Maricopa Community Colleges  EMT239   19886-19946 
Official Course Description: MCCCD Approval: 12/14/93
EMT239 19886-19946 LEC
LAB 		9 Credit(s)
2 Credit(s) 		9 Period(s)
4 Period(s)
Emergency Cardiac Management
IEMT (Intermediate Emergency Medical Technology) advanced physiology, patho-physiology and clinical symptoms. Care of acutely ill in pre-hospital setting. Diagnostic and treatment skills for cardiac patients. Prerequisites: EMT208 with one year (2000 hours) experience as state certified IEMT, or permission of program coordinator.
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MCCCD Official Course Competencies:
 
EMT239   19886-19946 Emergency Cardiac Management
1. List the incidence and distribution of cardiovascular disease in the population. (I)
2. Identify the entire structure of the cardiovascular system. (II)
3. List the function of each structure of the cardiovascular system. (II)
4. Identify each structure and the function of the Autonomic Nervous System as it relates to the cardiovascular system. (III)
5. Demonstrate the procedure for eliciting a history of cardiac illness. (III)
6. List associated signs and symptoms of cardiac emergencies. (III)
7. Demonstrate the proper procedure for conducting a physical exam. (III)
8. Identify each structure of the conduction system of the heart. (V)
9. Recite the definitions of automaticity, excitability, and conductivity. (V)
10. List the information the IEMT-C should know about each drug. (V)
11. Define the action of a pharmocological agent given in the general group to which it belongs. (V)
12. List the signs, symptoms and causes of cardiac failure. (IV)
13. List the intrinsic rates of conduction for each component of the cardiac system. (VI)
14. Describe the concept of depolarization and repolarization. (VI)
15. Recite all the components of a normal EKG tracing. (VI)
16. Demonstrate the ability to identify the following rythms, arrhythmias:A) Sinus Rhythms B) Atrial Arrhythmias C) Nodal Arrhythmias D) Ventricular Arrhythmias E) Supraventricular Arrhythmias. (VII)
17. Recite the pathophysiology of each arrhythmia. (VII)
18. List the treatment of all arrhythmias including drug therapy, dosages and the method of administration. (VII)
19. Demonstrate the proper use of mechanical CPR devices. (VIII)
20. Recite the American Heart Associations definition of advanced life support. (VIII)
21. Describe the local EMS communication system. (IX)
22. Demonstrate the proper use of ACLS telemetry equipment. (IX)
23. Demonstrate the proper procedure for relaying information to the physician. (IX)
24. Demonstrate an ability to meet all the requirements of the American Heart Association ACLS certification course. (X)
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MCCCD Official Course Outline:
 
EMT239   19886-19946 Emergency Cardiac Management
    I. Epidemiology of Cardiovascular Disease
        A. Incidence
        B. Population distribution
      II. Anatomy/Physiology of the Cardiovascular System
          A. Cardiovascular Anatomy
            1. Heart - General Information
            2. Size
            3. Shape
            4. Orientation
            5. Pericardium and Heart Walls
            6. Heart Chambers
            7. Heart Valves
            8. Circulatory System
            9. Circulation
          B. Autonomic Nervous System
            1. Function
            2. Sympathetic Nervous System
            3. Parasympathetic Nervous System
        III. Assessment of the Cardiac Patient
            A. History of Present Illness
            B. Associated Signs and Symptoms
            C. Prior Medical History
            D. Physical Exam
            E. Rythm Strip Interpretation
          IV. Pathology of Cardiovascular System
              A. Coronary Disease
                1. Arteriosclerosis
                2. Atheriosclerosis
              B. Myocardial Disease
                1. Angina Pectoris
                2. Acute Myocardial Infarction
                3. Congestive Heart Failure
                4. Ventricular Aneurysm
                5. Cardiac Rupture
                6. Cardiogenic Shock
                7. Syncope
                8. Myocardial Trauma
                9. Hypertension
                10. Cardiac Arrest
            V. Cardiovascular Pharmacology
                A. Structure of the Conduction System of the Heart
                B. Classification of Pharmacological Agents
                C. Effects of Pharmacological Agents
                  1. Sodium Bicarbonate
                  2. Atropine
                  3. Isoproteronol
                  4. Procainimide
                  5. Quinidine
                  6. Digoxin
                  7. Propranolol
                  8. Eprinephrine
                  9. Calcium Chloride
                  10. Dopamine
                  11. Morphine
                  12. Bretylium
                  13. Verapamil
                  14. Inderal
                  15. Nitroglycerin
                  16. Furosemide
              VI. Electrocardiogram Tracings
                  A. Intrinsic rates of conduction of the cardiac system
                  B. Depolarization
                  C. Repolarization
                  D. Components of Normal EKG Tracing
                    1. P Wave
                    2. QRS Complex
                    3. S-T Segment and T Wave
                VII. Arrhythmia Interpretation, Treatment and Management
                    A. Sinus Rhythms
                      1. NSR
                      2. Sinus Tachycardia
                      3. Sinus Bradycardia
                      4. Sinus Arrythmia
                      5. Sinus Arrest
                      6. Sinus Block
                      7. Treatment
                    B. Atrial Arrhythmias
                      1. Wandering Atrial Pacer
                      2. Premature
                      3. PAT
                      4. Atrial Tachycardia with Block
                      5. Atrial Standstill
                      6. Atrial Flutter
                      7. Atrial Fibrillation
                      8. Treatments
                    C. Nodal Arrhythmias
                      1. Nodal Escape Beats
                      2. Premature Extrasystole
                      3. Nodal Tachycardia
                      4. 1st Degree Block
                      5. 2nd Degreee Block
                      6. 3rd Degree Block
                      7. Treatments
                    D. Ventricular Arrhythmias
                      1. Ventricular Escape Beats
                      2. Ventricular Extrasystoles
                      3. Idioventricular Rhythm
                      4. Ventricular Tachycardia
                      5. Ventricular Fibrillation
                      6. Supraventricular Rhythms
                      7. Asystole
                      8. Pacemaker Rhythm
                  VIII. Cardiac Techniques and Procedures
                      A. Cardiac Arrest
                        1. American Heat Association Standards for Advanced Life Support
                        2. Cardio Pulmonary Resuscitation (CPR)
                          a. Airway Adjustments
                      B. Rotating Tourniquets
                      C. Mechanical CPR Devices
                    IX. Department of Transportation Telemetry Communications Module XV
                        A. Introduction
                        B. Emergency Medical Systems Communications (EMS)
                        C. Communications Regulations and Procedures System
                      X. Advanced Cardiac Life Support (ACLS) from the American Heart Association
                          A. Preparation
                          B. Testing
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