EMT Part II

Course Number: EMS 106
Transcript Title: EMT Part II
Created: September 1, 2012
Updated: August 27, 2021
Total Credits: 6
Lecture Hours: 50
Lecture / Lab Hours: 0
Lab Hours: 30
Satisfies Cultural Literacy requirement: No
Satisfies General Education requirement: No
Grading options: A-F (default), P-NP
Repeats available for credit: 0

Prerequisites

EMS 105 with a “C” or better at CGCC within the previous 5 terms; current HCP CPR card

Course Description

Continues EMS 105. Develops the basic knowledge and skills necessary to treat victims of trauma, patients that present with special challenges, and sick and injured pediatrics. Expands knowledge and understanding of specific incidents that the Emergency Medical Technician may encounter in the field such as mass-casualty incidents, hazardous materials, motor vehicle collisions, and acts of terrorism. Includes preparation for state and national licensing exams. Requires meeting Oregon Health Authority Standards for health profession student clinical training, including immunizations, TB screening and the ability to pass a criminal background check and drug screen before placement into mandatory clinical observations in hospital emergency department and ambulance ride-along experience.  Prerequisites: completion of EMS 105 with a “C” or better at CGCC within the previous 5 terms; current HCP CPR card.

Intended Outcomes

Students who successfully complete the course will:

  1. Identify and use tools needed to care for the sick and injured patient at an EMT level.
  2. Perform proper medical/trauma patient assessment/management for various disorders/emergenciesat the novice EMT level.
  3. Properly administer appropriate medications within the EMT B Scope of Practice.
  4. Demonstrate team leadership skills.
  5. Communicate effectively and construct a well-written “run report.”
  6. Abide by state, national, and local protocols governing EMTs.
  7. Be prepared to take the state and national EMT certification exams.

Outcome Assessment Strategies

Because the role of an EMT often places the person in life and death circumstances, the assessment and grading of the students in this class will be held to the highest levels.  Students must maintain an average in the class on ALL written tests with a score of 70 or above and prove mastery of ALL skill stations.

Students will be expected to show completion of the entire workbook by the end of the course and have it reviewed by the instructor on a regular basis.  It is the responsibility of the student to keep up with missed assignments and tests.

Course Activities and Design

The determination of teaching strategies used in the delivery of outcomes is generally left to the discretion of the instructor. Here are some strategies that you might consider when designing your course: lecture, small group/forum discussion, flipped classroom, dyads, oral presentation, role play, simulation scenarios, group projects, service learning projects, hands-on lab, peer review/workshops, cooperative learning (jigsaw, fishbowl), inquiry based instruction, differentiated instruction (learning centers), graphic organizers, etc.

Course Content (Themes, Concepts, Issues and Skills)

Outcome #1: Identify and use tools needed to care for trauma patient at the novice EMT level.
  • Bandaging
    • Identify different types of bandages
    • Identify different types of dressings
    • Correct application of bandages and dressings
  • Splinting
    • Identify types of splinting materials
    • Splinting procedures and application
    • Long back board
  • Tourniquets
    • Indications for application
    • Proper placement
Outcome #2: Perform proper trauma patient assessment and appropriately manage a traumatic injury at the novice EMT level.
  • Bleeding: external and internal
  • Hypoperfusion
    • Causes
    • Types
    • Severity
    • Emergency care for shock
  • Soft tissue trauma
    • Closed wound care
    • Treating specific types of open wounds
      • Abrasions
      • Lacerations
      • Penetrating trauma
      • Avulsions
      • Amputations
    • Burn injuries
      • Classification by agent and depth
      • Determining severity
      • Electrical and radiological burns
    • Chest and abdominal injuries
      • Treatment of closed injuries
      • Treatment of open injuries
  • Musculoskeletal trauma
    • Mechanism of injury
    • Assessment and treatment
      • Splinting of specific bones
      • Upper extremities
      • Lower extremities
      • Spine
      • Craniofacial injuries
Outcome #3: Demonstrate team leadership skills in regards to management of patient care.
  • Delegation of Patient treatment tasks
  • Facilitation of smooth and rapid treatment of patient
Outcome #4: Have a basic understanding of childbirth to be able to recognize an obstetric emergency vs. a normal birth and be able to assist in an out of hospital delivery.
  • The female reproductive system
  • Fertilization of the ovum
  • Physiologic changes in pregnancy
    • The reproductive system
    • Effects on the female body
  • Labor and delivery
    • Stages of labor
    • Assessment of the gravid patient
  • Care and assessment of the neonate
  • Care after delivery
    • Delivery of the placenta
    • Controlling vaginal bleeding
  • Childbirth complications
    • Complications of delivery
  • Emergencies in pregnancy
  • Gynecological emergencies
  • Non-traumatic and traumatic bleeding
  • Assault
Outcome #5: Have a general knowledge of the differences in the assessment of and caring for a pediatric and geriatric patient at the novice EMT level.
  • Developmental characteristics of the pediatric patient
    • Anatomic and physiologic differences
    • Interacting with the pediatric patient
    • Interacting with the adolescent patient
    • Assessing the pediatric patient
  • Pediatric assessment triangle
    • Physical exam
  • Special considerations
  • Airway differences
    • Maintenance
    • Oxygen delivery
    • Choking
  • BLS CPR differences
  • Recognition and care of shock
  • Injury patterns
  • Child abuse
  • Age-related changes in the geriatric patient
    • Communication and history taking challenges
    • Illness and injuries differences
Outcome #6: Demonstrate an introductory knowledge of Hazardous materials and traffic safety.
  • Highway Emergency Operations
    • Safety when operation on a roadway
  • Vehicle extrication
    • Vehicle stabilization
    • Gaining access
  • Recognizing and managing hazards
  • Hazardous materials
    • Response on a roadway
    • In relation to terrorism
    • Responses to a terrorist attack
      • Chemical
      • Biological
      • Radiological
      • Explosive
  • In domestic situations
    • Farming
    • Households
Outcome #7: Demonstrate an understanding of how to care for environmental emergencies at the novice EMT level.
  • Cold related injuries
    • Hypothermia
    • Localized cold injuries
  • Heat related injuries
    • Heat cramps
    • Heat exhaustion
    • Heat stroke
  • Water related accidents and injuries
    • Drowning
    • Diving
    • SCUBA
    • Water and ice rescue
  • Bites and stings
    • Insect
    • Snake
    • Marine

Department Notes

If not beginning EMS 106 in the term immediately following successful completion of EMS 105, resubmission of evidence of meeting mandatory information, including a current AHA CRP for HCP card to the EMS Program Coordinator is required.  Contact the department for details.

Note: Clinical requirements as listed in the OHA rules must be met prior to any participation in a clinical setting during EMS 106.  Clinical facilities must have time to process students prior to attendance in the clinical setting; therefore, students must complete these requirements prior to the start of EMS 106.

For a complete listing of administrative standards for health profession student clinical training, including required immunizations, TB screening, current AHA CPR for HCP card, and ability to pass a background & sex offender check and drug screening, see http://www.oregon.gov/oha/OHPR/Pages/sct.aspx.

Cost for the background check and drug screen is collected with course fees.

National Registry EMT https://www.nremt.org/

National Registry EMT and Oregon EMT testing: 

On completion of the entire EMS sequence (EMS 105 & EMS 106), students are eligible to apply for licensing testing. Applicants should be aware that to be eligible to take the NR-EMT exam, they must be 18 years old. In addition, the following questions are asked on the National Registry EMT and/or the Oregon EMT Application:

  1. Do you or have you had within the past 10 years, any physical or mental condition that impairs, could impair, or has impaired your ability to perform the duties of an EMT? If you answer yes, explain whether your condition is controlled by medication or other treatment and how your condition treated or untreated, affects your ability to perform the duties of an EMT.
  2. Do you or have you used in the last 10 years, any drug or chemical substance for other than legitimate medical purposes that impairs or has impaired your ability to perform the duties of an EMT?
  3. Have you been counseled about, diagnosed with, or treated for, a dependency on alcohol or drugs within the last 10 years?
  4. Have you ever been arrested, charged with, or convicted of any misdemeanor or felony? (Minor traffic violations need not be reported.)
  5. Has an employer or supervising physician taken disciplinary action against you related to your duties as an EMT? (Discipline includes suspension, letter of reprimand, resignation in lieu of termination, a limitation or restriction of scope of practice or dismissal for cause.)
  6. Have you been named in a lawsuit alleging medical malpractice or misconduct related to providing medical care?
  7. Have you ever been disciplined, denied or revoked by the National Registry of EMTs or any health care certifying/licensing agency?
  8. Have you ever surrendered or resigned a health care license or certificate?
  9. Have you lived, worked, or attended school outside of Oregon for 60 or more consecutive days in the last 5 years?