EMSP-1038, 1056, 1055, 1064, 1060
Emergency Medical Technician – Intermediate

Western Texas College

  1. Basic Course Information - Course Title and Number:
    1. EMSP-1038 – Intro to Advance Practices
    2. EMSP-1056 – Patient Assessment & Airway Mgt.
    3. EMSP-1055 – Trauma Management
    4. EMSP-1064 – Clinical EMT/Tech. Intermediate
    5. EMSP-1060 – Clinical EMT/Tech. Intermediate Field Experience
  2. Prerequisites:
    1. Must be 18 years of age and have a High School Diploma or GED by the conclusion of the course.  Must have a current American Heart Association CPR Card for Healthcare Providers. Student must be current on all Immunizations, FBI criminal Backgroundcheck, proof of personal Insurance. Must have taken and passed EMT-Basic courses.
  3. Credit Hours Earned:
    1. These courses are offered for certificate only.
  4. Course Coverage and Learning Outcomes: Must exhibit competency in handling emergencies utilizing all Basic Life support equipment and skills in accordance with all behavioral objectives in the DOT/ First Responder Training Course and the FEMA document entitled “Recognizing and Identifying Hazardous Materials”. The adopted National standard curricula includes objectives specifically, after successful completion of the program, the student will be capable of performing the at the minimum entry level:
    1. Given an SLO activity:  The student will evaluate the nature and seriousness of the patient’s condition or extent of injuries to assess requirements for emergency medical care; Student proficiency in this area will be measured by preceptor supervision in a clinical setting and completion of the clinical evaluation performance form, quizzes, regular exams, comprehensive final exam, clinical reports, lab assessments and comprehensive lab practical exams.
    2. Given an SLO activity:  The student will administer appropriate emergency medical care based on assessment findings of the patient’s condition; Student proficiency in this area will be measured by preceptor supervision in a clinical setting and completion of the clinical evaluation performance form, quizzes, regular exams, comprehensive final exam, clinical reports, lab assessments and comprehensive lab practical exams.
    3. Given an SLO activity:  The student will initiate transportation of patients by lifting, moving, positioning and otherwise handling the patient to minimize discomfort and prevent further injury; Student proficiency in this area will be measured by preceptor supervision in a clinical setting and completion of the clinical evaluation performance form, quizzes, regular exams, comprehensive final exam, clinical reports, lab assessments and comprehensive lab practical exams.
    4. Demonstrate the ability to perform safely and effectively the expectations of the job description.  Provide a service in an environment requiring special skills and knowledge in such areas as communications, transportation, and keeping records. Student proficiency in this area will be measured by preceptor supervision in a clinical setting and completion of the clinical evaluation performance form, quizzes, regular exams, comprehensive final exam, clinical reports, lab assessments and comprehensive lab practical exams.
    5. Display the ability to serve as liaisons with other emergency services. Student proficiency in this area will be measured by preceptor supervision in a clinical setting and completion of the clinical evaluation performance form, quizzes, regular exams, comprehensive final exam, clinical reports, lab assessments and comprehensive lab practical exams.

    This course provides and introduction to these concepts.  Individual orientation to the specific systems and services with which the EMT-Basic will be affiliated is necessary to achieve a full level of competency.

  5. Required Book for the Course:      
    Intermediate Emergency Care Textbook & Workbook: Author –Bledsoe, Porter and Cherry, by Brady publishing.  ISBN:  0-13-113607-0  WORKBOOK ISBN;0-13-11369 Course Handbook - $25.00 will be given the first night of class
  6. Other Required Materials:              
    Blood Pressure cuff and stethoscope, wristwatch with a second hand, black pants (preferably pocket pants), white shirt, black shoes and socks.
  7. Grading System: 
    Exam Grades 60%
    Four Exams (15% of semester grade each)
    Daily Homework  25% of semester
    Final Exam 15% of semester
    Passing Grade 70
  1. Other Course Requirements:
    1. Students are expected to participate in class discussion. Homework is expected to be completed by the next class period.  Full competency must be reached on all the TDSHS skills requirements and course requirements as lay out in the course handbook.  Attendance to the Extrication day is mandatory for course completion.
  2. Extra Credit Options:                      
    There are none
  3. Course Organization and Schedule:

CLASS #

DATE

TOPIC

LENGTH

#*1

Preparatory

Registration
Course Overview
Pre-Test evaluation
Foundations of EMT-I

1 HR
1 HR
1 HR
1 HR

#* 2

Preparatory

Well Being Of EMT-I
Medical/ Legal Considerations/Ethics
Overview of Human Systems

1 HR
1 HR
2 HRS

*3

Preparatory

Anatomy & Physiology for the Intermediate
Basic Skills Practice

3 HRS
1 HR

4

Preparatory

Basic Skills Testing
Emergency Pharmacology

3 HRS
1 HR

5

Sat:
Preparatory

Venous Access /lecture
Veni-puncture Demo and Student  Practice
Blood Draw, EJ cannulation, Sharps Disposal

4 HRS

4 HRS

6

Preparatory

Medication Administration Lecture
IM, Sub-Q injection

2 HRS

2HRS

7

Preparatory

Review for exam
Skill Practice IM Sub Q

2 HRS
2 HRS

8

Preparatory

Written Exam #1:  All Material to Date
Skills Exam:  Random Basic Skill

1 HRS
3HRS
 

#*9

Airway

Respiratory Anatomy and Physiology
Pathophysiology of Airway/ Ventilation Overview
Pt. Assessment:  Airway/ Ventilation

4 HRS
 

#*10

Airway

Techniques of Management: Basic Mechanical Aids to Breathing: Nasogastric tubes, Esophageal Airways
Skills Lab: Practice

 2 HRS
1 HR
1 HR

*11

Airway

Techniques of Mgt.: Endotracheal Intubation (Adult/ Pedi); ET suction, Cricothyrotomy, LMA
Skills Lab: Practice
Chapter Test Airway

2 HRS
2 HRS

12

Airway

Skills Exam:  Esophageal Airways, Cricothyrotomy
Endotracheal Intubation (Adult/Pedi)  ET Suction,  Nasogastric Tubes

4 HRS

*13

Pt. Assessment

Medical Terminology
History Taking/ OPQRST/ SAMPLE
Techniques of Physical Examination

1 HR

1 HR
2 HRS

*14

Sat: Pt. Assessment

Clinical Orientation
Initial Assessment: Scene safety,
Mech Injury/ nature of Illness
Physical Exam: Medical & Trauma
Detailed Assessment
Skills Practice:  NREMT Skills Pt. Assessment


1 HR
2 HR
2 HR

4 HRS

15

Pt. Assessment

Clinical Decision Making:  Critical Thinking
Communications
Documentation

1 HR
1 HR
2 HRS

16

Pt. Assessment

Major Exam #2

Skill Testing Pt. Assessment

2 HR
2 HRS

#*17

Trauma

Trauma Systems & Mech. Of Injury
Hemorrhage & Shock

2 HRS
2 HRS

#*18

Trauma

Physiology of Perfusion:  Fluids & Electrolytes
Acid Base Balance: Shock
Evaluation of Perfusion Techniques of Management: Pneumatic Anti-Shock Garment

2 HRS
2 HRS

*19

Trauma

Burns/ Parkland formula/ Rule of nines
Classification of Burns:  Chemical, electrical, thermal
Skills Lab:  PASG, IV Therapy

3 HRS
1 HRS

20

Trauma

Thoracic Trauma, Hemothorax, pneumothorax
Abdominal, Extremity trauma
Skill: Pleural Chest Decompression

1 HR
2 HRS

 

 

SPRING BREAK  NO CLASS

 

21

Trauma

Head & Spinal Trauma
Brain injury Trauma

3 HRS
1 HR

22

Trauma

Skills Lab:  Helmet Removal, IV Therapy, PASG, IV Push Meds, Decompression, Airway Mgt. Spinal Immobilization,

4 HRS

23

Sat:

Trauma

Trauma Scoring, Triage
Facility Bypass & Diversion
Skills Practice: Helmet  Removal, Sports Injuries
Initial Assessment / Rapid extrication
Spinal Immobilization
Case Scenerio Patient assessment

1 HR
4 HRS

3 HRS.

24

 

Trauma

Written EXAM #3: Fluids & Electrolytes, IV Therapy, & Shock, Trauma
Skills EXAM: IV, PASG, IO Infusion, IV Push Meds,

1 HR
2 HRS
1 HR

#*25

Medical

Respiratory Emergencies,
Asthma, Apnea, COPD, emphysema, Chronic Bronchitis, Pulmonary Edema, Pneumonia
Tension Pneumothorax, Pulmonary Thromboembolism

4 HRS

#*26

Medical

Cardiovascular Emergencies, Angina, Bradycardia, Tachycardia, Cardiogenic Shock, v-fib, asystole,  PEA
Skills:  AED, CPR,

3 HRS
1 HR

#*27

Medical

Diabetic Emergencies, DKA, Hypoglycemia, Hyperglycemia, Insulin
finger-stick sugar level testing

3 HRS

1 HR

*28

Medical

Allergic Reactions
Epi-pen, Random Airway skill test

2 HRS
2 HRS

*29

Medical

Poisoning & Overdose
Charcoal, Random IV skill test

2 HRS

2 HRS

*30

Sat: Medical

 Neurological Emergencies:  Stroke
Seizures/ Epilepsy
Meningitis/ Infections
Skills Practice:  All NREMT Skills

1 HR
1 HR
1 HR
5 HRS

*31

Medical

Non-traumatic Abdominal Emergencies
GI bleeding, Stones, UTI,  Ruptured Viscus

4 HRS

32

Medical

Environmental Emergencies/ Heat & Cold, Stings/ Bites
Behavioral Emergencies / Substance Abuse

4 HRS

33

Medical

Gynecological Emergencies
Miscarriage, Ectopic pregnancy, PID, Sexual Assault

4 HRS

#*34

Special Considerations

Obstetrical Emergencies
Abrupto, Previa, Prolapsed cord, eclampsia,
emergency delivery

4 HRS

*35

Special Considerations

Neonatal Resuscitation
Cyanosis, meconium, sepsis, apnea

4 HRS

36

Special Considerations

Pediatric Emergencies,
Pediatric IV and Intubation

2 HRS
2 HRS

37

Special Considerations

Pediatric Emergencies continued
 Geriatrics

2 HRS

2 HRS

#*38

Operations

 Major Incident response/ Incident Command System
Critical Incident Stress Management

4 HRS

39

Sat: Operations

Written Exam # 4

Extrication & Rescue, Major Incident Response
Incident Command System; Rapelling, Water Rescue

8 HRS

40

Tues.
Operations

Aero-medical Operations/ Street Sense Video

4 HRS

41

Thurs.

Review for FINAL EXAM
SKILLS EXAM:  All NREMT Skills

4 HRS

42

Sat:

Complete Skills EXAMS
WRITTEN FINAL EXAM
Review Folders

8 HRS

 

 

Total Hours

192

  1. Clinical Requirements
    1. AMBULANCE ROTATIONS
      1. Additionally 10 emergency ALS runs in the following categories obtained at any approved ambulance service.
      2. 5 - Trauma
      3. 5 - Medical (2 of 5 can be ALS inter-facility transfers)
      4. If a student does not witness 5 – Trauma and 5 – Medical runs in the first 10 ALS runs i.e. (7 medical, 3-Trauma), the student must continue until the minimum criteria are met.
    2. CLINICAL ROTATIONS*
    Emergency Room Rotation    32 Hours
    Surgery 16 Hours
    ICU 16 Hours (surgical or Medical ICU)
    Pediatrics 8 Hours (Pedi-ICU or Pedi-ER)
    Total Hospital Hours 72
    Ambulance min. Hours 50
      122 Clinical Hours
    Classroom Hours 192
      314 Total Hours
    NOTE: All clinicals must be completed within 30 days of the last class day.

  2. Students are required to complete the following skills:
    1. 5 intubations on human patients
    2. 10 IV Catheter insertions
    3. 10 vein punctures
  3. Available: Policies on Missed and Late Exams and Assignments:           
    1. Make-up testing will not be permitted for unexcused absences.  A score of 0 will be recorded for missing a test due to an unexcused absence.  Make-up testing times will be scheduled with the instructor for excused absences.  No absence will be excused unless notified prior to class
    2. Attendance Policy: Attendance is mandatory.  More than (3) three absences may result in the student beingadministratively withdrawn from the course.  Absences are excused only at the discretion of the instructor.  No absence will be excused unless notified prior to class.  If you are late for class or clinical, or leave before the instructor dismisses class more than twice during a course, you must obtain permission from the program coordinator or instructor to resume class.  Two tardies constitute one absence.  You are responsible for all material covered during an absence.  It is your responsibility for determining what you missed. This course will be taught in a college classroom environment and in an ambulance lab setting.  Students should come to class prepared to contribute in a positive and constructive manner and demonstrate mature and purposeful behavior.  Activities disruptive to interference of this behavior, such as sleeping in class interruptive talking, rudeness to other students will not be tolerated and will be dealt with by instructor intervention, to include possible instructor-initiated student withdrawal from this class with resulting forfeiting of all fees by the student.
    3. You may not use tobacco products in this classroom.
    4. Policy on Academic Integrity: Cheating and plagiarism are dishonest.   Plagiarism (using, stating, offering or reporting
      as one’s own idea, expression or production of another person) carries the penalty of being dismissed from class with a grade of F. A second violation may result in suspension from school. Conduct of students, which are such as to cast unfavorable reflection upon the college will result in the student receiving disciplinary action for misconduct.
  4. Other Policies
    1. Safety:  A number of safety measures are in place for your continued protection.  In the event of inclement weather, shelters have been designated at several locations on the campus.  Your Student Handbook will have a map of these locations and you should familiarize yourself with each.  The shelters will be marked at the entrance.  Western Texas College is part of the local law enforcement personnel citywide call list which is activated by the local law enforcement personnel.  Warnings will be given throughout the campus once the call is received.
    2. Emergency:  All offices serve as emergency communications points.  Please notify the nearest WTC staff member should you become aware of the need for assistance of any type.
    3. Bad Weather Policy:  In the event of classes being dismissed for inclement weather, holiday, national disaster, or other unavoidable circumstances, the instructor will be responsible for notifying the students as to what the make-up requirements will be.  Sufficient work will be documented to offset the number of hours missed.  This notification of required make-up work will be given to students within one week upon resuming classes.
    4. ADA Statement:  Western Texas College does not discriminate on the basis of disability in the admission or access to, or treatment or employment in, its program or activities.  The college counselors have been designated to coordinate compliance with the nondiscrimination requirements contained in section 35.107 of the Department of Justice regulations.  Information concerning the provisions of the Americans with Disabilities Act, and the rights provided hereunder, are available from the college counselors.
    5. Special Assistance:  If, as a result of a disability, a student needs special assistance to participate in a class, the counselor and course coordinator are to be notified immediately so that the prescribed process can be initiated.  TDSHS has minimum requirements of physical and mental capabilities to qualify for EMT certification.
    6. Affirmative Action:  Western Texas College is an equal opportunity institution and is in compliance with the Americans with Disabilities Act.
    7. Other Policies, Procedures and Important Dates are available in the Catalog.

 

 

Last Modified: August 18, 2015