pt. 1. Preparatory, public health. 1. Emergency medical care systems, research, and public health : The emergency medical services system ; The EMT ; Research and EMS care ; Public health
2. Workforce safety and wellness of the EMT : Emotional aspects of emergency care ; Scene safety ; Wellness principles
3. Medical, legal, and ethical issues : The scope of practice ; Issues of patient consent and refusal ; Other legal aspects of emergency care
4. Documentation : Functions of the prehospital care report ; Collection of data in prehospital care reports ; Legal concerns ; Special situations ; Alternative documentation methods ; Medical abbreviations
5. Communication : EMS communications system ; Communicating within the system ; Team communication and dynamics ; Therapeutic communication
6. Lifting and moving patients : Body mechanics for safe lifting ; General guidelines for lifting and moving ; Lifting and moving patients ; Packaging for transportation ; General guidelines for carrying a patient using a backboard, portable stretcher, or flexible stretcher
pt. 2. Anatomy and physiology, medical terminology. 7. Anatomy, physiology, and medical terminology : Anatomical terms ; Body systems ; Medical terminology
pt. 3. Pathophysiology. 8. Pathophysiology : Cellular metabolism ; Components necessary for adequate perfusion
pt. 4. Life span development. 9. Life span development
pt. 5. Airway management, respiration, and artificial ventilation. 10. Airway management, artificial ventilation, and oxygenation : Respiration ; Respiratory system review ; Airway assessment ; Assessment of breathing ; Assessing for adequate breathing ; Making the decision to ventilate or not ; Techniques of artificial ventilation ; Special considerations in airway management and ventilation ; Oxygen therapy
pt. 6. Assessment. 11. Baseline vital signs, monitoring devices, and history taking : Gathering patient information ; Baseline vital signs ; Monitoring equipment ; Preparing to take the history ; Taking the history
12. Scene size-up : Take the necessary standard precautions and other personal protection precautions ; Determine scene safety ; Determine the nature of the problem ; Determine the number of patients
13. Patient assessment : Scene size-up ; Primary assessment ; Form a general impression of the patient ; Assess level of consciousness (mental status) ; Assess the airway ; Assess breathing ; Assess circulation ; Establish patient priorities ; Secondary assessment ; Overview of secondary assessment: anatomical and body systems approaches, baseline vital signs, and history ; Secondary assessment: trauma patient ; Reevaluate the mechanism of injury ; Rapid secondary assessment: trauma patient with significant mechanism of injury, altered mental status, multiple injuries, or critical finding (unstable) ; Modified secondary assessment: trauma patient with no significant mechanism of injury, altered mental status, multiple injuries, or critical finding (stable) ; Secondary assessment: medical patient who is not alert or is disoriented, is responding only to verbal or painful stimuli, or is unresponsive ; Responsive medical patient who is alert and oriented ; Reassessment: purposes of the reassessment ; Repeat the primary assessment ; Complete the reassessment
pt. 7. Pharmacology. 14. Pharmacology and medication administration : Administering medications ; Medications commonly administered by the EMT ; Medication names ; Routes of administration ; Medication forms ; Essential medication information ; Key steps in administering medications ; Reassessment following administration ; Sources of medication information
pt. 8. Shock and resuscitation. 15. Shock and resuscitation : Shock ; Resuscitation in cardiac arrest ; Automated external defibrillation and cardiopulmonary resuscitation ; Recognizing and treating cardiac arrest ; Special considerations for the AED
pt. 9. Medicine. 16. Respiratory emergencies : Respiratory anatomy, physiology, and pathophysiology ; Respiratory distress ; Pathophysiology of conditions that cause respiratory distress ; Metered-dose inhalers and small-volume nebulizers ; Age-related variations: pediatrics and geriatrics ; Assessment and care: general guidelines
17. Cardiovascular emergencies : Review of the circulatory system anatomy and physiology ; Cardiac compromise and acute coronary syndrome (ACS) ; Nitroglycerin ; Age-related variations: pediatrics and geriatrics ; Assessment and care: general guidelines
18. Altered mental status, stroke, and headache : Altered mental status ; Stroke ; Headache
19. Seizures and syncope : Seizure ; Syncope
20. Acute diabetic emergencies : Understanding diabetes mellitus ; Acute diabetic emergencies ; Assessment-based approach: altered mental status in a diabetic emergency
21. Anaphylactic reactions
22. Toxicologic emergencies : Poisons and poisonings ; Ingested poisons ; Inhaled poisons ; Injected poisons ; Absorbed poisons ; Specific types of poisoning ; Poison control centers ; Drug and alcohol emergencies ; Specific substance abuse considerations
23. Abdominal, gynecologic, genitourinary, and renal emergencies : Acute abdomen ; Gynecologic emergencies ; Genitourinary/renal emergencies
24. Environmental emergencies : Heat and cold emergencies ; Exposure to cold ; Exposure to heat ; Bites and stings ; Lightning strike injuries ; High-altitude sickness
25. Submersion incidents: drowning and diving emergencies : Water-related emergencies ; Scuba or deepwater diving emergencies
26. Behavioral emergencies : Behavioral problems ; Dealing with behavioral emergencies ; Legal considerations
pt. 10. Trauma. 27. Trauma overview: the trauma patient and the trauma system : The kinetics of trauma ; Mechanisms of injury ; The multisystem trauma patient ; The golden period ; The trauma system ; Golden principles of prehospital trauma care
28. Bleeding and soft tissue trauma : External bleeding ; Internal bleeding ; Factors that may increase bleeding ; Hemorrhagic shock ; Soft tissue trauma ; Closed soft tissue injuries ; Open soft tissue injuries ; Dressings and bandages
29. Burns : The skin: structure and function review ; Airway, breathing, and circulation ; Effects of burns on body systems ; Assessment and care of burns
30. Musculoskeletal trauma : Musculoskeletal system review ; Injuries to bones and joints ; Basics of splinting
31. Head trauma : Anatomy of the skull and brain ; Head injury
32. Spinal column and spinal cord trauma : Anatomy and physiology of spine injury ; Emergency care for suspected spine injury ; Guidelines for immobilization ; Special considerations
33. Eye, face, and neck trauma : Anatomy of the eye, face, and neck ; Eye, face, and neck injuries ; Specific injuries involving the eye, face, and neck
34. Chest trauma : The chest
35. Abdominal and genitourinary trauma : The abdomen ; Genital trauma
36. Multisystem trauma and trauma in special patient populations : Multisystem trauma ; Trauma in special patient populations ; Assessment-based approach: multisystem trauma and trauma in special patient populations
pt. 11. Special patient populations. 37. Obstetrics and care of the newborn : Anatomy and physiology of the obstetric patient ; Antepartum (predelivery) emergencies ; Labor and normal delivery ; Abnormal delivery ; Care of the newborn
38. Pediatrics : Dealing with caregivers ; Dealing with the child ; assessment-based approach to pediatric emergencies ; Airway and respiratory problems in pediatric patients ; Specific pediatric respiratory and cardiopulmonary conditions ; Other pediatric medical conditions and emergencies ; pediatric trauma ; Child abuse and neglect ; Special care considerations
39. Geriatrics : Effects of aging on body systems ; Special geriatric assessment findings ; Assessment-based approach: geriatric patients
40. Patients with special challenges : Recognizing the patient with special challenges ; Sensory impairments ; Cognitive and emotional impairments ; Paralysis ; Obesity ; Homelessness and poverty ; Abuse ; Technology dependence ; Airway and respiratory devices ; Vascular access devices ; Renal failure and dialysis ; Gastrointestinal and genitourinary devices ; Intraventricular shunts ; Terminally ill patients
pt. 12. EMS operations. 41. Ambulance operations and air medical response : Driving the ambulance ; Warning devices ; Roadway incident scene safety ; Phases of an ambulance call ; Air medical transport ; Security and safety
42. Gaining access and patient extrication : Planning ahead ; Sizing up the scene ; Gaining access ; Extrication ; Specialized stabilization, extrication, and disentanglement techniques
43. Hazardous materials : Identifying hazardous materials ; Guidelines for hazardous materials rescues
44. Multiple-casualty incidents and incident management : Multiple-casualty incidents ; National incident management system ; Triage ; Disaster management
45. EMS response to terrorism involving weapons of mass destruction : Weapons of mass destruction ; Prehospital response to terrorism involving WMD ; Conventional weapons and incendiary devices ; Chemical agents ; Biological agents ; Nuclear weapons and radiation ; Personal protection and patient decontamination
Appendix 1. ALS-assist skills : Assisting in intravenous therapy ; ECG lead placement
Appendix 2. Advanced airway management : Airway and respiratory anatomy and physiology ; Basic airway management ; Orotracheal intubation ; Orotracheal suctioning ; Alternative intubation methods ; Orotracheal intubation in infants and children ; Nasogastric insertion in infants and children
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