Official Course Description: MCCCD Approval: 05/23/95
EMT103 19956-19962	LEC	2 Credit(s)	2 Period(s)
Refresher Course for Certified Emergency Medical Technicians
Designed to meet National and Arizona Department of Health Services (A-DHS) recertification for EMTs. Enhances the knowledge base of the Emergency Medical Technician (EMT) and reinforces basic skills competencies. Prerequisites: Current basic EMT certification or permission of department.

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MCCCD Official Course Competencies:
EMT103   19956-19962	Refresher Course for Certified Emergency Medical Technicians

1.	Describe the scope of the duties of the basic emergency medical technician. (I)
2.	Describe the medical/legal aspects of Basic Emergency Medical Technology. (I)
3.	Identify the components of quality improvement in EMT-Basic patient care. (I)
4.	Identify the initial, focused, and detailed patient assessments and vital sign findings that indicate emergency in any of the following categories: medical, environmental, traumatic, and surgical. (II)
5.	Identify and care for a patient in need of basic life support. (III)
6.	Demonstrate the use of the semi-automatic external defibrillator (SAED). (III)
7.	Use mechanical aids to breathing and circulation. (IV)
8.	Identify and treat a patient in shock. (V)
9.	Identify and treat injuries to the head, chest, abdomen, and genitalia. (VI)
10.	Demonstrate the procedures facilitating patient's prescribed medications. (VI, IX)
11.	Identify and treat soft tissue injuries. (VII)
12.	Stabilize and splint muscular skeletal injuries in the extremities. (VIII)
13.	Identify and treat injuries to the skull, brain, neck, and spine. (VIII)
14.	Identify and treat a patient with metabolic emergency. (IX)
15.	Identify and treat a patient with toxicological emergency. (X)
16.	Identify and treat patients with a communicable disease. (XI)
17.	Identify and treat gynecologic and obstetrical emergencies. (XII)
18.	Identify and treat pediatric emergencies. (XIII)
19.	Identify and treat patients with behavioral emergencies. (XIV)
20.	Identify and treat patients with environmental emergencies. (XV)
21.	Apply techniques used in lifting, moving, positioning, or extricating patients as to minimize discomfort and additional injury. (XVI)
22.	Identify and use equipment assigned to ambulance and rescue vehicles. (XVII)
23.	Triage and categorize patient care by priorities in a simulated disaster situation. (XVIII)
24.	Demonstrate a proper response to a simulated hazardous incident. (XIX)

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MCCCD Official Course Outline:
EMT103   19956-19962	Refresher Course for Certified Emergency Medical Technicians

I. Medical Legal Aspects A. Roles and responsibilities B. Rules and regulations C. Consents D. Negligence E. Quality improvement II. Patient Assessment A. Scene size-up B. Initial assessment C. Focused assessment D. Detailed physical examination III. Basic Life Support A. One- and two-person adult rescue B. One- and two-person pediatric rescue C. Infant rescue D. Adult obstructive maneuver E. Pediatric obstructive maneuver F. Infant obstructive maneuver G. Mechanical aids to breathing and circulation H. Semi-automatic external defibrillator (SAED) IV. Airway Management and Adjuncts A. Assessment B. Devices and techniques V. Shock A. Pathophysiology B. Devices and techniques VI. Review of Systems, Common Disorders, and Management, and Facilitation of Prescribed Medications A. Cardiovascular B. Respiratory C. Gastrointestinal D. Urinary E. Metabolic F. Reproductive G. Neurologic H. Musculoskeletal VII. Soft Tissue Injuries A. Wound management B. Control of bleeding C. Immobilization techniques VIII. Musculoskeletal Injuries A. Immobilization devices 1. Kendrick's Extrication Device (KED) 2. HAREŠ traction device 3. Long and short boards 4. C-spine immobilization devices B. Packaging for transportation IX. Metabolic Emergencies A. Insulin shock B. Diabetic ketoacidosis C. Facilitation of prescribed medications X. Toxic Emergencies A. Ingested, injected, absorbed B. Hazardous incidents C. Alcohol and drug use and abuse XI. Communicable Diseases A. Prevention to include immunization B. Protection to include devices XII. Gynecologic and Obstetrical Emergencies A. Maternal assessment B. Delivery techniques C. Care of the newborn D. Ectopic pregnancy E. Infectious diseases F. Rape and abuse XIII. Pediatric Emergencies A. Drowning B. Fall injuries C. Medical emergencies XIV. Behavioral Emergencies A. Senile dementia B. Chronic mental illness C. Paranoid behavior D. Suicidal behavior XV. Environmental Emergencies A. Heat B. Cold C. Drowning D. Mountain rescue XVI. Immobilization and Transportation A. Lifting, moving, and positioning patients B. Care during transportation XVII. Ambulance Operations A. Lifting and moving B. Stabilization C. Equipment XVII. Disaster A. Triage B. Incident Command XIX. Hazardous Incident A. Human resource B. Public safety C. Personal protection D. Communication skills

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