Course Offerings

This course is designed to provide the essential information on pre-hospital management techniques appropriate to the level of the Advanced EMT. Topics must meet current credentialing and/or regulatory guidelines for the Advanced EMT as outlined by the NC Office of EMS. Upon completion, students should be able to demonstrate competency at the Advanced EMT level.

Course Objectives

Apply fundamental knowledge of the EMS systems, safety/well-being of the Advanced EMT (AEMT), effective documentation, and medical/legal and ethical issues to the provision of emergency care.

Identify the importance of primary injury prevention activities as an effective way to reduce death, disabilities, and healthcare costs.

Integrate the principles of therapeutic communication to effectively communicate with any patient while providing care.

Use foundational anatomical and medical terms and abbreviations in written and oral communication with colleagues and other health care professionals.

Apply comprehensive knowledge of the pathophysiology of respiration & perfusion to patient assessment and management; understands the correlation between pathophysiology and disease processes

Understand the basic principles of pharmacology and be able to develop a drug profile for common emergency medications.

Describe the indications, equipment needed, techniques used, precautions, and general principles of administering medications and accessing the venous system.

Understand, discuss and demonstrate the complex knowledge of anatomy, physiology, and fundamental knowledge of pathophysiology into the assessment to develop and implement a treatment plan with the goal of assuring a patent airway, adequate mechanical ventilation, and respiration for patients of all ages.

Apply scene information and patient assessment findings to develop a treatment plan based on the primary survey/primary assessment, integration of treatment/procedures needed to preserve life, and evaluation of patient care and transport.

Apply fundamental knowledge of the causes, pathophysiology, and management of shock, respiratory failure or arrest, cardiac failure or arrest, and post resuscitation management.

Apply fundamental knowledge to provide basic and selected advanced emergency care and transportation based on assessment findings for an acutely ill or acutely injured patient.

Applies a fundamental knowledge of growth, development, and aging and assessment findings to provide basic and selected advanced emergency care and transportation for a patient with special needs.

Understand, demonstrate and discuss the knowledge of operations roles and responsibilities to ensure safe patient, public, and personnel safety.

Safely and effectively perform all psychomotor skills within the National EMS Scope of Practice Model AND state Scope of Practice.

Apply a process of decision making to use the assessment findings to help form a field impression.

Outline of instruction

Topic
EMS History
Scene Safety
Medical/Legal/Ethical Issues
Anatomy and Physiology Review
Medical/Legal/Ethical Case Analysis
Preparatory Jeopardy
Exam I: Preparatory
Pharmacology
Pharmacology Jeopardy
IV Access
Practical Exam I: Pharmacology Practical
Lab: IV Access
Review and Begin Airway (Anatomy, Physiology and Pathophysiology)
Lab: IV Access
Advanced Airway Techniques and Difficult Airway
Lab: IV Skills (continued)
Lab: Intraosseous Access
Lab: Intubation Practice
Acid-Base Disturbances and Medical Math
Medical Math
Acid Base Disturbances
Guest Lecturer: Melisa Martin
Airway Review
Lab: Intubation Practice and Advanced Airway Techniques
Lab: Low-Light/Limited-Space Intubation
Patient Assessment
Lab: Porcine Airway Lab and Heart/Lung Dissection
Airway Jeopardy
Cardiac & Respiratory Emergencies Begin ECG Recognition
Exam II: Airway
Practical Exam II: Intubation Marathon
Lab: Basic Rhythm Recognition
Endocrinology and Altered Mental Status
Neurology
The Atraumatic Abdomen
Renal/Urology
Hematology and Immunology
Infectious Disease
Behavioral Emergencies
Lab: Medical Scenarios
Shock, Burns, and Toxicology
Shock and Burns
Lab: Medical Scenarios
Comprehensive Review for Final Written and Practical Exams
Medical Jeopardy
Exam III: Diagnosing the Medical Patient
Lab: Comprehensive Review for Final Practical Exam
Practical Exam III: TSOP
Practical Exam III: TSOP retests
Final exam review
Comprehensive Final Exam

CEUs

30.7

Industry Standard, State or National Certification

Certification

North Carolina Office of EMS or National Registry AEMT credential

Website

www.ncems.org & www.nremt.org

Certification Learning Outcomes/Requirements

CE or CU Articulation

EMS 120 & 121

Prerequisites

Student must: (1) have an active and unencumbered EMT credential from the North Carolina Office of EMS; (2) a high-school diploma or high-school equivalency; (3) successful completion of college-level English, or within the previous 12 months complete a written assessment placing the individual into college-level English (placement by RISE without the use of a written assessment will not meet this requirement); (4) Successful completion of college-level Math, or within the previous 12 months complete a written assessment placing the individual into college-level Math (placement by RISE without the use of a written assessment will not meet this requirement); (5) a valid, unemcumbered, and non-provisional driver's license; and (6) achievement of clinical clearance after completing and submitting all required components.

Text and Supplies Needed

Required Text(s):
Sanders, MJ & McKenna, K. Sanders' Paramedic Textbook, 5th edition. Massachusetts. Jones and Bartlett Learning; 2019.
ISBN-13: 978-1284166095
Walls R, Murphy M. Manual of Emergency Airway Management. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Heath; 2012. ISBN-13: 978-1451144918

Recommended Text(s):
NAEMT. AMLS- Advanced Medical Life Support. [Place of publication not identified]: Jones & Bartlett Learning; 2011. ISBN: 9781284032772
Dubin, D. Rapid Interpretation of EKG's. Tampa, Florida; Cover Publishing; 2000. ISBN-13: 978-0912912066

Clinical Site/Special Facilities

Students must obtain clinical clearance just like curriculum EMS students. This process includes a criminal background check, urine drug screen, physical, and immunization records analysis through the purchase of a Castle Branch account.

Requirements for Successful Completion

90% attendance
Students must pass the course overall with a 78.00% or better (grades will only be rounded to the nearest hundredths place).,Students must pass all Technical Scope of Practice (TSOP) evaluations with a 78.00% or better (grades will only be rounded to the nearest hundredths place).,Students must complete all NCOEMS-mandated clinical requirements, including attending the required number of hours and obtaining the required number of skills.

Accreditation/Special Approval Requirements

N/A

Intended Audience

North Carolina or National Registry EMTs intending to increase their level of certification.

Specific Industry or Business Support Needs

Advanced EMT (AEMT)

Wake County Need for Industry Positions

Wake County EMS currently maintains a 22% annual employee turnover and needs 100 positions per year.

Industry or Job Titles Related to training Outcomes for Employment

Related Courses

Course Contact Information

Billy Langston
919-866-6085
[email protected]