Official Course Description: MCCCD Approval: 11/23/93
EMT230 19942-19966	L+L	1.50 Credit(s)	1.50 Period(s)
Advanced Concepts for EMTs
Designed to meet Arizona Department of Health Services recertification requirements for EMTs. Enhances the knowledge base of the Emergency Medical Technician (EMT) and incorporates new information into daily practice. Updates a wide variety of subjects including medical and trauma emergencies, cardiac life support, scene management, interaction with advanced life support providers, and emergency scene management. Prerequisites: Current Basic EMT certification in the state of Arizona.

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MCCCD Official Course Competencies:
EMT230   19942-19966	Advanced Concepts for EMTs

1.	Describe the role and scope of duties of the Basic EMT. (I, IX, X)
2.	Describe the medical, legal, and ethical aspects of Basic EMT. (I,IX, X)
3.	Apply basic techniques used in lifting, moving, and positioning patients ensuring safety for self and peers and to minimize discomfort and additional injury. (II, III, VIII, IX)
4.	Perform a primary survey of a patient, finishing with vital signs. (IV, V, VIII)
5.	Perform a secondary survey including reassessment of vital signs. (IV, V, VIII)
6.	Identify the variations in techniques of patient assessment for conscious and unresponsive patients. (IV, V, VIII)
7.	Identify and describe signs/symptoms of communicable diseases; relate to health and safety of self and peers. (III-X)
8.	Describe methods of body substance isolation (BSI) practices in accordance with Occupational Health and Safety Administration (OSHA) standards, with specific attention to equipment concerns and personal protective equipment and clothing. (III-VI, VIII-X)
9.	Describe and define the structures, functions, and physiology of the cardiovascular system and differentiate at least four pathophysiologic processes arising from cardiovascular disease. (V-VII, IX, X)
10.	Identify and care for a patient with cardiopulmonary arrest, according to the American Heart Association Standards and Guidelines. (VI, VII, IX, X)
11.	Describe the relationship among concepts of early access, early cardiopulmonary resuscitation (CPR), early defibrillation, and early advanced care. (VI, VII, IX, X)
12.	Correctly choose and use mechanical aids for breathing and circulation. (VI, VII, IX, X)
13.	Identify and treat a patient in shock, including use of pneumatic anti-shock garment (PASG). (VII, IX, X)
14.	Identify and treat patients with pneumothorax, flail chest, pulmonary contusion, and pericardial tamponade. (VII, IX, X)
15.	Identify and treat patient(s) with altered levels of consciousness (ALOC), convulsive disorders, dyspnea, and chest pain. (VIII-X)
16.	Given a patient scenario, complete an Emergency Medical Services (EMS) Incident Form demonstrating concise, comprehensive, legally protective documentation. (II-VIII)
17.	Describe the importance of accurate documentation of EMS activities in a potentially criminal scene investigation. (II-IV, VI-VIII)
18.	Identify signs, symptoms, and effects of stress caused by emergency insult to patient, family, and significant others. (IX, X)
19.	Identify the needs of patients, families, and significant others in terms of advocacy and patient rights. (IX, X)

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MCCCD Official Course Outline:
EMT230   19942-19966	Advanced Concepts for EMTs

I. Role and Scope of Basic EMT A. EMT duties B. EMT medical, legal and ethical considerations C. Consents II. Scene Management and patient Stabilization A. Scene management B. Stabilization C. Advanced Life Support (ALS) D. Crime scene considerations E. Interaction with law enforcement F. Transport G. Documentation III. BSI A. Precautions for self and others B. Personal safety and barriers C. Disinfection/sterilization D. Patient handling techniques E. Special documentation techniques, reporting, and follow-up IV. Human Systems Patient Assessment A. Overview of anatomy and physiology B. Related medical terminology C. Primary and secondary surveys D. Overview of variations in techniques E. Overview of documentation V. Cardiopulmonary System A. Anatomy and physiology B. Primary and secondary surveys C. Pathophysiology and management D. Techniques of management and documentation VI. Cardiopulmonary Arrest A. Respiratory arrest B. Cardiac arrest C. American Heart Association (AHA) Standards and Guidelines D. Respiratory and circulatory adjuncts E. Techniques of management and documentation VII. Shock A. Signs and symptoms B. Differentiation of types of shock 1. Anaphylactic 2. Cardiogenic 3. Hemorrhagic 4. Hypovolemic 5. Neurogenic 6. Respiratory 7. Septic C. Control of bleeding D. PASG E. Techniques of management and documentation VIII. Central Nervous System: Head, Neck and Spine A. Anatomy and physiology B. Primary and secondary surveys C. Pathophysiology and management of seizures, ALOC, and unconscious patients D. Techniques of management and documentation IX. Transportation A. Initial concepts and techniques for driving the ambulance B. Special driving techniques X. Patient Advocacy and Patient Rights A. Identification of stressors on an emergency scene B. Interaction with patients, family, significant others, and bystanders C. Referral agencies

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