Basic EMT Original

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BASIC EMT –Spring 2016
SUNY Canton, Wicks Hall 102
Monday & Wednesday 6:30 - 9:30 p.m.
Saturday 9 a.m. – 12 noon & 1 – 4 p.m.
Instructor: Donald Thompson CIC
**(PLEASE NOTE CHANGE IN TEXT BOOK EDITION)**TEXT - Emergency Care by Brady, 13th edition
PLEASE NOTE: Starting with the fall 2012 Basic EMT classes, there are now pre-requisites or co-requisites that
are required for each student to complete. These requirements are the following three NIMS and Hazmat
Awareness classes, IO-100, IO-700, and I0-05 Introduction to Hazardous Materials. Certificate copies of these
three courses MUST be submitted prior to the practical skills exam. Website is www.training.fema.gov
Jan. 18, Mon.
1
Registration & Introduction, Course Expectations and Requirements, ER
Observations Requirements, Review of State Protocol Booklet, Begin Module 1
Roles and Responsibilities of the EMT; Infectious Control and OSHA Regulations.
Chapters 1, 2
Jan. 20, Wed.
2
Anatomy, Physiology, & overview of human systems; Medical Terminology; EMT
and the Law and the legal issues that present to the EMT; DNRs and MOLST forms.
Discuss blood borne pathogens which will include the different communicable
diseases and how they are transmitted; infection control
Chapters 4, 5
Jan. 23, Sat.
3
Begin Module 2 - Anatomy of the airway and the mechanics of respiration.
Practical Use of Airway Adjuncts; demonstrate and explain the uses of oral and
nasopharyngeal airways; suction units and techniques of suctioning; types of O2 tanks
and oxygen delivery devices; the use of the pock mask and BVM, power assisted
ventilators, use by Basic EMT with ALS airway devices. Demonstrate the correct
application for each in preparation for the skills tests.
(Skill Station 3, 4A, 4B) Chapters 8, 9
Jan. 25, Mon.
4
Begin Module 3 – Discuss the components of Scene Size-up; Continue with airway
presentation which is to be followed with student use of the airway equipment and
practice of oxygen therapy equipment. Students need to bring their own pocket masks.
(Practice Skill Station 3, 4A, 4B) Chapter 10
Jan. 27, Wed.
5
This class will begin at 6:00 pm. CPR - Basic Life Support – AHA; Adult Rescue
Breathing, Choking & CPR; Two-man CPR; Use of the Pocket Mask This course will
be run in two sessions: a complete course for anyone who is not currently certified in
CPR and for those who are refreshing or need to have their skills reviewed by the
instructor. (Skill Station 2) Test on Monday
(All students must have their CPR skills evaluated by the instructor. This is a
state requirement.) Appendix B
Feb. 1, Mon
6
Life Span and Pathophysiology. All students will be required to take a written test
upon completion of the CPR unit as this is a state requirement.
Chapters 6, 7
Feb. 3, Wed.
Feb. 6, Sat.
7
Primary Assessment; Ongoing Pt. Assessment; Discuss the four vital signs and
demonstrate how to perform and obtain each; definition of baseline set of vitals; other
diagnostic signs such as pupil reactions & skin color. Understand and using SAMPLE.
May wish to bring own stethoscope & Bp Cuff.
Chapters 11, 12
8&9
Lifting & Moving; this lesson will involve hands on participation by the class in twoperson and three-person lifting; moving non-cervical injured patients; use of back
boards; spinal immobilization and moving to the backboard; use of spiders vs. straps;
demonstration of the scissors or scoop and the use of the Stokes basket. (Practical
Skills Station 5A) Class will go until 1:00. Chapter 3
Feb. 8, Mon.
10
Secondary assessment for both the trauma and medical patient; Reassessment;
Critical Thinking and Decision Making
Chapters 13, 14, 16
Feb. 10, Wed.
11
Patient Communications & Radio Procedures; Documentation and Writing the Prehospital Care Report (PCR) and ePCR.
Chapter 17
Feb. 15, Mon.
12
Practical skills review of: Back Boarding; Use of Oxygen Therapy Equipment; PCR
Documentation; Primary Assessment and taking of Vital Signs for the first 2 hours.
(Skill Station Practice). Unit TEST 1 on Chapters 1-14, 31, 32 (except chapter
11). This is an all multiple choice questions and answers are to be done in pencil. (It
is easier to correct your mistakes!!)
Feb. 17, Wed.
13
Begin Module 4 – Medical Emergencies I – Respiratory illnesses such as
emphysema, chronic bronchitis, asthma & hyperventilation. Begin Cardiac
Emergencies – Signs & Symptoms of heart attack, risk factors, anatomy of the heart,
electrical activity of the heart, discuss normal sinus, Ventricular Fibrillation and
Ventricular Tachycardia and the significance for the use of the AED.
(Skill Station 2), Chapter 19, 20
Feb. 22, Mon.
14
Medical Emergencies II – Continue cardiovascular emergencies. Include
discussions on CHF, AICD, pacemakers, and causes of irregular pulses.
Demonstrate the LUCUS tool (Thumper – Russell & Hermon Rescue will do this)
Chapter 20
(Hospital observation can begin at this time if all health requirements have been fulfilled).
Feb. 24, Wed.
15
Will Cover Diabetes, Altered Mental Status & Stroke, Anaphylaxis (allergic
reactions), Poisonings & Drug Overdoses.
Chapters 21, 22, 23
Feb. 27, Sat.
16
Medical Emergencies III – Environmental Emergencies &
Cold Water Drowning; General Pharmacology including obtaining a blood glucose
reading; Role of the EMT in assisting with medications; Behavior Emergencies;
Acute Abdomen. Chapters 18, 25, 33
Feb. 29, Mon.
17
Obstetrics, Emergency Child birth & Child birth Complications;
View Video on Childbirth. Chapter 26, 34
Mar 2, Wed.
18
Hematological and Renal Emergencies Abdominal Emergencies; Burns (slide show
will accompany the lecture on burns).
Chapters 24
Mar. 7, Mon.
19
Begin Module 5 – Bleeding Emergencies & Shock; Soft Tissue Injuries; Use of the
MAST Trousers; Application of dressings and bandages and techniques to control
bleeding. (Skill Station 4C) Chapter 27, 28
Mar. 9, Wed.
20
Practice bandaging, use of tourniquets. Practice Skill Station 4C on Bleeding and
Shock; Unit TEST 2. This test will cover all material on medical emergencies
Mar. 12, Sat.
21 & 22
Morning session: Injuries to the Head, Neck, Spine, Face & Eye; anatomy and
physiology of the nervous system; signs and symptoms of spinal fractures; general
rules of caring for the patients with spine injuries and injuries to the face and
cranium. Demonstrate the application of cervical collars, KED and application of
immobilization to a backboard. (Skill Station 5A) Chapter 31
Afternoon session - Lecture and demonstration of nebulized albuterol, regional
protocols, regional agreement, protocol exam & practical skills. Spinal Motion
Restriction skills.
Mar. 14, Mon.
23
Injuries to the Chest, Abdomen, & Genitalia; parts & functions of the abdominal
organs, locations, digestive & genitourinary systems; chest, abdomen, & genitalia
injuries and treatments. Chapter 29
Mar. 16, Wed.
24
Principles of Musculoskeletal Care: (Skill Stations, 6A, B, C) anatomy and
physiology of the musculoskeletal system; definitions and types of fractures and
dislocations; examination for injuries; techniques of immobilizing fractures, sprains, and
dislocations. This lecture will encompass both the upper and lower extremities,
demonstration of splinting of long bones, dislocations and traction splinting; show Xrays of fractures. Chapter 30
Monday March 21-25
Spring Break (This schedule follows the St. Lawrence-Lewis BOCES school
schedule
Mar. 28, Mon.
25
Patient Assessment of the trauma patient and practice performing patient
assessment on a traumatized patient; multiple systems trauma.
(Skill Station 1B) Chapters 13, 15, 32
Mar. 30, Wed.
26
Pt. Assessment lab of the trauma patient continued. (Skill Station 1B Practice)
Apr. 2, Sat.
27 & 28
Morning Session: Practice skills session on splinting of long bones, traction
splinting, sprains and dislocations, Bleeding & Shock, AED and Cardiac Arrest,
Spinal Immobilization Seated (KED). (Skill Station Practice 6A, 6B, 6C)
Afternoon Session: Patient Assessment of the medically ill patient and practice to
identify the medical problem and to treat as such. (Skill Station 1 A Practice)
Chapters 14, 16
Apr. 4, Mon.
29
Patient Assessment of the medical patient continued. (Skill Station 1A Practice)
Apr. 6, Wed.
30
Practical Skills for Patient Assessment of both the medical and trauma patient
(Skill Stations 1A, 1B Practice)
Apr. 11, Mon.
31
Module 6 - Pediatric Emergencies - Medical and Trauma; Child Abuse
Chapter 35
Apr. 13, Wed.
32
Practical Lab review of pediatric skills. This will include hands-on use of pediatric
immobilization in car seats, removal from car seat with spinal precautions, use of Pediboards, and immobilization by use of KED. Medical emergencies to include the use of
pediatric NC and NRB and blow-by techniques
Apr. 16, Sat.
33 & 34
Module 7 - Vehicle Extrication - This class will be done on campus behind Cooper,
bear right at the top of the hill and take first right into Cooper Building. Please park
around to the back. All participants MUST be in turnout gear in order to participate in
using the extraction tools and tearing apart the vehicles. Extra turnout gear will be
available for those who do not have any. Afternoon session includes rapid extrication
and application of the KED to remove patients from the wrecked car. This is an all-day
session that concludes around 3pm. Weather will dictate if this class is done indoors or
outdoors. Chapter 40
Apr. 18, Mon.
35
Geriatric Emergencies. Emergencies of Special Challenges
Chapters 36, 37
Apr. 20, Wed.
36
Ambulance Operations -- Safe Operations, Vehicle & Traffic Laws pertaining to
Ambulance Driving, Helicopter Rescue, Stress Management (CISD)
Chapters 38
Apr. 25, Mon.
37
Mass Casualty Incidents (MCI); Smart Triage; & Weapons of Mass Destruction.
Chapters 39
Apr. 27, Wed.
38
Hazardous Material Incidents (video tape); EMS Response to Terrorism.
Chapter 41
Apr. 30, Sat.
39 & 40
Morning Session: Practical Lab Skills Station Review of Random Skills; BVM &
Apneic patient; (Skill Stations 3, 4, 6)
Afternoon Session: Unit TEST 3 - This test will cover the remaining chapters in
the book not tested on the previous two unit tests. We will go over this test during
the first night of test question review.
May 2, Mon.
41
Practical Skills Review – Back boarding and KED, Spinal immobilization; Cardiac
Arrest & AED (Skills Stations 2, 5)
May 4, Wed.
42
Practical Skills Review: Both patient assessment skill stations. (Skills Station 1)
Completion of all ER Observations, ambulance ride-along hours, and 3 prerequisite NIMS courses need to be completed by this date. THESE ARE
STATE REQUIREMENTS TO ENTER THE PRACTICAL SKILLS EXAM.
May 9, Mon.
43
NYS EMS Final Practical Skills Exam - One half of the class will test this
evening beginning at 6 p.m. (Dependent upon class enrollment). Those who need to
retest a station a third time will do so Wednesday evening
May 11, Wed.
44
NYS EMS Final Practical Skills Exam – Second half of the class will test at 6pm
(dependent on class enrollment). Those who need to retest a station a third time will
do so Monday evening.
May 16, Mon.
45
Test review questions for the final exam. Back to regular class time at 6:30 p.m.
(Retest from Saturday’s practical final will be done this date for anyone who needs
it.)
May 18, Wed.
46
Test Question Review - We will review additional test questions this evening.
May 19, Thurs.
47
NYS EMS Final Written Test in NN102. The test begins at 7 p.m. and everyone is to be
in the classroom at 6:30 as the proctors must have each of you present a picture ID and
sign in one at a time. You are given 2.5 hours to complete this test. If you arrive late,
you sacrifice the time missed. Once anyone leaves the testing area, no one is allowed to
enter who arrives late. The test is110 multiple choice questions with ten questions being
experimental questions.
Student Requirements to be able to take the state practical skills exam:
1. Complete the Blood borne pathogen test
2. CPR skills completion and passing a written CPR test
3. 10 hours clinical obtained by one of the following methods:
a. 10 hours ride time in an ambulance (minimum of 6 calls)
b. 10 hours ER observation time
c. 10 hours – any combination of ER hours and ride along times
State Requirements to take the state written exam
:
1. Complete the CPR requirements
2. Complete 10-hour clinical and/or ride along requirement
3. Pass the practical skills exam
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