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EMT 104 Paramedic Care IV

This comprehensive modular course provides students the opportunity to integrate theory and psychomotor skills from previous courses, and apply them in complex simulation activities. In order to complete the course, students must meet all of the skill and simulation competencies required by the program. Students must also pass the Advanced Cardiac Life Support, Pediatric Advanced Life Support courses, and Prehospital Trauma Life Support certification courses, or equivalent courses approved by the Delaware Office of Emergency Medical Services. This course also covers EMS response to special situations and interaction with firefighters and law enforcement. Topics include vehicle rescue, active threats, mass casualty situations, and air-medical operations.

Credits

2

Prerequisite

EMT 103 and EMT 110

See Course Syllabus

Course Number and Title:

EMT 104 Paramedic Care IV

Campus Location

  • Dover

Effective Date

2025-51

Prerequisites

EMT 103 and EMT 110

Course Credits and Hours

2 credit(s)

1 lecture hours/week

4 lab hours/week

Course Description

This comprehensive modular course provides students the opportunity to integrate theory and psychomotor skills from previous courses, and apply them in complex simulation activities. In order to complete the course, students must meet all of the skill and simulation competencies required by the program. Students must also pass the Advanced Cardiac Life Support, Pediatric Advanced Life Support courses, and Prehospital Trauma Life Support certification courses, or equivalent courses approved by the Delaware Office of Emergency Medical Services. This course also covers EMS response to special situations and interaction with firefighters and law enforcement. Topics include vehicle rescue, active threats, mass casualty situations, and air-medical operations.

Additional Materials

None

Required Text(s)

Obtain current textbook information by viewing the campus bookstore - https://www.dtcc.edu/bookstores online or visit a campus bookstore. Check your course schedule for the course number and section.

Disclaimer

None

Core Course Performance Objectives (CCPOs)

  1. Demonstrate the ability to serve as a team member or a team leader during simulated patient contacts. (CCC 1, 2, 3, 4; PGC 1, 2, 3, 4, 5, 6, 7)

  2. Perform psychomotor skills in the lab setting included in the current Delaware Paramedic Scope of Practice and the Committee on Accreditation of Education Programs for the EMS Professions (CoAEMSP) Student Minimum Competency Recommendations. (CCC 1, 2, 3, 4, 6; PGC 1, 5, 7 )

  3. Elicit a patient history during simulated patient contacts in the lab setting. (CCC 1, 2, 3, 4, 5; PGC 2, 6, 7)

  4. Complete a pertinent, accurate physical examination as it pertains to a variety of medical conditions during simulated patient contacts in the lab setting. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 3, 4, 6, 8)

  5. Communicate history, physical findings, and treatment to other providers during simulated patient contacts in the lab setting. (CCC 1, 2, 3, 4, 5; PGC 1, 2, 6, 7)

  6. Demonstrate establishing and using the incident management system to manage a multiple casualty incident. (CCC 1, 2, 3, 4, 6; PGC 1, 5, 6)

  7. Formulate strategies to preserve personal safety and operate effectively at the scene of an incident. (CCC 1, 2, 3, 4, 6; PGC 1, 3, 5, 6)

  8. Demonstrate how to effectively and safely transport patients by ground and air ambulance. (CCC 1, 2, 3, 4, 6; PGC 1, 3, 5, 6)

See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.

Measurable Performance Objectives (MPOs)

Upon completion of this course, the student will:

  1. Demonstrate the ability to serve as a team member or a team leader during simulated patient contacts.

    1. Communicate effectively with other members of the team and the patient during a simulated patient contact in the lab setting.

    2. Successfully complete basic and advanced life support skills delegated during simulated patient contacts.

    3. Analyze interview responses and physical examination findings in order to formulate a differential diagnosis.

  2. Perform psychomotor skills in the lab setting included in the current Delaware Paramedic Scope of Practice and the Committee on Accreditation of Education Programs for the EMS Professions (CoAEMSP) Student Minimum Competency requirements.

    1. Demonstrate, in skills stations or patient simulations, the ability to perform skills included in the: nebulized medication administration; orotracheal intubation; nasotracheal intubation; placement of supraglottic airways devices, needle and surgical cricothyrotomy; needle chest decompression, use of a Bougie stylet and Magill forceps; tracheal suctioning; orogastric and nasogastric tube insertion; pulse oximetry and end tidal CO2 monitoring; oxygen administration; continuous positive airway pressure (CPAP) administration, cardioversion; external pacing; ECG rhythm interpretation; 12-lead ECG interpretation; Foley catheter insertion; and use of patient movement equipment and techniques.

  3. Elicit a patient history during simulated patient contacts in the lab setting.

    1. Gather from the simulated patient a history of present illness using the OPQRST and SAMPLE mnemonics.

    2. Gather information about associated complaints, additional history, and pertinent negatives from simulated patients.

  4. Complete a pertinent, accurate physical examination as it pertains to a variety of medical conditions during simulated patient contacts in the lab setting.

    1. Perform a primary and secondary assessment pertinent to the patient complaint.

    2. Assess vital signs: pulse, blood pressure, respiratory rate, and pulse oximeter.

    3. Assess and differentiate breath sounds.

    4. Interpret 3-lead and 12-lead electrocardiograms.

    5. Interpret blood gas analyses, blood glucose levels, and blood chemistries.

  5. Communicate history, physical findings, and treatment to other providers during simulated patient contacts in the lab setting.

    1. Provide a concise radio report on a simulated patient in the lab setting.

    2. Provide a complete verbal report for transfer of care of a simulated patient in the lab setting.

    3. Share information with other providers during care of the simulated patient in the lab setting so that those providers may give correct care.

  6. Demonstrate establishing and using the incident management system to manage a multiple casualty incident.

    1. Identify the roles and responsibilities for each position within the National Incident Management System (NIMS).

    2. Perform the functions of different positions within the NIMS in a simulated or tabletop exercise.

    3. Perform triage in a simulated or tabletop exercise using START or Jump START.

    4. Apply principles of Crew Resource Management

  7. Formulate strategies to preserve personal safety and operate effectively at the scene of an incident.

    1. Identify potential threats to personal safety present at scenes of EMS, rescue, hazardous materials, and law enforcement incidents and describe strategies to mitigate them.

    2. Describe strategies to function effectively at law enforcement incidents in order to preserve evidence and maintain personal safety.

    3. Identify threats to personal safety, and describe strategies to function effectively at hazardous materials incidents.

    4. Describe the principles of safe operations and patient care at the scene of rescue operations.

    5. Describe the principles of operating at the scene of a hazardous materials incident.

  8. Describe the principles of safe patient transport by ground and air ambulances.

    1. Describes the risks and responsibilities of operating an emergency vehicle.

    2. Describe the principles of safe transport of pediatric patients.

    3. Discuss the criteria, risks, and benefits for requesting air medical transport.

    4. Demonstrate how to safely operate in, and around an air medical helicopter.

Evaluation Criteria/Policies

The grade will be determined using the Delaware Tech grading system:

90-100 = A
80-89 = B
70-79 = C
0-69 = F
Students should refer to the Catalog/Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.

Final Course Grade

Calculated using the following weighted average

Evaluation Measure

Percentage of final grade

Final Simulation Scenario Assessment (Summative)

30%

Program Lab Portfolio Completion (Summative)

30%

Module exam (Summative)

10%

Professional Behavior (Summative)

5%

ACLS Certification (Summative)

5%

PALS Certification (Summative)

5%

PHTLS Certification (Summative)

5%

Assignments (Formative)

10%

Total

100%

Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major)

  1. Perform all psychomotor Paramedic skills in the National Emergency Medical Services Education Standards consistent with acceptable practice for an entry level paramedic.
  2. Conduct complete, accurate and timely patient assessments to include history and physical exam, and communicate findings.
  3. Interpret assessment findings in order to accurately identify a differential diagnosis and integrate pathophysiologic principles and legal responsibilities to formulate a treatment plan.
  4. Effectively perform the role of Team Leader to include: timely decision making, effective resource utilization, implementing appropriate plan of action for a given situation, adapting the plan to changing conditions change and communicate.
  5. Assess a scene or situation in order to identify threats to operating safely.
  6. Apply communication and ethical decision making skills required for an entry-level paramedic.
  7. Exhibit professional affective behavior.
  8. Function effectively as an entry level paramedic in the pre-hospital working environment in the roles of Team Leader and Team Member.

Core Curriculum Competencies (CCCs are the competencies every graduate will develop)

  1. Apply clear and effective communication skills.
  2. Use critical thinking to solve problems.
  3. Collaborate to achieve a common goal.
  4. Demonstrate professional and ethical conduct.
  5. Use information literacy for effective vocational and/or academic research.
  6. Apply quantitative reasoning and/or scientific inquiry to solve practical problems.

Students in Need of Accommodations Due to a Disability

We value all individuals and provide an inclusive environment that fosters equity and student success. The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. The College's policy on accommodations for persons with disabilities can be found in the College's Guide to Requesting Academic Accommodations and/or Auxiliary Aids Students may also access the Guide and contact information for Disabilities Support Counselors through the Student Resources web page under Disabilities Support Services, or visit the campus Advising Center.

Minimum Technology Requirements

Minimum technology requirements for online, hybrid, video conferencing and web conferencing courses.

Academic Integrity

https://dtcc.smartcatalogiq.com/Current/Catalog/Academics/Academic-Integrity

Attendance

https://dtcc.smartcatalogiq.com/Current/Catalog/Search?q=attendance

Cell phone/Electronic Device

https://dtcc.smartcatalogiq.com/Current/Catalog/Student-Policy/Cell-Phone-and-Electronic-Device-Policy

Tuition Adjustment Policy

https://dtcc.smartcatalogiq.com/Current/Catalog/Financial/Tuition-Fee-Adjustment-Policy-Course-or-Semester-Withdrawal