EMT 167A Oregon Emergency Medical Technician - Intermediate, Part 1

Lecture Hours: 4
Lab Hours: 3
Credits: 5

Covers Oregon EMT-Intermediate 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 either an emergency department or an urgent care clinic. Students successfully completing this course will be recommended to the Oregon State EMS Office for the licensure 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 licensure exams. Current Oregon AEMT license, letter of endorsement from medical advisor, verification of EMT skills, and 80% or better on pre test.
Student Learning Outcomes:

Apply industry standard 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.
Apply the following skills to an acceptable level of performance; (using Oregon EMS skill sheets as a standard, with 90% accuracy in 1 of 2 attempts):

Identification, preparation and correct administration of Oregon EMT-Intermediate medications
- Calculation of medication dosages and fluid administration
IV administration
Intraosseous administration
Cuffed pharyngeal airway device administration
Management of advanced cardiac life support protocols including but not limited to:
- Patients in cardiac arrest
- Patients with tachycardia or bradycardia rhythms
- Patients with signs/symptoms of chest pain
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