Maricopa Community Colleges  EMT116   19986-20005 
Official Course Description: MCCCD Approval: 02/24/98
EMT116 19986-20005 L+L 1.50 Credit(s) 1.80 Period(s)
Emergency Medical Communications
Designed to educate and train individuals as the emergency link among the community, health care providers, and law enforcement agencies. Comprehensive program to educate and train in procedures of communications, interrogation, assessment, and deployment. Includes interactive computer lab and scheduled observation with assignment at a dispatch center. Prerequisites or Corequisites: EMT101, or HLR101, or any current American Red Cross, or American Heart Association Basic Life Support health care provider validation.
Cross-References: FSC116
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MCCCD Official Course Competencies:
 
EMT116   19986-20005 Emergency Medical Communications
1. Identify the components of the emergency medical system (EMS). (I)
2. Describe the rules, regulations, and medical/legal aspects of emergency medical dispatch and deployment (EMD/D). (II)
3. Describe the evolution of EMS and future trends. (III)
4. Explain the terms "priority medical dispatch," "resource allocation," "response standards system," and "no system." (III)
5. Describe the categorization of hospitals. (III)
6. List and describe the equipment used in dispatch and deployment. (IV)
7. Identify the skills necessary to be an effective emergency dispatcher. (IV)
8. Identify hysteria-controlling techniques. (IV)
9. Interview and interrogate a caller in any crisis situation. (IV)
10. Use appropriate medical terminology and abbreviations in communications and documentation. (IV)
11. Explain the term "information mask." (IV, VIII)
12. Identify the common misconceptions regarding emergency communications. (IV)
13. Identify the components of initial information asked of any caller. (IV)
14. Describe the critical need for consistency in interrogation techniques. (IV)
15. Identify the components of the EMD flipcharts and information cards. (IV)
16. Identify the components of first and second priority information asked of any caller. (IV)
17. Describe the terms "first-party caller," "second-party caller," "third-party caller." (IV)
18. Identify significant findings that indicate an emergency in any of the following categories: EMS, environmental, law enforcement, and fire. (IV)
19. Prioritize emergencies based on severity. (IV)
20. Provide pre-arrival instructions appropriate for the situation to both the caller and the responders. (IV)
21. Deploy the appropriate EMS, law enforcement, and/or fire service appropriate resources to the scene. (IV)
22. Perform all levels of basic life support according to the standards and guidelines of the American Heart Association Health Care provider status. (V)
23. List common airway adjuncts used out-of-hospital, at home, and with response providers. (VI)
24. Identify common equipment used in EMS, fire, and law enforcement response. (VII)
25. Given a disease profile, describe the signs, symptoms, and related chief complaint. (VIII)
26. Given a chief complaint, list the interrogatory questions relative to the suspected disease profile or problem. (VIII)
27. Give pre-arrival instructions to a caller in need of direction for basic life support, injuries, illness, and community-assisted defibrillation until first responders' arrival. (VIII)
28. Given a case scenario, identify the environmental emergency, provide persuasive direction, dispatch and deploy the appropriate response team. (IX, XV)
29. Triage, categorize, and prioritize in a multiple casualty incident. (X)
30. Triage, categorize, and prioritize in a hazardous material incident. (XI)
31. Identify the scope of responsibility and roles of various law enforcement agencies. (XII)
32. Describe quality assurance procedures unique to EMD/D. (XIII)
33. Describe the role of EMD/D in research. (XIV)
34. Given a simulated multi-casualty or natural disaster, interrogate, evaluate, respond, and deploy. (XV)
35. Given a simulated emergency call, interrogate, evaluate, respond, and deploy. (XV)
36. Successfully complete random emergency situation scenarios with 100% accuracy. (XV)
37. Successfully complete ten hours of assignments during observation in a dispatch center. (XVI)
38. Successfully complete written examination with 86% accuracy. (XVII)
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MCCCD Official Course Outline:
 
EMT116   19986-20005 Emergency Medical Communications
    I. Emergency Medical System (EMS)
        A. Roles and responsibilities
          1. Specific to dispatch protocol
          2. Agency specific
        B. Requirement and need for emergency resource
        C. Pre-arrival and post-dispatch instructions to the caller
        D. Appropriate resources
        E. Coordinate response of EMS and other public safety resources
        F. Emergency response records
          1. Record
          2. Retrieve
      II. Medical/Legal Aspects
          A. Rules and regulations
            1. Confidentiality
            2. Consistency
          B. Agency rules and regulations
            1. Fire service
            2. Law enforcement
            3. Federal Communications Commission (FCC)
            4. Office of Emergency Management (mass disaster)
            5. Ambulance
            6. Air
        III. Priority Medical Dispatch
            A. Evolution and trends
            B. Levels of certification
              1. Dispatch life support (DLS)
                a. "0" time lapse
                b. Consequence of delay
              2. First responder
              3. BLS (basic life support) responders; certified basic EMT (emergency medical technician)
              4. ALS (advanced life support) responders
                a. Certified intermediate EMT
                b. Certified paramedic (advanced EMT)
                c. Licensed nurse, physician, physician's assistant, pre- hospital nurse (ground and flight)
              5. Resources
                a. Allocation
                b. Response standards system
                c. No system
              6. Transportation
                a. ALS (advanced life support)
                b. BLS (basic life support)
                c. Personal
                d. Third party
            C. Hospitals
              1. Community hospitals
              2. Trauma categorization
              3. Burns categorization
              4. Pediatric
              5. Behavioral
              6. HMO (health maintenance organization)
              7. Urgent care
              8. Other
          IV. Skills
              A. Equipment
                1. Radio
                2. Phone
                3. Computer-aided dispatch
                4. Mobile digital transmitter
              B. Interview techniques
                1. Call taking
                2. Radio communications procedures
                3. Interrogation and response techniques
                  a. Consistency
                  b. Persistence
                4. Information mask
                5. Persuasive conversation
                6. Hysteria-controlling techniques
                7. The angry caller
                8. Hearing and visual impaired callers
                9. Language barriers
                10. Citizen complaint
                11. Common misconceptions
              C. Attitude
                1. Customer service
                2. Objective
                3. Non-judgmental
                4. Here-to-serve
                5. Dealing with presumption and prejudice
                6. Real-life perspectives
                7. Self evaluation
                8. Stress management
              D. Medical terminology
              E. Common abbreviations
              F. Components of initial information
                1. EMD/D flipcharts
                2. EMD/D cards
                3. Computer protocols
                4. First-, second-, and third-party callers
                5. Components of second priority information
              G. Pre-arrival instructions
                1. Calm and reasonable approach
                2. EMD/D four commandments
                  a. Status of level of consciousness
                  b. Status of airway/breathing
                  c. Chief complaint
                  d. Age of patient
                3. Communicate directions in safe and calm manner
                4. Repetitive persuasion
              H. Dispatch instructions
              I. Post-dispatch instructions
            V. Basic Life Support (CPR)
                A. One- and two-person adult rescue
                B. One- and two-person pediatric rescue
                C. Infant rescue
                D. Adult obstructive airway maneuver
                E. Pediatric obstructive airway maneuver
                F. Infant obstructive airway maneuver
                G. Mechanical aids to breathing
              VI. Airway Management
                  A. Assessment
                  B. Adjuncts
                VII. Provider Response Equipment
                    A. Levels of EMS response
                    B. Extrication and stabilization
                    C. Fire suppression equipment
                    D. Law enforcement
                    E. Special teams
                      1. HAZMAT
                      2. Mountain rescue
                      3. High-angle rescue
                      4. Trench rescue
                      5. River rescue
                      6. Confined space
                      7. Elite teams
                      8. Law enforcement
                      9. Dive teams
                      10. Other
                  VIII. Review of Systems, Common Disorders, and Management
                      A. Initial assessment
                        1. Information mask
                        2. Address
                        3. Phone number
                        4. Status of level of consciousness
                        5. Status of airway/breathing
                        6. Chief complaint
                        7. Age of the patient
                        8. Circulation/bleeding
                      B. Basic shock (hypoperfusion) cycle
                      C. Cardiovascular
                        1. Chest pain
                          a. OPQRST (onset, provocation, quality, radiation, severity, time)
                          b. Differential questioning
                          c. Related medications
                        2. Chest pain
                        3. Stroke
                        4. Bleeding
                        5. Community-aided defibrillation
                      D. Directions in basic life support techniques
                      E. Respiratory
                        1. No breathing
                        2. Difficulty in breathing
                        3. Choking
                        4. Obstruction
                        5. Chronic problems
                        6. Acute problems
                        7. Related medications
                      F. Gastrointestinal
                        1. Chronic problems
                        2. Acute problems
                        3. Bleeding
                        4. Ingestion injuries
                        5. Abdominal pain
                          a. Aneurysms
                          b. Blunt injury
                          c. Penetrating injury
                        6. Related medications
                      G. Renal
                        1. Inability to urinate
                        2. Bloody urine
                        3. Pain
                        4. Dialysis
                        5. Related medications
                      H. Metabolic
                        1. Fever of undetermined origin
                        2. Diabetes
                          a. Insulin
                          b. Last meal
                          c. Related medications
                      I. Reproductive
                        1. Imminent birth
                        2. Multiple births
                        3. Miscarriage
                        4. Bleeding
                      J. Neurologic
                        1. Trauma
                        2. Stroke
                        3. Tumors
                        4. Paralysis (loss of movement)
                        5. Weakness
                        6. Seizures
                          a. Medications
                          b. Compliance
                          c. Protecting the patient
                      K. Musculoskeletal
                        1. Deformities
                        2. Dislocations
                        3. Obvious fracture
                        4. Immobilization techniques
                      L. Hematologic
                        1. Delayed transfusion reaction
                        2. Post donor response
                      M. Behavioral
                        1. Hysteria
                        2. Violence
                        3. Suspected overdose
                        4. Suspected intoxication
                        5. Withdrawal
                        6. Threats to self and others
                        7. Suicidal
                        8. Depression
                        9. Related medications regimens
                        10. Death
                          a. Dying
                          b. Hospice
                          c. Sudden infant death (SID)
                          d. Living will
                          e. Do-not-resuscitate (DNR)
                          f. Pre-hospital advanced directives
                          g. Victim assistance
                          h. Termination of resuscitation
                        ll. Alcohol and drug use/abuse
                      N. Soft tissue injuries
                        1. Wound management
                        2. Control of bleeding
                        3. Body substance isolation
                      O. Toxic emergencies
                        1. Poison Control Center
                        2. Ingested, inhaled, injected, absorbed
                        3. Hazardous incidents
                      P. Communicable diseases
                        1. Body substance isolation
                        2. Fever
                        3. HIV/AIDS
                        4. Contagious diseases a Childhood diseases
                          b. Tuberculosis
                          c. Hepatitis
                          d. Other
                      Q. Pediatric emergencies
                        1. Drowning
                        2. Fall injuries and trauma
                        3. Suspected abuse
                        4. Medical emergencies
                        5. Congenital diseases
                        6. Developmental
                        7. "Latch-key"
                        8. Sudden infant death (SID)
                      R. Geriatric emergencies
                        1. Common mechanisms of injury
                        2. Suspected elder abuse
                        3. Related medications
                    IX. Environmental Emergencies
                        A. Heat
                        B. Cold
                        C. Altitude
                      X. Multiple Casualty
                          A. Concept of incident command
                          B. Natural and human disaster
                          C. Triage, categorize, and prioritize
                        XI. Hazardous Materials Incident Response
                            A. Recognition
                            B. Resources
                            C. Triage, categorize, and prioritize
                          XII. Law Enforcement
                              A. Scope of responsibility
                                1. Police
                                2. Sheriff
                                  a. Sworn deputies
                                  b. Posse
                                3. Rangers
                                4. Federal marshall
                                5. Federal agents
                                6. Secret service
                                7. Indian nations
                              B. Crime in progress
                              C. Suspicious incident
                              D. Suspicious persons
                              E. Burglary
                              F. Robbery
                              G. Theft
                              H. Homicide
                            XIII. Quality Assurance
                                A. Self-evaluation
                                B. Review and response
                              XIV. Research
                                  A. Data collections
                                  B. Demographics
                                  C. Prevention
                                XV. Simulations
                                    A. Computer-assisted supervised learning and evaluation
                                      1. Interrogate
                                      2. Evaluate
                                      3. Respond and deploy
                                    B. Medical emergencies
                                      1. Interrogate
                                      2. Evaluate
                                      3. Respond and deploy
                                    C. Multiple incident
                                      1. Interrogate
                                      2. Evaluate
                                      3. Respond and deploy
                                    D. Disaster
                                      1. Interrogate
                                      2. Respond
                                      3. Deploy
                                    E. Scenario examinations
                                  XVI. Dispatch Center Assignments (Observation Only)
                                      A. Call taking
                                      B. Interrogation
                                      C. Pre-arrival instructions
                                      D. Dispatch
                                      E. Evaluation
                                    XVII. Written examination
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