EMT 170 - Advanced Life Support Operations

1. Demonstrate the ability to assess victims of crash incidents.
2. Demonstrate the ability to extricate victims of crash incidents.
3. Demonstrate the ability to care for victims of crash incidents.
4. Utilize the following management skills;
   1. scene size-up
   2. disentanglement
   3. victim stabilization for single and multi-victim situations
   4. hazardous materials incident
   5. integration of local emergency medical services (EMS) for patient assessment and management standard operating procedures to selected victim scenarios.

1. Identify current local and state standards which influence ambulance design, equipment requirements, and staffing of ambulances.
2. List the guidelines and standards that help ensure safe and effective ground and air medical transport.
3. Identify the principles of general incident management techniques in order to function effectively at major incidents.
4. Describe the role and function of command managing a major medical incident.
5. Differentiate and list the types of TRIAGE levels.
6. Define Critical Incident Stress Management.
7. List the principles of rescue awareness and operations to safely rescue a patient from water, hazardous atmospheres, trenches, highways, and hazardous terrain.
8. Identify hazardous materials emergencies.
9. Identify the poisonous gases commonly found in confined spaces.
10. Describe the human hazard of crime and violence and the safe operation at crime scenes and other emergencies.

1. Ambulance Operations
   1. Ambulance standards, statutes, and operations
   2. Checking ambulances
   3. Ambulance stationing
   4. Safe ambulance operation
2. Utilizing Air Medical Transport
   1. Types
   2. Advantages
   3. Disadvantages
   4. Activation
   5. Indications
   6. Patient transfer
3. Medical Incident Command System (ICS)
   1. Need for ICS
   2. FEMA ICS
   3. ICS elements
      1. Command
      2. Finance
      3. Logistics
      4. Operations
      5. Planning
      6. Role and functions of command
      7. Group or sector functions
   4. Preplanning
   5. Drills and critiques
4. On-scene Physicians in Multiple Causality Incident (MCI) Management
   1. Triage
      1. Principles
      2. Techniques
   2. Treatment
   3. Medical direction
5. Critical Incident Stress Management (CISM) and MCIs
   1. CISM in personnel exposed to major events
   2. CISM debriefing
   3. Access to defusing during the MCI
   4. Role of debriefing for an MCI
   5. Access to debriefing
6. Role of ALS in Rescue Operations
   1. Definition of rescue
   2. Phases of a rescue operation
7. Rescuer Personal Protective Equipment (PPE)
   1. Rescuer protection
   2. Head, eye, hearing, hand, and foot protection
   3. Flame and flash protection
   4. Personal flotation devices (PFD)
   5. Visibility
   6. Extended, remote or wilderness protection
8. Surface Water Rescue
   1. Moving water and common hazards
   2. Flat water
   3. Water temperature
   4. Cold protective response
   5. Scenario options for water rescue training
9. Hazardous Atmospheres
   1. Oxygen deficient environments
   2. Confined spaces
   3. Safe entry
   4. Trenches and cave-ins
10. Hazardous Terrain
    1. Types of hazardous terrain
    2. Patient access in hazardous terrain
    3. Patient packaging
    4. Patient movement
    5. Use of helicopters in hazardous terrain rescue
11. Highway Operations
    1. Hazards in highway operations
    2. Auto anatomy
    3. Rescue strategies
    4. Vehicle rescue
       1. Stabilization of vehicles
       2. Gaining access
       3. Package and extricate simulated patients
       4. Hydraulic equipment
    5. Assessment procedures
12. Role of ALS in Hazardous Materials Response
    1. Toxicologic risk
    2. Decontamination methods and approaches
       1. Purpose
       2. Environmental considerations
       3. Methods
       4. Decision-making
    3. Treatment
    4. Transportation
    5. NFPA levels of response
    6. Monitoring
13. Hazardous Materials Size-up
    1. Identification
    2. Issues
14. Contamination and Toxicology Review
    1. Types of contamination
    2. How poisons are absorbed
    3. Cycle of poison actions
    4. Poison actions
    5. Treatment
15. Medical Monitoring and Rehabilitation
16. Hazard Awareness Control and Avoidance
    1. Determining the need
    2. Approach to the scene
    3. Specific dangerous scenes
    4. Violent groups and situations
17. Tactical Considerations for Safety and Patient Care
    1. Tactics for safety
    2. Tactical patient care
18. Emergency Medical Services (EMS) at Crime Scenes
    1. Definition
    2. Evidence
    3. Preserving evidence
    4. Documentation