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Effective: Summer 2014

Corequisites: Corequisite: EMTP 60A.
Grade Type: Letter Grade, the student may select Pass/No Pass
Not Repeatable.
FHGE: Non-GE Transferable: CSU
1 hour lecture, 6.5 hours laboratory. (90 hours total per quarter)

Student Learning Outcomes -
  • Student will learn and demonstrate appropriate assessments and ECG monitoring. Students should be able to discuss and apply appropriate treatment for specific EKG rhythms.
  • Student will learn appropriate assessments of various respiratory emergencies
Description -
Paramedic skills presented: proper hand washing; personal protective equipment; patient assessment; intravenous access; intraosseous infusion; pharmacology; medication administration; airway management: endotracheal intubation, oropharygeal airway, nasopharyngeal airway, suctioning, dual lumen airways; advanced cardiac life support ambulance 911 call simulations and case studies; synchronized cardioversion; transcutaneous pacing; defibrillation; cardiovascular/chest pain emergency 911 call simulations; end tidal carbon dioxide monitoring; capnography; 12 lead ECG interpretation. Intended for students in the paramedic program.

Course Objectives -
The student will be able to:
  1. Demonstrate proper hygiene techniques and Personal Protective Equipment (PPE).
  2. Demonstrate the various techniques to establish intravenous routes.
  3. Exhibit different basic and advanced airway management techniques.
  4. Demonstrate your understanding of different components of cardiac monitor devices.
  5. Demonstrate the different techniques of medication administration.
  6. Demonstrate through simulated scenarios how to manage scenes and patient care.
  7. Demonstrate the proper techniques for transferring patient care.
Special Facilities and/or Equipment -
  1. Paramedic lab facilities
  2. Paramedic ambulance equipment: mannikin (that allows cricothyrotomy, pleural decompression, intubation, intraosseous infusion, intravenous access, intramuscular injection and subcutaneous injection); medication box with all paramedic medications; respiratory bag with airway management equipment; ECG monitor/defibrillator/pacer; suction; immobilization equipment.
  3. Ambulance simulator
  4. Base station simulator equipment

Course Content (Body of knowledge) -
  1. Proper hygiene techniques.
    1. Hand washing techniques.
    2. Proper use of Personal Protective Equipment.
    3. N-95 mask.
    4. P-100 mask.
    5. Donning and doffing medical gloves.
  2. Establishing intravenous routes.
    1. IV techniques
    2. IO techniques
    3. Setting up, starting IV's
  3. Basic and advanced airway management techniques.
    1. NPA's, OPA's.
    2. Suctioning.
    3. Endotrachel intubation.
    4. Tracheotomy care.
    5. Multi lumen devices
    6. O2 therapy.
  4. Cardiac monitor devices.
    1. 4 lead.
    2. 12 lead.
    3. Cardioversion.
    4. Pacing.
    5. Defibrillation.
    6. EtCO2
    7. Pulse Ox
  5. Medication administration.
    1. Medication packaging.
    2. Routes of administration.
    3. Medication calculations
  6. Simulated scenarios how to manage scenes and patient care.
    1. Scene approach and control.
    2. General impression.
    3. History and physical
    4. Working diagnosis.
    5. Appropriate treatment.
  7. Transferring patient care.
    1. Documentation.
    2. Radio report.
    3. Verbal report.
Methods of Evaluation -
  1. Laboratory psychomotor skill test
  2. National-style oral examinations of 911 call simulations
  3. National-style paramedic affective evaluation: observe student behavior, document, and counsel student.
  4. Written assignments including: prehospital patient care report forms.
Representative Text(s) -
Aehlert, Barbara, Paramedic Practice Today: Above and Beyond, (2-Volume Set Revised Reprint), Elsevier/Mosby, May 2011.
American Heart Association, Advanced Cardiac Life Support (ACLS) Provider Manual, (90-1012), Publisher- Channing Bete, April 2010.
American Heart Association, BLS for the Healthcare Provider, (90-1000), Channing and Bete, April 2010.
Sanders, Tina and Scanlon, Valerie C., Essentials of Anatomy and Physiology, 6th ed., Text and Workbook, 2010.
Foothill College Paramedic Program, Student Policy Handbook, 2010 - 2012.
Geiter Jr., Henry B., EZ ECG Rhythm Interpretation, November 2003.

Disciplines -
Emergency Medical Technologies
Method of Instruction -
Methods of instruction include, but not limited to students practicing skills in preparation for the NREMT skills testing. Students will demonstrate proficiency of knowledge and skill through simulated scenarios.
Lab Content -
  1. Proper hand washing, personal protective equipment.
  2. Pediatric patient assessment.
  3. Intravenous access, intraosseous infusion.
  4. Pharmacology, medication administration.
  5. Airway management, endotracheal intubation, oropharygeal airway, nasopharyngeal airway, suctioning, dual lumen airways.
  6. Advanced cardiac life support ambulance.
  7. 911 call simulations and case studies.
  8. Adult patient Assessment
  9. Traction Splint application.
  10. Spinal immobilization
  11. Helmet removal.
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Read 1-6 chapters per week throughout the quarter on paramedic: anatomy & physiology, cardiology, electrocardiogram, electrophysiology, etc. Weekly reading assignments 60-100 pages.
  2. Review skills in the program lab manual.