EMT 158 - Transition Training for EMT

1. Identify current techniques in pre-hospital emergency care for the basic Emergency Medical Technician (EMT).
2. Identify the signs and symptoms of specified medical emergencies.
3. Demonstrate the appropriate assessment and treatment techniques of an EMT.
4. Identify safe ambulance operations.

1. Define the roles and responsibilities of the Emergency Medical Technician.
2. Identify the anatomy and physiology of major body systems.
3. Identify diagnostic signs and their normal states.
4. Demonstrate airway assessment and management techniques.
5. Demonstrate basic life support.
6. Describe the purpose and design requirements of various mechanical aids and demonstrate their use.
7. Explain the meaning of shock; the signs and symptoms of shock, and emergency care for the shock patient.
8. Demonstrate the proper application of Military Anti-Shock Trousers.
9. Describe the methods for controlling internal and external bleeding.
10. Describe the signs and symptoms of fractures, dislocations, and sprains.
11. Describe the procedures for the continuous maintenance and evaluation of the unconscious patient.
12. Describe the dangers and demonstrate the techniques for emergency care of foreign bodies, burns, rib fractures, pneumothorax, and tension pneumothorax.
13. Demonstrate proficiency in dressing and bandaging lacerations, sucking chest wounds, and impaled objects.
14. Demonstrate proficiency in splinting.
15. Describe the causes, signs, symptoms, and interventions for poisons, bites, and stings.
16. Describe the causes, signs, symptoms and interventions for the following medical emergencies: myocardial infarction, cerebral vascular accidents, dyspnea, diabetic coma, insulin shock, acute abdomen seizures
17. Identify and define the special considerations for the pregnant patient.
18. Describe the emergency procedures for delivery of a child in the field.
19. Describe the emergency procedures for breech delivery, prolapsed umbilical cord, and spontaneous abortion.
20. Identify and describe the emergency care procedures for environmental emergencies.
21. Describe the emergency procedures for the drowning patient.
22. Identify and demonstrate the principles of lifting and moving patients.
23. Identify the components of safe emergency vehicle driving.
24. Identify and demonstrate the principles of Triage.
25. Demonstrate proficiency in half and full spine immobilization.
26. Demonstrate proficiency in applying a traction splinting device.
27. Describe the purpose of intravenous lines by the Emergency Medical Technician - Basic.
28. Describe intravenous therapy delivery systems.
29. Discuss the importance of Body Substance Isolation (BSI) and techniques related to intravenous monitoring.
30. Describe the proper usage of intravenous therapy.
31. Describe the signs and systems of intravenous therapy.
32. Describe the intravenous therapy solutions which fall within the scope of practice for the Emergency Medical Technician - Basic.
33. Describe the purpose of Blood Glucose Monitoring.
34. Describe and demonstrate methods necessary to prevent cross contamination through the use of equipment by adherence to universal blood and body fluid precautions.
35. Demonstrate the correct technique for individual strip or instrumentation operation.
36. Demonstrate proper quality control testing, documentation of results, and corrective actions.
37. Discuss preventative maintenance of strips or instrumentation.
38. List and describe the indications and contraindications for blood glucose testing.
39. Demonstrate the correct technique for Blood Glucose Testing in a simulated situation.
40. Discuss the role of Medical Control for Blood Glucose Testing.
41. Demonstrate the appropriate technique for assisting a patient with sublingual nitroglycerin.
42. Demonstrate the appropriate technique for assisting a patient with pre-metered epinephrine autoinjectors.
43. Demonstrate the appropriate technique for assisting a patient with pre-metered bronchia dilator administration devices.
44. Identify the indications for Automatic External Defibrillation usage.
45. Demonstrate the proper placement and operations of an Automatic External Defibrillation.
46. Describe the criteria to identify a Sudden Infant Death Syndrome victim.
47. Define the difference between Sudden Infant Death Syndrome and child abuse.
48. Describe the appropriate comportment for an Emergency Medical Technician interaction with the family of a Sudden Infant Death Syndrome victim.
49. Describe the pathophysiology of airborne and blood born communicable diseases.
50. Demonstrate the use of personal protective equipment for Body Substance Isolation.
51. Identify signs of acute and chronic psychological disturbances.
52. Identify techniques for interaction with emotionally disturbed patients.
53. Identify the components of and the need for Critical Incidence Stress Debriefing.
54. Identify the mechanism of injury that requires vehicular extrication and patient packaging.
55. Demonstrate patient packaging and techniques for vehicular extrication.

1. Introduction to Emergency Care Training
   1. Anatomy, physiology and patient assessment
   2. Airway obstruction and respiratory arrest
   3. Cardiac arrest
   4. Mannequin practice and certification
   5. Practical use of airway adjuncts
   6. Bleeding, wounds, and shock
   7. Patient assessment and evaluation
      1. Airway dare
      2. Pulmonary arrest
      3. Cardiac arrest
      4. Bleeding and shock
   8. Review of Shock; pneumatic counter-pressure devices (Mast)
   9. Soft tissue injuries
   10. Musculoskeletal care and fractures of the upper extremities
   11. Fractures of the pelvis, hip and lower extremities
2. Practical Lab
   1. Fracture care - upper extremities
   2. Fracture care - lower extremities
   3. Injuries of the head, neck, face and spine
   4. Injuries to the chest, abdomen, and genitalia
3. Practical Lab
   1. Recognition and treatment of injuries
   2. Examinations
   3. Pneumatic counter pressure devices
   4. Dressing and bandaging
   5. Spine and fracture immobilization
4. Evaluation of Injuries
   1. Criteria and identification
5. Medical Emergencies I
   1. Poison
   2. Bites and stings
   3. Heart attack
   4. Stroke
   5. Dyspnea
6. Medical Emergencies II
   1. Diabetes
   2. Acute abdominal problems
   3. Communicable diseases
   4. Seizures
   5. Pediatric patients
7. Intravenous Monitoring
   1. Purpose of intravenous lines and the monitoring of intravenous lines by the Emergency Medical Technician-Basic
   2. Types and sizes of intravenous cannulas
   3. Types of intravenous tubing
   4. Approved intravenous fluids the Emergency Medical Technician-Basic May Monitor
   5. Intravenous infiltration
   6. Assessment of the intravenous cannula
   7. Trouble-shooting intravenous lines
   8. Intravenous flow calculations
   9. Overview of analgesic pumps
8. Blood Glucose Monitoring
   1. Description
   2. Indications
   3. Contraindications
   4. Specific considerations
   5. Regulatory issues
   6. Procedures for blood glucose testing
   7. Quality control procedures
   8. Medical control
9. Sudden Infant Death Syndrome
   1. Overview of Sudden Infant Death Syndrome findings
   2. Signs appropriate for a Sudden Infant Death Syndrome victim
   3. Overview of the parameters of Sudden Infant Death Syndrome
   4. Differences between Sudden Infant Death Syndrome, child abuse and neglect
10. Other Emergencies
    1. Emergency childbirth
    2. Burns and hazardous materials
    3. Environmental emergencies
    4. Psychological aspects of emergency care
11. Lifting and Moving Patients
    1. Principles of extrication
       1. Practical lab: extrication
12. Evaluation of the Following:
    1. Medical emergencies
    2. Emergency childbirth
    3. Environmental emergencies
    4. Lifting and moving
13. Ambulance Operations I
    1. Regulations
    2. Forms and reporting
14. Ambulance Operations II
    1. Maintenance of vehicle and equipment
    2. Emergency procedures
    3. Scene control
    4. Special scene situation
    5. Disaster planning
    6. Triage
15. Assessment
    1. Situational review
    2. Final practical skills evaluation
    3. Final written exam