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Critical Care for Paramedics Certificate
Semester Hours:   6.25
Effective Term: Fall 2016
Prerequisites: EMS272A-E or equivalent OR Registered Nurse, MD, Paramedic; AND CPR/EMS100; AND current ACLS Certification, BTLS or PHTLS, PALS or PEPP; AND current ARC Certification or AHA BLS Health Care Provider, or NSC Green Cross Prof Rescuer, or Division Chair consent.
Corequisites: None


Program Description: Advanced level education and training in Emergency Medical Services with specific training in Critical Care for nurses, physicians, and paramedics. The EMS275 course prepares students to function as a member of the critical care transport team. Students gain a higher level of understanding of patient care in the pre-hospital setting. EMS275 combined with Advanced Cardiac Life Support (ACLS) and the course prerequisites prepares student to apply for a completion certificate.

Recommended Proficiencies: 1. Current Cardio Pulomonary Resuscitation (CPR) certification per American Heart Association standards.
2. Advanced Cardiac Life Support (ACLS) certification per American Heart Association standards.

Course Requirements
Critical Care for Paramedics Certificate (6.25 Credits)

Prerequisites
EMS272A Advanced Emergency Medical Technology/Paramedic, Module I (13.5)
EMS272B Advanced Emergency Medical Technology/ Paramedic Module II (8.5)
EMS272C Advanced Emergency Medical Technology/ Paramedic, Module III (8.5)
EMS272D Advanced Emergency Medical Technology/ Paramedic Practicum I (6)

EMS272E Advanced Emergency Medical Technology/ Paramedic Practicum II (6)
OR
Certified Paramedic or Registered Nurse, or Physician or equivalent

AND all of the following
1. EMS100 CPR for Professionals (.5) or current Cardio Pulmonary Resuscitation (CPR) certification per American Heart Association standards or equivalent
2. Current Advanced Cardiac Life Support (ACLS) certification per American Heart Association standards, BTLS or PHTLS, PALS or PEPP;
3. Current ARC Certification or AHA BLS Health Care Provider, or NSC Green Cross Professional Rescuer or Division Chair consent.

Core Requirements (6.25)
EMS275 Critical Care for Paramedics (CCEMTP) (5.25)
EMS240 Advanced Cardiac Life Support (ACLS) (1)

Other Requirements
Students must earn a cumulative grade point average (CGPA) of at least a 2.0 on a 4.0 scale.
Students must earn at least one-third of the certificate credits from CAC.
Program Measurable Student Learning Outcomes
1. (Comprehension Level) Describe the concepts and components of critical care transport.
2. (Application Level) Apply essential legal principles and medicolegal aspects of critical care transport.
3. (Evaluation Level) Correctly interpret laboratory data when applied to case scenarios.
4. (Analysis Level) Define and relate appropriate treatment for shock, multi-systems organ failure, and communicable diseases within the specific scope of practice.
5. (Analysis Level) Correctly diagnose and relate appropriate treatment for complications of respiratory emergencies.
6. (Analysis level) Describe procedures in hemodynamic management and identify complications in said management within the specific scope of practice.
7. (Application Level) Determine appropriate use of cardiac monitoring devices and summarize appropriate treatment for patients according to resulting diagnosis.
8. (Evaluation Level) Assess patient status and relate suitable pharmacological agents according to diagnosed needs.
9. (Evaluation Level) Interpret correct care for patients who have gastrointestinal, renal, and hemodialysis needs.
10. (Analysis Level) Identify major components of a neurological assessment and outline appropriate treatment.
11. (Synthesis Level) Identify complications that arise during ground and/or air transport of critical patients and determine alternate avenues and treatment modalities to resolve complications.
12. (Analysis Level) Identify and outline appropriate treatment for pediatrics and OB/Gyn patients.
13. (Comprehension Level) Describe the concepts of the Chain of Survival according to American Heart Association Standards and Guidelines.
14. (Comprehension Level) List and describe the causes of sudden cardiac death.
15. (Application Level) Perform skills in Basic Life Support to include one- and two-person CPR for adults and children; conscious and unconscious obstructed airway maneuvers for adults, children, and infants; CPR for infant victims.
16. (Application Level) Insert oral and nasal airway into patients.
17. (Application Level) Correctly apply the face mask, nasal cannula, non-rebreathing mask, and bag-valve-mask devices, noting the percentage of oxygen delivered for each adjunct.
18. (Application Level) Perform endotracheal intubation.
19. (Application Level) Perform nasal and tracheal suction techniques.
20. (Evaluation Level) Interpret the basic ECG arrythmias.
21. (Analysis Level) Identify and outline all of the steps in the universal algorithm for adult emergency cardiac care.
22. (Analysis Level) Identify and outline all of the steps in the algorithm for early management of patients with chest pain, signs, and symptoms of myocardial infarction.
23. (Analysis Level) Examine and explain the indications, contraindications, actions, side effects, uses, and dosages of the emergency cardiac drugs.
24. (Analysis Level) Analyze and describe indications, techniques, and complications for peripheral and central venous access.
25. (Analysis Level) Identify and illustrate transcutaneous pacing, defibrillation, synchronized, and unsynchronized cardioversion.
26. (Analysis Level) Analyze and describe special resuscitation situations to include stroke, traumatic cardiac arrest, shock, congestive heart failure, near drowning, and hypothermia.

Standards for Program
1. Demonstrate correct treatments for a patient in stable and unstable cardiac rhythms per American Heart Association standards.
2. Demonstrate correct CPR, electrical and pharmacological interventions, and airway management per current American Heart Association standards.
3. Complete written and skill evaluations according to American Heart Association or ASHI standards.
4. As guided by the current University of Maryland, Baltimore County clinical and practical standards and examination.