Emergency Medical Technology - EMT 230

Course Description

This course provides the information and experience to prepare the student for the National Registry Examination. In addition, the EMT 230 course is designed to give students extensive practical application along with the knowledge and skills acquired in EMT 210 and 220. This course includes advanced practice with a focus on patient assessment and traumatic emergencies in addition to EMS operations. Content will be presented in the form of lectures and practical skills, which are practiced in a laboratory/simulation setting, along with observations and hands on experience in the clinical environment. This course has been approved by the State of Michigan, Department of Health and Human Services Bureau of EMS, Trauma and Preparedness. The program follows both the State of Michigan and the National EMS Education standards for the Paramedic level. Upon successful completion of all three semesters of the Paramedic Program and the Field Internship, the student will be eligible to take the National Registry cognitive and psychomotor examinations. When the candidate successfully passes both the cognitive and the psychomotor exams, the candidate will be eligible for State licensing.

Prerequisites

(A requirement that must be completed before taking this course.)

Course Competencies

Upon successful completion of the course, the student should be able to:

• Integrate the principles of kinematics to enhance the patient assessment and predict the likelihood of injuries based on the patient's mechanism of injury.
• Illustrate the pathophysiology of the head, spine, thorax and abdomen that result from the above forces.
• Explain the role of kinematics as an additional tool for patient assessment.
• Integrate pathophysiological principles and assessment findings to formulate a field impression of a patient with shock or hemorrhage.
• Implement the treatment plan for a patient with shock or hemorrhage.
• Predict shock and hemorrhage based on mechanism of injury.
• Demonstrate the assessment of a patient with signs and symptoms of hemorrhagic shock.
• Demonstrate the management of a patient with signs and symptoms of hemorrhagic shock.
• Demonstrate the management of a patient with signs and symptoms of compensated, decompensated and irreversible shock.
• Demonstrate the management of a patient with signs and symptoms of external and internal hemorrhage.
• Integrate pathophysiological principles and the assessment findings to formulate a field impression of the patient with soft tissue trauma.
• Implement the treatment plan for the patient with soft tissue trauma.
• Demonstrate the assessment and management of a patient with signs and symptoms of soft tissue injury.
• Integrate pathophysiological principles and the assessment findings to formulate a field impression for a patient with a burn injury.
• Implement the management plan for the patient with a burn injury.
• Perform management of thermal, chemical, electrical, and radiological burns including airway and ventilation, circulation, pharmacological, non-pharmacological, transport considerations, psychological support/ communication strategies and other management described by local protocol.
• Integrate pathophysiological principles and the assessment findings to formulate a field impression for the trauma patient with a suspected head injury.
• Implement a treatment plan for the trauma patient with a suspected head injury.
• Differentiate between the types of head/ brain injuries based on the assessment and history.
• Formulate a field impression for a patient with a head/ brain injury based on the assessment findings and field impression.
• Integrate pathophysiological principles and the assessment findings to formulate a field impression for the patient with a suspected spinal injury.
• Implement a treatment plan for the patient with a suspected spinal injury.
• Demonstrate a clinical assessment to determine the proper management modality for a patient with a suspected traumatic spinal injury.
• Demonstrate a clinical assessment to determine the proper management modality for a patient with a suspected non-traumatic spinal injury.
• Demonstrate immobilization of the urgent and non-urgent patient with assessment findings of spinal injury from the following presentations, supine, prone, semi-prone, sitting and standing.
• Demonstrate preferred methods for stabilization of a helmet from a potentially spine injured patient.
• Integrate pathophysiological principles and the assessment findings to formulate a field impression for a patient with a thoracic injury.
• Implement a treatment plan for a patient with a thoracic injury.
• Demonstrate the following techniques of management for thoracic injuries: needle, decompression, fracture stabilization, elective intubation, ECG monitoring and oxygenation and ventilation.
• Integrate pathophysiologic principles and the assessment findings to formulate a field impression for the patient with suspected abdominal trauma.
• Implement the treatment plan for the patient with suspected abdominal trauma.
• Demonstrate a clinical assessment to determine the proper treatment plan for a patient with suspected abdominal trauma.
• Demonstrate the proper use of PASG in a patient with suspected abdominal or pelvic trauma.
• Integrate pathophysiological principles and the assessment findings to formulate a field impression for the patient with a musculoskeletal injury.
• Implement the treatment plan for the patient with a musculoskeletal injury.
• Demonstrate a clinical assessment to determine the proper treatment plan for a patient with a suspected musculoskeletal injury.
• Demonstrate the proper use of fixation, soft and traction splints for a patient with a suspected fracture.
• Integrate the pathophysiological principles and the assessment findings to formulate a field impression for the acute deterioration of a chronic care patient.
• Implement a treatment plan for the acute deterioration of a chronic care patient.
• Integrate the principles of assessment-based management to perform an appropriate assessment for patients with common complaints.
• Implement the management plan for patients with common complaints.
• Understand standards and guidelines that help ensure safe and effective ground and air medical transport.
• Integrate the principles of general incident management and multiple casualty incident (MCI) management techniques in order to function effectively at major incidents.
• Integrate the principles of rescue awareness and operations, to safely rescue a patient from water, hazardous atmospheres, trenches, highways and hazardous terrain.
• Evaluate hazardous materials emergencies, call for appropriate resources and work in the cold zone.
• Demonstrate an awareness of the human hazard of crime and violence and the safe operation at crime scenes and other emergencies.

Course Schedule