Advanced EMT | Madison College Outline of Instruction

30-531-103Advanced EMT

Course Information

Description

This curriculum expands the role and skills of the Emergency Medical Technician (EMT). Skills will include obtaining intravenous and intraosseous access, intranasal, intramuscular and subcutaneous medication administration, and fluid therapy. Extensive patient assessment knowledge and skills and treatment decision making skills are integrated throughout the curriculum. Successful completion prepares the learner for the National Registry AEMT written examination.* This curriculum is designed to address all three sets of external standards listed above. Each competency or criterion that is identified with an asterisk is considered an advanced skill of the curriculum, based upon “optional” skills, equipment or medications from the Wisconsin AEMT Scope of Practice. For AEMT, these include the following medications – Ketorolac and Ondansetron.

Total Credits

Course Competencies

Analyze the Emergency Medical Services (EMS) System

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

explain the EMS Systems structure(s)

explain the role the National Highway Traffic Safety administration (NHTSA) plays in the system

explain Access to the Emergency Medical Services

detail the education required for AEMT licensing

analyze Authorization to Practice requirements

analyze systems of care

examine EMS history

differentiate between quality improvement and quality assurance in the EMS system

analyze the roles of medical oversight in the EMS system

explain culture of safety in the EMS system

analyze MIH/CP and specialty roles in the EMS system
Evaluate AEMT responsibilities

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

categorize AEMT professional roles

explain AEMT role responsibilities

explain evidence-based decision principles

examine importance of AEMT related critical thinking skills

analyze AEMT responsibilities related to public health

characterize professional AEMT behavior

explain AEMTs role in quality improvement

analyze the impact of research on emergency medical care

explain the AEMT scope of practice

analyze the emotional aspects of emergency care

explain the importance of AEMT physical wellness

explain the importance of AEMT psychological wellness

analyze safety precautions used while working on and near roadways

analyze disease transmission safety protocols

select appropriate PPE for a variety of responses

demonstrate correct use of chosen PPE

identify common immunizations

identify immunizations that should be obtained by the AEMT
Apply AEMT operational procedures

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

analyze field operations

analyze EMS response to terrorism

explain the importance of emergency vehicle maintenance

apply safe ambulance operation principles

apply pediatric transport protocols

explain crew resource management

perform triage for a mass casualty incident

adjust treatment for mass casualty incident(s)

explain the risks and responsibilities of transport

apply incident management techniques

apply kinds of decontamination procedures

meet FEMA IS-100 training requirements

meet FEMA ICS 700 training requirements

meet WI weapons of mass destruction training requirement

apply safety principles of patient care during transport

explain items of safe ground ambulance operations

explain safety considerations for air ambulance operations

analyze guidelines for use of air ambulance

apply safety considerations for vehicle extrication

perform simple patient extrication

provide patient care during extrication, if needed

ensure patient safety during patient extrication

use appropriate PPE during extrication
Apply AEMT legal requirements and ethical standards

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

explain legal aspect of AEMT scope of practice

characterize advance directives

explain the ethical issues related to starting and stopping resuscitation

explain legal aspects of consent for various populations

explain legal aspects of right of refusal requirements

identify other legal considerations for the EMS professions

apply confidentiality laws

explain mandatory reporting laws

explain the legal aspects of patient restraint

document minimum data set

complete pre-hospital care report

document patient refusal
Apply AEMT communication principles

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

apply therapeutic communication techniques

apply positive relationship building techniques

use interviewing techniques

apply verbal diffusing techniques

apply special situation interview techniques

identify communication technology components

use technology-specific communication techniques

apply accepted principles of documentation

identify medical word roots, prefixes and suffixes

define common medical abbreviations

interpret common medical symbols

use medical terms related to body structures

use medical terms related to body systems

apply Diversity Equity and Inclusion communication principles
Apply correct patient movement techniques

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

apply patient movement guidelines

distinguish between urgent and non-urgent patient movement techniques

use patient movement equipment safely

apply patient positioning guidelines

apply correct restraint techniques
Calculate drug dosages

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

calculate drip rates

calculate dosages

calculate amount of dosage based on concentration

calculate volume based bolus

convert measurements to metric measurements
Correlate pathophysiology with disease processes

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

analyze cell components

describe cellular injury

analyze the distribution of body fluids

explain cell transport mechanisms for maintaining homeostasis

analyze the acid-base balance within the body

analyze the pathogenesis of hypoperfusion

differentiate between the types of shock

differentiate the pathophysiology of different types of shock

analyze the cellular metabolism impairment that occurs as a result of hypoperfusion
Integrate body system function knowledge to AEMT practice

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

integrate knowledge of the Musculoskeletal system into AEMT practice

integrate knowledge of the Respiratory system into AEMT practice

integrate knowledge of the Circulatory system into AEMT practice

integrate knowledge of the Nervous system into AEMT practice

integrate knowledge of the Endocrine system into AEMT practice

integrate knowledge of the Reproductive system into AEMT practice

integrate knowledge of the Integumentary system into AEMT practice

integrate knowledge of the Digestive system into AEMT practice

integrate knowledge of the Lymphatic system into AEMT practice
Integrate human development stage knowledge into AEMT practice

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

integrate infant development knowledge into AEMT practice

integrate toddler development knowledge into AEMT practice

integrate pre-school aged child development knowledge into AEMT practice

integrate school-aged child development knowledge into AEMT practice

integrate adolescent development knowledge into AEMT practice

integrate early-adulthood development knowledge into AEMT practice

integrate middle adulthood development knowledge into practice

integrate late adulthood development knowledge into practice
Obtain vascular access via IV/IO

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

determine the need for IV access

select appropriate IV equipment

assemble IV equipment

use aseptic technique

establish a patent IV

determine the anatomical IV administration site

secure catheter

ensure patency

apply tourniquet for IV

determine the need for IO access

select appropriate IO equipment

assemble IO equipment

establish a patent IO

determine the anatomical IO administration site

troubleshoot access

secure IO device
Administer medications safely within the AEMT Scope of Practice

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

administer medications associated within the AEMT scope of practice safely

apply safe blood draw techniques

apply a pharmacological management plan

comply with contaminated items and sharps disposal guidelines

document rights of drug administration

apply universal precautions during medication delivery

apply medication cross-check safety principles

use resources for safe administration of weight-based dosing
Analyze principles of pharmacology as it relates to the Advanced EMT

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

analyze drug schedules

analyze medications schedules for the drugs administered under the AEMT scope of practice

explain the elements of the medication profile

analyze specific medication profiles within the AEMT scope of practice

apply vocabulary pharmacology related to AEMT scope of practice

explain requirements for storing medications

explain regulations for securing controlled substances

analyze the process of pharmacokinetics

analyze the process of pharmacodynamics

analyze chronic or maintenance medications commonly prescribed to patients
Integrate airway anatomy knowledge into AEMT practice

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

integrate patency of the airway knowledge into AEMT practice

integrate knowledge of respiratory compromise into AEMT practice

integrate knowledge of age-related variations in pediatric patients into AEMT practice

integrate knowledge of adequate/inadequate airway signs and symptoms into AEMT practice

integrate knowledge of swelling due to trauma or infection into AEMT practice

integrate knowledge of the anatomical structures of the airway into AEMT practice
Apply knowledge of the anatomy of the airway to respiration assessment

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

determine causes for inadequate respiration

determine tidal volume

interpret the results of a Co2 monitoring device

determine when to intervene based on tidal volume

assess alveolar ventilation in terms of tidal volume

assess alveolar ventilation in terms of dead space

assess alveolar ventilation in terms of vital capacity

assess alveolar ventilation in terms of minute volume

assess alveolar ventilation in terms of residual volume
Apply airway management techniques within the scope of AEMT practice

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

demonstrate relief of FBAO through visualization

apply positive pressure ventilation

apply non-invasive positive pressure ventilation through use of CPAP

apply non-invasive positive pressure ventilation through use of BiPAP

analyze oxygen concentration for oxygen delivery devices for all life-span categories

explain reasons for interruption of ventilation

explain the physiology and pathophysiology of ventilation

demonstrate techniques of a tracheobronchial suctioning

demonstrate techniques of upper airway suctioning

explain anatomy as it relates to use of non-visualized airway

identify components of non-visualized airways

outline indications and contraindications for use of non-visualized airways

demonstrate insertion and use of non-visualized airways

demonstrate the removal of a non-visualized airway

identify gastric distention

demonstrate gastric decompression

demonstrate head tilt/chin lift method

demonstrate modified jaw thrust method

determine the need for either nasopharyngeal or oropharyngeal airway devices

demonstrate the use of nasopharyngeal or oropharyngeal airway devices

demonstrate safe oxygen cylinder handling

explain oxygen safety considerations

use an oxygen cylinder

demonstrate the ventilation of a patient

demonstrate use of oxygen delivery devices
Apply patient assessment procedures within scope of AEMT practice

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

manage common scene hazards

obtain pertinent SAMPLE history

assess history of the present complaint using OPQRST questions

apply clarifying history questions, if needed

identify chief complaint

determine if critical life-saving interventions are needed

apply components of a primary assessment/survey

perform a primary assessment

determine if age-related assessment considerations apply

modify assessment based on patient age

obtain vital signs

perform reassessment

perform secondary assessment

identify pertinent negatives

identify pertinent positives

determine the type of assessment needed

assess body systems for need to apply treatment as indicated by the chief complaint

monitor pulse oximeter

take non-invasive blood pressure

monitor blood glucose

apply end tidal (etc02) Co2 monitoring equipment if used for a non-visualized or advanced airway

apply guidelines for field triage

make patient transport decisions
Manage medical care within scope of AEMT practice

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

administer appropriate medications within the current AEMT scope of practice

manage age-appropriate treatment(s) within the AEMT scope of practice given the availability of pharmacological interventions

manage any altered mental status within the AEMT scope of practice given the availability of pharmacological interventions

manage Abdominal and Gastrointestinal emergencies within the AEMT scope of practice given the availability of pharmacological interventions

manage infectious disease emergencies within the AEMT scope of practice given the availability of pharmacological interventions

manage endocrine disorder emergencies within the AEMT scope of practice given the availability of pharmacological interventions

manage psychiatric disorder emergencies within the AEMT scope of practice given the availability of pharmacological interventions

manage cardiovascular emergencies within the AEMT scope of practice given the availability of pharmacological interventions

manage address toxicological emergencies within the AEMT scope of practice given the availability of pharmacological interventions

manage respiratory emergencies within the AEMT scope of practice given the availability of pharmacological interventions

manage Immunology Emergencies within the AEMT scope of practice given the availability of pharmacological interventions

manage Non-Traumatic Musculoskeletal emergencies within the AEMT scope of practice given the availability of pharmacological interventions

manage emergencies related to Eyes, Ears, Nose, and Throat within the AEMT scope of practice given the availability of pharmacological interventions

implement a treatment plan for managing medical emergencies given the availability of pharmacological interventions
Manage fundamental trauma care within the AEMT scope of practice

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

implement a treatment plan for managing trauma Emergencies given the availability of pharmacological interventions

modify assessment as needed for trauma patient(s)

manage age-appropriate treatment for trauma patient(s) within the AEMT scope of practice given the availability of pharmacological interventions

manage bleeding within the AEMT scope of practice given the availability of pharmacological interventions

manage chest trauma within the AEMT scope of practice given the availability of pharmacological interventions

manage Abdominal and Genitourinary Trauma within the AEMT scope of practice given the availability of pharmacological interventions

manage Orthopedic Trauma within the AEMT scope of practice given the availability of pharmacological interventions

manage Soft Tissue Trauma within the AEMT scope of practice given the availability of pharmacological interventions

manage Head, Facial, Neck and Spine Trauma within the EMT scope of practice given the availability of pharmacological interventions

manage Special Considerations in Trauma within the AEMT scope of practice given the availability of pharmacological interventions

manage Environmental Emergencies within the AEMT scope of practice given the availability of pharmacological interventions

manage Multi-System Trauma within the AEMT scope of practice given the availability of pharmacological interventions

manage burn trauma given the availability of pharmacological interventions

apply the spinal stabilization assessment to determine if stabilization is needed

analyze kinematics of trauma

apply principles of the Golden Period/Hour

calculate a revised trauma score

calculate a score using the Glasgow coma scale
Address Special Considerations in Patient Treatment within the scope of AEMT practice

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

modify assessments for patient with physical limitations

modify assessments for patients with cognitive limitation

modify assessment for patients with special challenges

modify treatment for patients with special challenges

modify assessment for pregnant patients in a traumatic event

identify home healthcare equipment that informs of patient status and care

manage gynecological emergencies within the scope of AEMT practice given the availability of pharmacological interventions

manage obstetric emergencies within the scope of AEMT scope of practice given the availability of pharmacological interventions

differentiate between normal and complex labor and delivery

manage normal labor and delivery given the availability of pharmacological interventions

manage complex labor and delivery within the scope of AEMT practice given the availability of pharmacological interventions

manage newborn emergencies within the scope of AEMT practice given the availability of pharmacological interventions
Address shock within the scope of AEMT practice

Assessment Strategies

Oral, Written, Graphic and/or Skill Assessment

Criteria

assess the need for fluid resuscitation

assess the need for fluid restriction

obtain vascular access

monitor response to fluid resuscitation

monitor response for fluid restriction