Maricopa Community Colleges  EMT240   19946-19955 
Official Course Description: MCCCD Approval: 04/26/94
EMT240 19946-19955 LEC 2 Credit(s) 2 Period(s)
Advanced Cardiac Life Support
Didactic and psychomotor skills training and validation in techniques of Advanced Cardiac Life Support according to the 1992 Standards and Guidelines of the American Heart Association. Includes endotracheal intubation, EKG dysrhythmia recognition, synchronized, unsynchronized and semi-automatic defibrillation, cardiovascular pharmacology, and electronic pacemaker. For all health-care related professionals, clinical and prehospital. Prerequisites: Current American Red Cross or American Heart Association Basic Life Support "C" level validation, EMT140, EMT235, or permission of instructor.
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MCCCD Official Course Competencies:
 
EMT240   19946-19955 Advanced Cardiac Life Support
1. Describe the concepts of the Chain-of-Survival according ot 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 for adult, child, and infant; conscious and unconscious obstructed airway maneuvers for adult, child, and infant; CPR for infant victims. (I - II)
4. Successfully insert oral and nasal airways. (I -III)
5. Correctly apply the face mask, nasal cannula, non-rebreathing mask, and bag-valve-mask devices, nothing the percentage of oxygen delivered for each adjunct. (I - III)
6. Correctly perform endotracheal intubation. (I -IV)
7. Correctly perform nasal and tracheal suction techniques. (I - IV)
8. Correctly interpret the basic EKG dyshythmias. (V)
9. Describe each of the steps in the universal algorithm for adult emergency cardiac care. (I - VI)
10. Describe each of the steps in the algorithm for early management of patients with chest pain, signs, and symptoms of myocardial infarction. (I -VII)
11. Identify the dysrhythmia and predict the anticipated mechanical, pharmacologic, and electical interventions. (I -VII)
12. Describe indications, techniques, and complications for peripheral and central venus access. (VII)
13. Identify the indications, contraindications, actions, side effects, uses, and dosages of the following drugs: oxygen, morphine, nitroglycerin, atropine, isoproterenol, lidocaine, procainamide, bretyllum, calcium chloride, furosemide, adenosine, verapamil, magnesium sulfate, propronolol, dopamine, dobutamine, and nitroprusside. (I - VIII)
14. Given a patient simulation for bradydysrhthmias, stable and unstable supraventicular tachycardia, venticular tachycardia, venticular fibrillation, asystole, and pulseless electrical activity, identify the steps in the algorithm associated with each, according to the 1992 American Heart Association Guidelines. (I - IX)
15. Correctly perform transcutaneus pacing, defibrillation, sychronized cardioversion, and semiautomatic defibrillation. (I- VI, VIII - X)
16. Given a patient simulation for venticular fibrillation, pulseless venticular tachycardia, and asystole confirmed as venticular fibrillation, manage each member of the team, evaluating CPR, airway management, electrical, and pharmacologic interventions. (I -X)
17. Describe special resuscitation situations to include stroke, traumatic cardiac arrest, shock, congestive heart failure, near-drowing, and hypothermia. (XI)
18. Describe the medical-legal aspects of advanced cardiac life support to include advanced directives, do-not-resuscitate orders, discountinuation of like support measures, and concepts of skills validations. (XII)
19. Complete written and skills evaluations. (XIII)
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MCCCD Official Course Outline:
 
EMT240   19946-19955 Advanced Cardiac Life Support
    I. Early Recognition and Chain-of-Survival
        A. Signs of cardiac crises
        B. Early access to the emergency medical system
        C. Sudden cardiac death
      II. Basic Life Support
          A. Adult one - and two-person cardiopulmonary resuscitation (CPR)
          B. Child and infant cardiopulmonary resuscitation (CPR)
          C. Adult, child and infant obstructed airway maneuvers
          D. Infant cariopulmonary resuscitation (CPR)
        III. Initial Airway Management
            A. Oral Airway
            B. Nasal Airway
            C. Face mask
            D. Nasal cannula
            E. Non-rebreathing mask
            F. Bag-valve-mask devices
          IV. Advanced Airway Management
              A. Endotracheal intubation
              B. Suction techniques
            V. Basic EKG Dysrhythmias
                A. Sinus rhythm, bradycardia and tachycardia
                B. Atrial tachycardia, flutter and fibrillation, supra venticular tachycardia
                C. Venticular tachycardia, flutter and fibrillation
                D. Torsade de pointes
                E. Atrial, junctional and ventircular ectopics
                F. Asystole and pulseless electrical activity
              VI. Universal Algorithm for Adult Emergency Cardiac Care
                  A. Dysrhythmias
                  B. Mechanical, pharmacologic and electrical interventions
                VII. Early Management of Patients with Suspected Myocardial Infraction
                    A. Dysrhythmias
                    B. Mechanical, pharmocologic and electrical interventions
                    C. Peripheral and central venous access
                  VIII. Advanced Cardiac Life Support Pharmacology
                      A. Oxygen
                      B. Morphine
                      C. Nitroglycerin
                      D. Atropine
                      E. Isoproterenol
                      F. Lidocaine
                      G. Procainamide
                      H. Bretylium
                      I. Calcium chloride
                      J. Adenosine, verapamil
                      K. Magnesium sulfate
                      L. Propronolol
                      M. Dopamine
                      N. Dobutamine
                      O. Nitroprusside
                      P. Furosemide
                    IX. Therapeutic Modalities and Patient Management
                        A. Stable and unstable supraventicular tachycardia
                        B. Stable and unstable venticular tachycardia
                        C. Bradycardia
                        D. Venticular fibrillation
                        E. Asystole and pulseless electrical activity
                      X. Mega Code
                          A. Venticular fibrillation
                          B. Pulseless venticular tachycardia
                          C. Asystole confrimed as venticular fibrillation
                          D. Semi-automatic defibillator
                          E. Transcutaneous pacing
                        XI. Special Resusitation Situations
                            A. Stroke
                            B. Traumatic cardiac arrest
                            C. Shock
                            D. Congestive heart failure
                            E. Near-drowing
                            F. Hypothermia
                          XII. Medical-Legal Aspects
                              A. Advanced directives
                              B. Do-not resuscitate orders
                              C. Discontinuation of life support measures
                              D. Concepts of skills validation
                            XIII. Evaluation
                                A. Written multiple choice final exam
                                B. Patient management final exam
                                C. Mega Code testing
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