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Center for Curriculum and Transfer Articulation
Emergency Medical Technology
Course: EMT104

First Term: 2016 Fall
Lec + Lab   9.0 Credit(s)   11.4 Period(s)   10.68 Load  
Subject Type: Occupational
Load Formula: S - Standard Load


Description: Techniques of emergency medical care in accordance with national and state curriculum. Study of the human body, patient assessment, treatment of medically or traumatically compromised patients, special hazards, and medical operations, IV monitoring, patient-assisted medication administration, automated external defibrillators (AEDs), and blood-glucose monitoring.



MCCCD Official Course Competencies
1. Describe the role and scope of duties and practice of the Emergency Medical Technician (EMT). (I)
2. Identify the techniques for assessing scene safety and body substance isolation (BSI). (I)
3. Apply techniques to evaluate an unconscious victim. (I, III)
4. Use mechanical aids for airway, breathing and circulation. (I, V)
5. Describe the medical/legal/ethical aspects of Emergency Medical Technology. (II)
6. Perform the techniques of initial assessment, SAMPLE(copyright) and symptoms, allergies, medications, past pertinent history, last oral intake; events leading up to the present illness, including trauma history, focused history, rapid trauma and medical assessment, focused and detailed physical examination, vital signs, and ongoing assessment. (III)
7. Complete ten patient assessments in clinical, vehicular, scenario-based education during clinical rotation at an emergency department. (III, XXI-XXIII)
8. Identify and care for a patient in need of basic life support (BLS). (IV)
9. Administer oxygen to a patient suffering from respiratory compromise. (VI)
10. Identify and treat a patient in shock. (VII)
11. Identify and treat soft tissue injuries. (VIII)
12. Identify and treat injuries to the head, chest, abdomen, and genitalia. (IX)
13. Stabilize and splint muscular skeletal injuries in extremities. (X)
14. Summarize and submit a written report about the patient care observed in a designated clinical facility or vehicular assignment. (X)
15. Identify and treat a patient with injuries to the head, brain, neck, and spine; acute abdominal disorders; a toxiological emergency or communicable disease; a pediatric emergency; a behavioral emergency; an environmental emergency; an emergency related to diabetes; a respiratory emergency; and gynecologic or obstetrical emergencies. (XI-XIX)
16. Apply techniques used in lifting, moving, or positioning a patient to minimize discomfort and additional injury. (XX)
17. Apply techniques to extricate a victim from a vehicle. (XXI)
18. Identify and use equipment assigned to an ambulance/rescue vehicle. (XXII)
19. Triage and categorize patient care by priorities in a simulated situation. (XXIII)
20. Respond to a simulated disaster scene and identify management procedures to follow. (XXIV)
21. Apply techniques of assessment for a patient with intravenous (IV) fluids. (XXV)
22. Identify and treat infiltration during IV infusions. (XXV)
23. Complete final written exams. (I-XXVI)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.
 
MCCCD Official Course Outline
I. Role and Scope of EMT Duties
   A. Duties of the Emergency Medical Technician (EMT)
      1. Scene safety survey
      2. Body substance isolation (BSI)
   B. Role of the EMT related to the ambulance
      1. Positioning the patient
      2. Safety techniques during transport
      3. Equipment
   C. Initial triage of patients
II. Medical-legal problems
   A. The standard of care
   B. Duty to act
   C. Consent
   D. Good Samaritan law
   E. Immunities
   F. Abandonment
   G. Legal implications in special patient situations
   H. Ethics
III. Patient assessment techniques
   A. Types of emergencies
   B. Assessment
      1. Initial
      2. Clinical
      3. Vehicular
      4. Scenario-based education (simulation)
   C. SAMPLE(copyright) history
   D. Focused history
   E. Rapid trauma assessment
   F. Rapid medical assessment
   G. Focused physical exam
   H. Detailed physical exam
   I. Baseline vital signs
   J. Ongoing assessment
IV. Basic Life Support (BLS)
   A. Respiratory system
      1. Respiratory failure
      2. Pulmonary resuscitation
   B. The heart
   C. Cardiopulmonary resuscitation (CPR)
      1. One-rescuer CPR
      2. CPR techniques for infants and children
      3. Two-rescuer CPR
      4. Special considerations during transfer of patients
V. Mechanical aids to airway, breathing and circulation
   A. Airways
   B. Suction devices
   C. Ventilation assist devices
VI. Oxygen therapy
   A. Importance of supplemental oxygen
   B. Hypoxia
   C. Disadvantages of oxygen therapy
   D. Equipment and supplies
   E. Administering oxygen to breathing patient
   F. Administering oxygen to non-breathing patient
VII. Shock
   A. Defining shock
   B. Types of shock
   C. Symptoms and signs of shock
   D. Preventing and treating shock
      1. Anaphylactic shock
      2. Syncope and near syncopal episodes
VIII. Soft tissue injuries
   A. Types
   B. Soft tissue wound care
   C. Closed and open wounds
   D. Emergency care for open wounds
   E. Bleeding
      1. External bleeding
         a. Evaluating
         b. Controlling
      2. Internal bleeding
         a. Significance
         b. Detecting
         c. Evaluating
         d. Controlling
IX. Injuries to the head, chest, abdomen, and genitalia
   A. The scalp and face
      1. Eye
      2. Ears
      3. Nose
      4. Mouth
   B. Soft tissues of the neck
   C. Chest
   D. Abdomen
   E. Pelvis and groin
X. Injuries to extremities
   A. Management of breaks and deformities in the extremities
      1. Assessment and emergency stabilization
      2. Traction immobilization devices
      3. Long bone bandaging and splinting
   B. Spinal Immobilization
      1. Kendrick`s Extrication Device (KED (copyright))
      2. Long board spinal immobilization
      3. Pillow and air splints
   C. Observation and written report
XI. Injuries to the head, brain, neck, and spine
   A. Head and brain injuries
      1. Soft tissue injuries
         a. Face
         b. Scalp
      2. Fractures
      3. Signs and symptoms of intracranial bleeding
   B. Neck and spine injuries
      1. Axial skeleton
      2. Management of injuries
         a. Head
         b. Spine
         c. Chest
XII. Acute abdominal disorders
   A. Signs and symptoms
   B. Emergency care
XIII. Pediatric emergencies
   A. Pediatrics growth and development
   B. Techniques of assessment and communication
   C. Injuries common to children
   D. The battered child syndrome
   E. Medical problems common to children
   F. Medical legal issues and consent
XIV. Behavioral emergencies
   A. Psychiatric emergencies
   B. Aggressive behavior
   C. Attempted suicide
XV. Environmental emergencies
   A. Burns
   B. Excessive heat
   C. Excessive cold
   D. Injuries due to electricity
   E. Hazardous materials
   F. Explosions
XVI. Poisons, use/abuse of illicit drugs, and communicable diseases
   A. Poisons
      1. Types
      2. Poison control centers
      3. Emergency care for poisoning
   B. Snakebite
   C. Alcohol and drug abuse
   D. Communicable diseases
XVII. Diabetic states
   A. Diabetic coma and insulin shock
   B. Blood glucose monitoring
   C. Care of the patient with a diabetic emergency
XVIII. Respiratory emergencies
   A. Types
      1. Acute
      2. Chronic
   B. Assessment and treatment
      1. Acute respiratory emergencies
      2. Chronic respiratory emergencies
XIX. Gynecologic and obstetrical emergencies
   A. Pregnancy and bodily changes
   B. Assessment and treatment of pregnant patients
   C. Imminent delivery
   D. Complicated delivery
   E. Abnormal, pre-, and post-delivery emergencies
   F. Sexually transmitted diseases (STD)
      1. Types
         a. Viruses, parasites, and bacteria
         b. Genital warts
         c. Chlamydia
         d. HIV
         e. Other
      2. Methods of transmission
      3. Symptoms
      4. Treatments
      5. Protection
XX. Patient Lifting, Moving, and Positioning
   A. Basic principles
   B. Transferring patients
   C. Kendrick Extrication Device (KED(copyright))
   D. Long spine boards
XXI. Vehicle extrication of trapped victims
   A. Through the vehicle body
   B. Through vehicle doors
   C. Through vehicle windows
XXII. Ambulance/rescue vehicle equipment
   A. The ambulance/rescue vehicle itself
   B. Basic equipment and supplies
   C. Safety and protection for self, crew, and patient
XXIII. Triage management
   A. Identification procedures
   B. Triage and patient assessment
XXIV. Disaster management
   A. Phases of a disaster
   B. People`s reactions
   C. Impact on EMT personnel
   D. Disaster scene operations
XXV. Intravenous (IV) fluid therapy
   A. Assessment of patient
   B. Components
   C. Transportation
      1. Allowed by the EMT
      2. Not allowed by the EMT
   D. Infiltration
      1. Signs and symptoms
      2. Immediate actions
XXVI. Exam preparation and final written exam
   A. Preparation for final testing and certification process
   B. Final written exam


 
MCCCD Governing Board Approval Date: June 28, 2016

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.