EMT 163 Advanced Emergency Medical Technician, Part 1

Lecture Hours: 3
Lab Hours: 2
Credits: 4

Covers AEMT emergency medical procedures. Introduces the roles and responsibilities of the technician, emergency pharmacology, venous access and medication administration, electrocardiogram (ECG) monitoring and management of dysrhythmias, airway management and ventilation, and advanced airway techniques. Includes medical patient assessment and management; trauma assessment and management; and special considerations such as pediatrics, geriatric, and environmental emergencies. Emphasizes clinical decision-making. Covers procedures related to airway, oxygen, ventilation, shock, intravenous, intraosseous, and ECG monitoring, defibrillation, pharmacology and field protocols in the laboratory component. The clinical experience requires the student to observe patient assessment and evaluation in both an emergency department and an ambulance. Students successfully completing this course will be recommended to the National Registry of EMTs and the Oregon State EMS Office for the certification process.

Prerequisite: Placement into WR 080 (or higher), and MTH 052 (or higher). Entry at these levels ensures that students will have an increased chance of passing the course, as well as certification exams. Current Oregon EMT license.
Student Learning Outcomes:

Apply safe working practices in medical and trauma emergencies.
Use industry accepted verbal and written communication in transmitting patient care findings and treatment
Propose correct application of patient assessment and management skills given patient scenarios and following current field protocols.
Demonstrate the identification, preparation and correct administration of AEMT medications.
Demonstrate IV administration
Demonstrate intraosseous administration
Demonstrate cuffed pharyngeal airway device administration
Demonstrate management of advanced cardiac life support protocols including patients in cardiac arrest.
Demonstrate patient assessment and identification of presenting complaints.

Content Outline

Role and Responsibilities
- Scope of practice
- Ethics and professionalism
- Certification and re-certification
- Medical control
- EMS in Oregon
Emergency Pharmacology
- Pharmacodynamics
- Emergency medications
- Schedules of drugs
- Drug profiles
Venous Access and Medication Administration
- IV therapy
- Intraosseous therapy
- Fluids and electrolytes
- Acid/base balance
- Medication administration
- Body substance isolation
ECG Monitoring and Management of Dysrhythmias
- Cardiac anatomy and physiology
- ECG recognition
- ACLS protocols and algorithms
Airway and Ventilation
- Respiratory anatomy and physiology
- Basic airway management
- Oxygen administration
Advanced Airway Techniques
- Oxygenation and ventilation
- Cuffed pharyngeal airway devices