20025 Advanced Life Support Refresher Course
1. Describe the scope of the duties of the advanced emergency medical technician, Intermediate, and Paramedic. (I)
2. Identify signs and symptoms of patients with a communicable disease and list the appropriate body substance isolation procedures. (I)
3. Identify the initial, focused, and continuing processes of assessment, medical history, vital signs, communications, and documentation. (II)
4. Apply the procedures of identifying and treating hypoperfusion states including intravenous (IV) intra osseous (IO), central line fluid therapy, and use of the Pneumatic Anti-Shock Garment (PASG) suit. (III, IV)
5. Describe the actions, indications, contraindications, precautions, side effects, and dosages of the drugs included in the current Arizona Department of Health Services, Bureau of Emergency Services approved paramedic drug box. (IV)
6. Given a patient scenario, identify and treat emergencies and relate proposed field interventions for each of the body systems in the adult and geriatric population. (V)
7. Given a patient scenario, identify and relate proposed field interventions for patient with obstetrical emergencies. (VI)
8. Given a patient scenario, identify and relate proposed field interventions for patient with neonatal and pediatric emergencies. (VII)
9. Given a scenario, identify and relate proposed field interventions for patient with behavioral emergencies, preserving personal safety and well being. (VIII)
10. Demonstrate trauma victim assessment, airway management, control of hemorrhage and hypoperfusion states, cervical spine immobilization, splinting and PASG application according to local Emergency Medical Systems (EMS) protocols, the U.S. DOT EMT Advanced Curriculum and National Registry of Emergency Medical Technicians (NREMT) Guidelines. (IX)
11. Demonstrate 75 percent proficiency on a written examination and 80 percent accuracy of practical skills in selected EMS scenarios. (X)
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MCCCD Official Course Outline:
 
EMT273   20006-20025 Advanced Life Support Refresher Course
    I. Advanced Emergency Medical Technician
        A. Roles and responsibilities
        B. Rules, regulations, and EMS systems
        C. Medical/legal considerations
        D. EMS communications procedures and devices
        E. Professional issues concerning the health care professional
        F. Communicable and infectious diseases personal
          1. Personal protection
          2. Procedures and devices
        G. Grief support
        H. Patient advocacy
        I. Major incident response
        J. Stress management
      II. Human Systems and Patient Assessment
          A. Human systems in health and disease
          B. Initial, focused, and ongoing processes of assessment
            1. Vital signs
            2. History taking, interviewing, and communications
            3. Terminology
          C. Documentation
        III. Hypoperfusion States
            A. Shock
            B. Blood and its components
            C. Disorders of hydration
            D. Devices and techniques
            E. Trauma
            F. Thermal injuries
            G. Communications and documentation
          IV. Pharmacology
              A. Basic and advanced pharmacokinetics
              B. Updated drug information
              C. Action of drugs
              D. Techniques of administration
              E. Patient-assisted administration and EMT-Basic Providers
              F. Drug box
            V. Illness, Injury, and the Body's Systems
                A. Respiratory
                B. Cardiovascular
                C. Central nervous system
                D. Endocrine
                E. Musculoskeletal emergencies
                F. Soft tissue emergencies
                G. Acute abdominal emergencies
                H. Genito-urinary emergencies
                I. Gynecological emergencies
                J. Anaphylactic reactions
                K. Toxicology, alcoholism, and substance abuse
                L. Poisoning and overdose
                M. Aquatic emergencies
                N. Emergencies in the geriatric patient
                O. Techniques of management
                P. Communications and documentation
              VI. Obstetrical Emergencies
                  A. Maternal assessment
                  B. Delivery techniques
                  C. Care of the newborn
                  D. Ectopic pregnancy
                  E. Infectious diseases
                  F. Rape and abuse
                  G. Communications and documentation
                VII. Neonatal and Pediatric Emergencies
                    A. Approach to the pediatric patient
                    B. Related pathologies
                    C. Techniques of management
                    D. Communications and documentation
                  VIII. Behavioral Emergencies
                      A. Behavioral disorders
                      B. Hostile environments
                      C. Therapeutic communications
                      D. Restraint
                    IX. Trauma and Disaster
                        A. Triage
                        B. Incident command
                        C. Age considerations
                          1. Infant
                          2. Pediatric
                          3. Adult
                          4. Geriatric
                      X. Evaluation
                          A. Written
                          B. Skills
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