STANDARD COMPETENCIES:

 

 1. Identify the anatomy and physiology of reproduction and the changes that occur in normal pregnancy, labor, and delivery.

 2. Discuss common pregnancy and delivery complications.

 3. Demonstrate the steps to assist in the delivery and care of a newborn.

 4. Discuss the EMT’s role in the prevention of infant and childhood morbidity and mortality from acute illness and injury.

 5. Identify key growth and developmental characteristics of infants and children and their implications in emergency care.

 6. Demonstrate the assessment and management of common pediatric ailments.

 7. Discuss the psychosocial aspects of aging.

 8. Recognize the changes in the different body systems that occur over time.

 9. Explain the modifications necessary when assessing a geriatric patient.

 10. Identify patients at risk for abuse and neglect.

 11. Discuss the legal aspects and reporting requirements for patients with possible abuse or neglect.

 12. Describe the accommodations that may be needed to manage an extremely obese patient.

 13. Describe the modifications that may be needed in the assessment and treatment of technology dependent patients.

 14. List the stages of the grief process and discuss how they relate to the care of a terminally ill patient.

 15. Identify risks and responsibilities of safely operating a ground ambulance.

 16. Identify the role the EMT plays in relationship to incident command, mass casualty incidents, vehicle extrication, aeromedical support, hazardous materials, and terrorism disaster.

 17. Perform triage in a mass casualty incident.

 18. Demonstrate how to properly extricate a simulated patient from various types of vehicles and various positions within vehicles.

 19. Establish a safe landing zone for aeromedical support.

 20. Discuss the importance of appropriate personal protective equipment when responding to a potentially hazardous scene.

 TOPICAL OUTLINE:

 

 I. Obstetrics

 a. Anatomy and physiology or pregnancy

 b. Pathophysiology of complications of pregnancy

 c. Assessment of the pregnant patient

 d. Management of normal delivery

 e. Delivery complications

 f. Third trimester bleeding

 g. Spontaneous abortion/miscarriage

 h. Ectopic pregnancy

 i. Pre-eclampsia and eclampsia

 j. Neonatal care and resuscitation

 II. Pediatrics

 a. Incidence and prevention of illness and injuries in children

 b. Growth and development

 c. Age related modifications in pediatric assessment

 d. Anatomic differences between children and adults

 e. Upper airway obstruction

 f. Lower airway reactive disease

 g. Respiratory distress, failure, and arrest

 h. Shock

 i. Seizures

 j. Sudden infant death syndrome

 k. Gastrointestinal disease

 l. Pediatric trauma

 III. Geriatrics

 a. Population demographics and the increase in the elderly population

 b. Psychosocial aspects of aging

 c. Age related modifications in geriatric assessment

 d. Cardiovascular changes

 e. Respiratory system changes

 f. Neurological changes

 g. Gastrointestinal changes

 h. Endocrine changes

 i. Alzheimer’s disease and dementia

 IV. Patients with Special Challenges

 a. Abuse and neglect

 b. Homelessness and poverty

 c. Bariatric patients

 d. Technology assisted/dependent

 e. Hospice care and terminally ill patients

 f. Tracheostomy care

 g. Sensory deficit

 h. Homecare

 i. Patients with developmental disabilities

 V. Ground Ambulance Operations

 a. Risk and responsibilities of emergencies responses

 b. Emergency vehicle driving

 VI. Incident Management

 a. Incident management system

 b. Resource management

 VII. Multiple casualty incidents

 a. Triage

 b. Re-triage

 c. Destination decisions

 d. Post traumatic and cumulative stress

 VIII. Air Medical Operations

 a. Safety

 b. Criteria for use

 c. Patient transfer

 d. Landing zones

 e. Activation

 IX. Vehicle Extrication

 a. Role of EMS in extrications

 b. Personal and patient safety

 X. Hazardous Materials Awareness

 a. Roles of EMS

 b. Risks and responsibilities

 c. Personal and patient safety

 d. Emergency response guides

 XI. Terrorism and disaster

 a. Roles of EMS

 b. Risks and responsibilities

 c. Personal and patient safety