EMT 168 One Term Advanced Emergency Medical Technician

Lecture Hours: 6
Lab Hours: 4
Credits: 8

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. Required clinical experience to observe patient assessment and evaluation in 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 licensure process.

Prerequisite: Recommendation by an EMS agency. Must have current Oregon EMT license. Placement into WR 080 (or higher), and MTH 052 (or higher). Not open to students completing EMT 163 or EMT 164.
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 and use 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
Perform ECG recognition and interpretation.
Identify appropriate medications as indicated for specific medical and trauma emergencies.
Use industry accepted clinical decision-making.

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
Cardiovascular Emergencies
- Cardiac anatomy and physiology
- Cardiac assessment and management
- Cardiac medications
- Altered Mental State
- Neurological anatomy and physiology
- Neuro assessment and management
- Diabetic emergencies
- CVA, TIA emergencies
Trauma
- Trauma systems
- Mechanism of trauma
- Trauma assessment and management
- Hemorrhage and shock
- Burns
- Thoracic trauma
Special Considerations
- Environmental emergencies
- Pediatrics
- Geriatrics
- Clinical decision-making
- Case-based scenarios