EMT 111 - EMT-Intermediate Concepts and Practice 1

4 credit hours - 45 hours of lecture, 15 hours of college laboratory; one term.
Learn the principles of advanced airway management and ECG interpretation. Students are expected to practice selected procedures on each other during college lab. Lab fee $100.

Prerequisite(s): (1) EMT 106 Human Systems for the EMT-Intermediate ; (2) EMT 105 ; (3) EMT-B certified for one year with a minimum of 100 documented ambulance calls, or less than one year and 150 documented ambulance calls; (4) three letters of recommendation; (5) eligibility for ENG 101 /ENG 101A ; and (6) permission of the department chair.

Corequisite(s): EMT 110

Course Outcomes:

Unit I.—General pharmacology - Apply the basic principle of pharmacology
- Identify the four main sources of drugs
- Identify the chemical, generic, and trade drug names
- Discuss the legislation related to controlled substances
- Discuss the legal and ethical complications for drug administration
- Describe the mechanisms of drug actions
- Describe effects of drugs from therapeutic to adverse
- Identify appropriate methods for securing and storage of emergency drugs
- Describe drug administration routes and speed of effect
- Describe protocols for subcutaneous, intramuscular, intravenous, rectal, and sublingual drug administration procedures
- Describe the EMT-Intermediate’s responsibilities and scope of management pertinent to the administration of medications
Unit II.—Advanced airway management - Demonstrate airway management skills
- Discuss the anatomy and physiology of the respiratory system
- Discuss the acid base balance in the human body
- Describe the focused assessment of a patient with an oxygen deficit
- Identify the causes and expected clinical presentation of a patient with upper airway obstruction
- Discuss the pathophysiology and treatment plan for respiratory diseases
- Identify the use of various types of oxygen cylinders and oxygen delivery devices
- Demonstrate the removal of a foreign body obstruction
- Demonstrate upper and lower airway suctioning techniques
- Demonstrate the method of endotracheal intubation for adult and pediatric patients
Unit III.—Trauma - Demonstrate the practical skills of managing trauma patients
- Discuss trauma care systems
- Describe the EMT-Intermediates role in the rapid assessment, care, and transport of trauma patient to the appropriate facility
- Discuss mechanism of injury and index of suspicion
- Describe kinematics of blunt vs. penetrating trauma injuries
- Discuss the anatomy and physiology of the integumentary system
- Discuss the pathophysiology of burns
- Describe the assessment and management of patient with thermal, chemical, electrical and radiation burns.
- Discuss the pathophysiology of thoracic trauma
- Describe the rapid trauma assessment and field management of the patient with a severe chest injury
- Discuss the anatomy and physiology of the head and neck region, spinal cord, and muscle and bone
- Describe the rapid trauma assessment and field management of the patient with head, neck, facial, spinal cord, musculoskeletal and soft tissue injuries
Unit IV.—Pathophysiology of shock - Demonstrate the practical skills of managing patients experiencing shock
- Discuss the normal fluid and electrolyte balance
- Describe signs and symptoms of fluid and electrolyte imbalance
- Discuss regulation of acid-base balance
- Discuss the physiologic response to decreases in blood volume, blood pressure and perfusion
- Describe the effects of decreased perfusion at the capillary level
- Identify the types and degrees of shock and hemorrhage
- Describe assessment findings and treatment plan, including methods of transport for patients with uncontrolled hemorrhage or shock
- Describe intravenous therapy in the management of hemorrhage or shock
- Describe indications, contraindications and complication of IV therapy
- Demonstrate venous access procedure