Official Course Description: MCCCD Approval: 02/24/98
EMT274 19962-19985	L+L	3.50 Credit(s)	3.70 Period(s)
Paramedic Refresher Course
Designed to meet requirements for EMT-Advanced 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) Office of Emergency Medical Services (O-EMS). Provides updated knowledge and skills related to hypoperfusion states, respiratory arrest or insufficiency, seizure states, cardiovascular emergencies, unconscious states of undetermined etiology, head injury with altered levels of consciousness, and chest trauma. Prerequisites: EMT272 or current EMT-Advanced certification in the state of Arizona and (current American Heart Association Basic Life Support Health Care Provider validation).

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MCCCD Official Course Competencies:
EMT274   19962-19985	Paramedic Refresher Course

1.	Describe the scope of the duties of the advanced emergency medical technician (NREMT-P). (I)
2.	Identify the initial, focused, and continuing processes of assessment, medical history and vital signs, communications and documentations. (II)
3.	Apply the procedures of identifying and treating hypoperfusion states including intravenous, intraosseous and central line (IV) fluid therapy and use of the Pneumatic Anti- Shock Garment (PASG) suit. (III)
4.	Describe the actions, indications, contraindications, precautions, side effects, and dosages of the drugs included in the current Arizona Department of Health Services approved paramedic drug box. (IV)
5.	Identify and treat emergencies related to each of the body systems. (V)
6.	Identify and treat medical emergencies to include diabetic environmental, toxicological, abdominal, and genitourinary emergencies. (VI)
7.	Identify and treat gynecologic and obstetrical emergencies. (VII)
8.	Identify and treat neonatal and pediatric emergencies according to the American Heart Association Neonatal and Pediatric Advanced Life Support guidelines. (VIII)
9.	Identify and treat gerontologic and behavioral emergencies according to the standing orders and protocols. (IX, X)
10.	Identify and respond to behavioral emergencies, preserving personal safety and well being. (X)
11.	Identify and treat respiratory and cardiac emergencies according to the American Heart Association Advanced Cardiac Life Support guidelines. (XI)
12.	Identify signs and symptoms of patients with a communicable disease and list the appropriate body substance isolation procedures. (XII)
13.	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 DOT EMT Advanced curriculum and the NREMT Guidelines. (XIII)
14.	Triage and categorize patient care by priorities in a simulated disaster situation. (XIV)
15.	Demonstrate 85 percent proficiency on a written examination and 95 percent accuracy of practical skills in selected EMS scenarios. (XV)

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MCCCD Official Course Outline:
EMT274   19962-19985	Paramedic Refresher Course

I. Advanced Emergency Medical Technician A. Roles and responsibilities B. Rules and regulations C. Consents D. Negligence E. Professional issues concerning the health care professional F. Grief support G. Patient advocacy II. Human Systems and Patient Assessment A. Human systems B. Initial, focused, and ongoing assessment C. Vital signs D. History and interviewing E. Documentation III. Hypoperfusion States A. Shock B. Blood and its components C. Disorders of hydration D. Devices and techniques E. Communications and documentation IV. General Pharmacology A. Updated drug information B. Action of drugs C. Techniques of administration V. Illness, Injury and the Body's Systems A. Respiratory B. Cardiovascular C. Central nervous system D. Soft tissue emergencies E. Musculoskeletal emergencies F. Techniques of management G. Communications and documentation VI. Medical Emergencies A. Diabetic emergencies B. Anaphylactic reactions C. Exposure to environmental extremes D. Alcoholism and drug abuse E. Poisoning and overdose F. Acute abdominal emergencies G. Genitourinary emergencies H. Medical emergencies in the geriatric patient I. Aquatic emergencies J. Toxicologic emergencies K. Techniques of management L. Communications and documentation VII. 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 VIII. Neonatal and Pediatric Emergencies A. Approach to the pediatric patient B. Related pathologies C. Techniques of management D. Communications and documentation IX. Gerontologic A. The aging process B. Illness and injuries common in the aging patient X. Behavioral Emergencies A. Behavioral disorders B. Violent patients C. Response in crises XI. Respiratory and Cardiac Emergencies A. Approach to the patient with respiratory compromise B. Approach to the patient with myocardial compromise C Basic electrocardiographic (EKG) rhythm analysis D. Techniques of management E. Pronouncing death at the scene F. Communications and documentation XII. Communicable Diseases A. Current concepts regarding personal immunization B. Current procedures for personal protection to include devices XIII. Multi-System Trauma A. Head B. Spine C. Chest D. Abdominal E. Pelvic F. Extremity G. Soft tissue H. Adult, pediatric, obstetric, and geriatric victims XIV. Disaster A. Triage B. Incident command XV. Evaluation A. Written examination B. Skills evaluation

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