2018 – 2019
Florida Department of Education
Curriculum Framework 

Program Title:	Emergency Medical Services
Career Cluster:	Health Science

AS	
CIP Number	1351090402	
Program Type	College Credit	
Standard Length	73 credit hours	
CTSO	HOSA: Future Health Professionals	
SOC Codes (all applicable) 	29-2041 Emergency Medical Technicians and Paramedics	
CTE Program Resources 	http://www.fldoe.org/academics/career-adult-edu/career-tech-edu/program-resources.stml 	

Purpose

This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Health Science career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of Health Science career cluster. 

The content includes but is not limited to all those objectives identified in the current U S Department of Transportation, National EMS Education Standards for both the EMT and Paramedic.

Additional Information relevant to this Career and Technical Education (CTE) program is provided at the end of this document.

Program Structure

This program is a planned sequence of instruction consisting of 73 credit hours.

Regulated Programs

The recommended instructor-student ratio may not exceed 1:6 pursuant to 401.1201 F.S.  Clinical activity shall include appropriate patient assessment skills, intervention and documentation relevant to each clinical rotation. 

This program meets the Department of Health trauma score card methodologies and SUIDS training education requirements. Upon completion of this program, the instructor will provide a certificate to the student verifying that these requirements have been met. This program also meets the Department of Health’s education requirements for HIV/AIDS, Domestic Violence and Prevention of Medical Errors.  Although not a requirement for initial licensure, it is a requirement for renewal, therefore the instructor may provide a certificate for renewal purposes to the student verifying these requirements have been met.

Management practicum shall be provided in an agency which will provide the student with the opportunity to observe and practice the learning objectives.

All students must satisfy the requirements of both the EMT and Paramedic certificates prior to completion of the associate’s degree. 

The medical procedures performed by a Paramedic must be performed under the direction of a licensed physician with appropriate emergency experience according to Chapter 64J, Florida Administrative Code.

It is strongly recommended this program be accredited by CAAHEP (Commission on Accreditation of Allied Health Education Programs).  Beginning January 1, 2013, National Registry for Emergency Medical Technicians (NREMT) will require students applying for Paramedic National certification to be from a CAAHEP/CoAEMSP accredited program.

Standards

After successfully completing this program, the student will be able to perform the following:

EMT:  Completion of intended outcomes 01-63 lead to the student’s eligibility to sit for the licensure exam for EMT.

01.0	Demonstration of a simple depth and foundational breadth of EMS systems.
02.0	Demonstration of a simple depth, simple breadth of research and evidence-based decision making. 
03.0	Demonstration of a fundamental depth, foundational breadth of workforce safety and wellness.
04.0	Demonstration of a fundamental depth, foundational breadth of the principles of medical documentation and report writing.
05.0	Demonstration of a simple depth, simple breadth of the EMS communication system, communication with other health care professionals, and team communication.
06.0	Demonstration of a simple depth and simple breadth of the principles of therapeutic communication.
07.0	Demonstration of a fundamental depth, foundational breadth of medical legality and ethics.
08.0	Demonstrate the application of fundamental knowledge of the anatomy and function of all human systems to the practice of EMS.
09.0	Demonstrate the application of fundamental knowledge in the use of medical terminology and medical terms.
10.0	Demonstrate the application of a fundamental knowledge of the causes, pathophysiology and management of shock and the components of resuscitation.  
11.0	Demonstrate the application of fundamental knowledge of life span development to patient assessment and management.
12.0	Demonstrate the use of simple knowledge of the principles of illness and injury prevention in emergency care.
13.0	Demonstrate a simple depth, simple breadth for medication safety and kinds of medications used during an emergency.
14.0	Demonstrate a fundamental depth and foundational breadth of medication administration within the scope of practice of the EMT.
15.0	Demonstrate a fundamental depth and simple breadth of emergency medications within the scope of practice of the EMT.
16.0	Demonstrate a foundational depth, foundational breadth of airway management within the scope of practice of the EMT.
17.0	Demonstrate a fundamental depth, foundational breadth of respiration.
18.0	Demonstrate a fundamental depth, foundational breadth of assessment and management utilizing artificial ventilation.
19.0	Demonstrate a fundamental depth, foundational breadth of scene management and multiple patient situations.
20.0	Demonstrate a fundamental depth, simple breadth of the primary assessment for all patient situations.
21.0	Demonstrate a fundamental depth, foundational breadth of the components of history taking.
22.0	Demonstrate a fundamental depth, foundational breadth of techniques used for a secondary assessment.
23.0	Demonstrate a simple depth, simple breath of monitoring devices within the scope of practice of the EMT.
24.0	Demonstrate a fundamental depth, foundational breadth of how and when to perform a reassessment for all patient situations.  
25.0	Demonstrate a simple depth, foundation breadth of pathophysiology, assessment and management of medical complaints.
26.0	Demonstrate a fundamental depth, foundational breadth of the assessment and management of neurologic disorders/emergencies for all age groups.
27.0	Demonstrate a fundamental depth, foundational breadth of the assessment and management of abdominal and gastrointestinal disorders/emergencies for all age groups.  
28.0	Demonstrate a fundamental depth, foundational breadth of the assessment and management of immunology disorders/emergencies for all age groups.
29.0	Demonstrate a simple depth, simple breadth of the assessment and management of a patient who may have an infectious disease for all age groups.
30.0	Demonstrate a fundamental depth, foundational breadth of the assessment and management of endocrine disorders/emergencies for all age groups.
31.0	Demonstrate a fundamental depth, foundational breadth regarding the assessment and management of psychiatric emergencies for all age groups.
32.0	Demonstrate a fundamental depth, foundational breadth of the assessment and management of cardiovascular emergencies for all age groups.
33.0	Demonstrate a fundamental depth, foundational breadth of the assessment and management of toxicological (poisoning and overdose) emergencies for all age groups.
34.0	Demonstrate a fundamental depth, foundational breadth of the assessment and management of respiratory disorders/emergencies for all age groups.
35.0	Demonstrate a simple depth, simple breadth of the assessment, and management of hematology disorders for all age groups.
36.0	Demonstrate a simple depth, simple breath of the assessment and management of genitourinary/ renal emergency for all age groups.
37.0	Demonstrate a fundamental depth, foundational breadth of the assessment and management of gynecologic emergencies for all age groups.
38.0	Demonstrate a fundamental depth, foundational breadth of the assessment and management of non-traumatic fractures for all age groups.  
39.0	Demonstrate a simple depth, simple breadth in recognition and management of nose bleed for all age groups.
40.0	Demonstrate the application of fundamental knowledge of the causes, pathophysiology, and management of shock and respiratory failure.
41.0	Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment and management of the trauma patient for all age groups.
42.0	Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of bleeding for all age groups.
43.0	Demonstrate a fundamental depth, simple breadth of pathophysiology, assessment and management of chest trauma for all age groups.
44.0	Demonstrate a fundamental depth, simple breadth of pathophysiology, assessment and management of abdominal and genitourinary trauma for all age groups.
45.0	Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of orthopedic trauma for all age groups.
46.0	Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of soft tissue trauma for all age groups.  
47.0	Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of head, facial, neck and spine trauma for all age groups.  
48.0	Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of nervous system trauma for all age groups.
49.0	Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment and management of trauma patients with special considerations for all age groups.
50.0	Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment and management of environmental emergencies for all age groups.
51.0	Demonstrate a fundamental depth, foundational breadth of the pathophysiology, assessment, and management of multi-system trauma and blast injuries.  
52.0	Demonstrate a fundamental depth, foundational breadth of management of the obstetric patient within the scope of practice of the EMT.   
53.0	Demonstrate a fundamental depth, foundational breadth of management of the newborn and neonatal patient within the scope of practice of the EMT.
54.0	Demonstrate a fundamental depth, fundamental breath of management of the pediatric patient within the scope of practice of the EMT. 
55.0	Demonstrate a fundamental depth, foundational breadth of management of the geriatric patient within the scope of practice of the EMT.
56.0	Demonstrate a simple depth, simple breadth of management of the patient with special challenges.
57.0	Demonstrate a simple depth, foundational breadth of risks and responsibilities of transport.
58.0	Demonstrate a fundamental depth, fundamental breadth of establishing and working within the incident management system.
59.0	Demonstrate a simple depth, foundational breadth of responding to an emergency during a multiple casualty incident.
60.0	Demonstrate a simple depth, simple breadth of safe air medical operations and criteria for utilizing air medical response.
61.0	Demonstrate a simple depth, simple breadth for safe vehicle extrication and use of simple hand tools.
62.0	Demonstrate a simple depth, simple breadth of risks and responsibilities of operating in a cold zone at a hazardous material or other special incident.
63.0	Demonstrate a simple depth, simple breadth of risks and responsibilities of operating on the scene of a natural or man-made disaster.
Paramedic:  Completion of intended outcomes 64-125 lead to the student’s eligibility to sit for the licensure exam for Paramedic.
64.0	Demonstrate a fundamental depth and foundational breadth of the History of EMS and a complex depth and comprehensive breadth of EMS Systems.  
65.0	Demonstrate a fundamental depth, foundational breath of research principles to interpret literature and advocate evidence-based practice.
66.0	Demonstrate a complex depth, comprehensive breadth of workforce safety and wellness.
67.0	Demonstrate a complex depth, comprehensive breadth of the principles of medical documentation and report writing.
68.0	Demonstrate a complex depth, comprehensive breadth of EMS communication system.  
69.0	Demonstrate a complex depth and comprehensive breadth of the therapeutic communication principles.
70.0	Demonstrate a complex depth, comprehensive breadth of medical legal and ethical concepts related to EMS.
71.0	Demonstrate a complex depth and comprehensive breadth of anatomy and physiology of all human systems.
72.0	Demonstrate the integration of comprehensive anatomical and medical terminology and abbreviations into written and oral communication with health care professionals.
73.0	Demonstrate a comprehensive knowledge of pathophysiology of major systems.
74.0	Apply the integration of knowledge of the physiological, psychological, and sociological changes throughout human development.
75.0	Demonstrate the application of fundamental knowledge of principles of public health.
76.0	Demonstrate a complex depth, comprehensive breadth in the principles of pharmacology.
77.0	Demonstrate a complex depth, comprehensive breadth of medication administration within the scope of practice of the paramedic.
78.0	Demonstrate a complex depth, comprehensive breadth of emergency medications within the scope of practice for the paramedic.  
79.0	Demonstrate a complex depth, comprehensive breadth of airway management and respiration within the scope of practice of the paramedic.
80.0	Demonstrate a complex breadth, comprehensive breadth of assessment and management utilizing artificial ventilation.
81.0	Demonstrate a complex depth, comprehensive breadth of scene management.
82.0	Demonstrate a complex depth, comprehensive breadth of the primary assessment for all patient situations.
83.0	Demonstrate a complex depth, comprehensive breath of the components of history taking.
84.0	Demonstrate a complex depth, comprehensive breadth of techniques used for a secondary assessment.
85.0	Demonstrate a fundamental depth, foundational breadth of monitoring devices within the scope of practice of the paramedic.
86.0	Demonstrate a complex depth, comprehensive breadth of how and when to perform a reassessment for all patient situations.
87.0	Demonstrate a complex depth and comprehensive breadth of pathophysiology, assessment, and management of medical complaints.
88.0	Demonstrate a complex depth and comprehensive breadth of neurologic disorders/emergencies for all age groups.
89.0	Demonstrate a complex depth and comprehensive breadth of abdominal and gastrointestinal disorders/emergencies for all age groups.
90.0	Demonstrate a complex depth, comprehensive breadth of immunology disorders/emergencies for all age groups.
91.0	Demonstrate a complex depth, comprehensive breadth of assessment and management of a patient who may have an infectious diseases for all age groups.
92.0	Demonstrate a complex depth, comprehensive breadth in endocrine disorders/emergencies for all age groups.
93.0	Demonstrate a complex depth, comprehensive breadth regarding the assessment and management of psychiatric disorders/emergencies for all age groups.
94.0	Demonstrate a complex depth, comprehensive breadth of cardiovascular disorders/ emergencies for all age groups.
95.0	Demonstrate a complex depth, comprehensive breadth of the assessment and management of toxicology emergencies for all age groups.
96.0	Demonstrate a complex depth, comprehensive breadth of the assessment and management of respiratory disorders/emergencies for all age groups.
97.0	Demonstrate a complex depth, foundational breadth of the assessment, and management of hematology disorders/ emergencies for all age groups.
98.0	Demonstrate a complex depth, comprehensive breadth of genitourinary and renal emergencies all age groups.
99.0	Demonstrate a complex depth, comprehensive breadth of the assessment findings and the management of gynecology disorders/emergencies for all age groups.
100.0	Demonstrate a fundamental depth, foundation breadth of the assessment and management of non-traumatic fractures for all age groups.
101.0	Demonstrate a fundamental depth, foundational breadth of the assessment and management of common or major diseases of the eyes, ears, nose and throat for all age groups.
102.0	Demonstrate the integration of a comprehensive knowledge of causes and pathophysiology into the management of shock and respiratory failure.
103.0	Demonstrate a complex depth, comprehensive breadth of pathophysiology, assessment and management of the trauma patient for all age groups.
104.0	Demonstrate a complex depth, comprehension breadth of pathophysiology, assessment and management of bleeding for all age groups.
105.0	Demonstrate a complex depth, comprehensive breadth of pathophysiology, assessment, and management of chest trauma for all age groups.
106.0	Demonstrate a complex depth, comprehensive breadth of pathophysiology, assessment, and management of abdominal and genitourinary trauma for all age groups.
107.0	Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of orthopedic trauma for all age groups.
108.0	Demonstrate a complex depth, comprehensive breadth of pathophysiology, assessment, and management of soft tissue trauma for all age groups.
109.0	Demonstrate a fundamental depth, foundational breadth of head, face, neck and spine trauma for all age groups.
110.0	Demonstrate a fundamental depth, foundational breadth of nervous system trauma for all age groups.
111.0	Demonstrate a complex depth, comprehensive breadth of special considerations in trauma for all age groups.
112.0	Demonstrate a complex depth, comprehensive breadth of environmental emergencies for all age groups.
113.0	Demonstrate a complex depth, comprehensive breadth of multi-system trauma and blast injuries.
114.0	Demonstrate a complex depth, comprehensive breadth of the management of the obstetric patient within the scope of practice of the paramedic.  
115.0	Demonstrate a complex depth, comprehensive breadth of the management of the neonatal patient within the scope of practice of the paramedic.
116.0	Demonstrate a complex depth, comprehensive breadth of the management of the pediatric patient within the scope of practice of the paramedic.
117.0	Demonstrate a complex depth, comprehensive breadth of the management of the geriatric patient within the scope of practice of the paramedic.
118.0	Demonstrate a complex depth, comprehensive breadth of management of the patient with special challenges within the scope of practice of the paramedic.
119.0	Demonstrate a simple depth, foundational breadth of risks and responsibilities of transport.
120.0	Demonstrate a complex depth, comprehensive breadth of establishing and working within the incident management system.
121.0	Demonstrate a simple depth, foundational breadth of responding to an emergency during a multiple casualty incident.
122.0	Demonstrate a complex depth, comprehensive breadth of air Medical transport risks, needs and advantages.
123.0	Demonstrate a simple depth, simple breadth for safe vehicle extrication and use of simple hand tools.
124.0	Demonstrate a simple depth, simple breadth of risks and responsibilities of operating in a cold zone at a hazardous material or other special incident.
125.0	Demonstrate a simple depth, simple breadth of risks and responsibilities of operating on the scene of a natural or man- made disaster.
Management Option:  This option (outcomes 126-136) prepares students for administrative and supervisory positions in the Emergency Medical Services field.

126.0	Demonstrate leadership and administrative skills basic to management emergency medical service systems.
127.0	Interpret federal, state and local laws as they apply to emergency medical service systems.
128.0	Demonstrate knowledge of operational and organizational structures of emergency medical service systems.
129.0	Demonstrate knowledge of psychological problems and stressors in emergency medical service employees and find appropriate solutions.
130.0	Demonstrate knowledge of materials and supplies used in emergency medical service systems.
131.0	Demonstrate knowledge of occupational safety and health.
132.0	Demonstrate knowledge of appropriate workloads for each employee.
133.0	Review, approve and monitor departmental capital and operational budgets.
134.0	Identify and apply legal reimbursement systems.
135.0	Comply with accreditation standards of governmental or governmental-appointed agencies and organizations.
136.0	Demonstrate computer literacy.

Education Option:  This option (outcomes 137-142) prepares students as trainers and/or instructors in the EMS field.

137.0	Demonstrate knowledge of basic teaching methods, learning and educational psychology.
138.0	Describe and discuss curriculum design and development.
139.0	Demonstrate appropriate measurement and evaluation skills.
140.0	Demonstrate mastery of required technical skills.
141.0	Demonstrate classroom management skills.
142.0	Demonstrate computer literacy.

2018 – 2019
Florida Department of Education
Student Performance Standards

Program Title:	Emergency Medical Services
CIP Number:		1351090402 
Program Length:	73 credit hours
SOC Code(s):		29-2041

Refer to Rule 6A-14.030 (4) F.A.C., for the minimum amount of general education coursework required in the Associate of Science (AS) degree.  At the completion of this program, the student will be able to:	

EMT:  Completion of intended outcomes 01-63 lead to the student’s eligibility to sit for the licensure exam for EMT.	
01.0	EMS Systems: Demonstration of a simple depth and foundational breadth of EMS systems. –The student will be able to:	
01.01	Define Emergency Medical Services (EMS) systems.	
01.02	Discuss the historical background of the development of the EMS system.	
01.03	Identify the four levels of national EMS providers (EMR, EMT, AEMT and PM) as well as the three levels in the State of Florida.	
01.04	Discuss the specific statutes and regulations regarding the EMS system in Florida.	
01.05	Discuss vehicle and  equipment readiness	
01.06	Characterize the EMS system’s role in prevention and public education.	
01.07	Discuss the roles and responsibilities of the EMT related to personal safety of the crew, patient and by standers.  	
01.08	Discuss the roles and responsibilities of the EMT to operate emergency vehicles, provide scene leadership and perform patient assessment and administer emergency care. 	
01.09	Discuss the maintenance of certification and licensure for the EMT in the State of Florida and NREMT.	
01.10	Define quality improvement and discuss the EMT’s role in the process.	
01.11	Identify the basics of common methods of payment for healthcare services.	
01.12	Analyze attributes and attitudes of an effective leader.	
01.13	Demonstrate effective techniques for managing team conflict.	
01.14	Describe factors that influence the current delivery system of healthcare.	
01.15	Discuss the importance of continuing medical education and skills retention.	
01.16	Assess personal attitudes and demeanor that may distract from professionalism.	
01.17	Serve as a role model and exhibit professional behaviors in the following areas: 
01.17.01	integrity
01.17.02	empathy
01.17.03	self-motivation
01.17.04	appearance and personal hygiene
01.17.05	self-confidence
01.17.06	communications ( including phone, email and social media etiquette)
01.17.07	time management
01.17.08	teamwork and diplomacy
01.17.09	respect
01.17.10	patient advocacy (inclusive of those with special needs, alternate life styles and cultural diversity)
01.17.11	careful delivery of service	
02.0	Research: Demonstration of a simple depth, simple breadth of research and evidence-based decision making. –The student will be able to:	
02.01	Discuss EMS research and  evidence based decision making 
02.01.01	Conduct scientific literature searches
02.01.02	Read, interpret and extract information from journal articles relevant to a project	
02.02	Explain the importance to assess and treat patients based on evidence based decision making.	
02.03	Interpret graphs, charts and tables.	
02.04	Measure time, temperature, distance, capacity, and mass/weight.	
02.05	Convert and use traditional and metric units. 	
02.06	Make estimations, approximations and judge the reasonableness of the result. 	
02.07	Convert time from a 12 hour format  to a 24 hour format 	
02.08	Demonstrate ability to evaluate and draw conclusions.	
02.09	Calculate ratios.	
02.10	Explain the rationale for the ems system gathering data. 	
03.0	Workforce Safety and Wellness: Demonstration of a fundamental depth, foundational breadth of workforce safety and wellness. –The student will be able to:	
03.01	Explain the need to determine scene safety.	
03.02	Discuss the importance of body substance isolation (BSI).	
03.03	Describe the steps the EMT should take for personal protection from airborne and blood borne pathogens as well as communicable disease.	
03.04	List the personal protective equipment necessary to protect oneself in common emergency situations. 	
03.05	List possible emotional reactions that an individual (EMT and EMT family, Patient and Patient family) may experience when faced with trauma, illness, death and dying.	
03.06	State the steps the EMT should take when approaching a family confronted with death and dying.	
03.07	Recognize the warning signs of personal stress and discuss the strategies EMTs can apply to manage it. 	
03.08	Demonstrate good body mechanics while using a stretcher and other patient moving devices. 	
03.09	Discuss the guidelines and safety precautions that need to be followed when lifting a patient.	
03.10	Describe the guidelines and safety precautions for carrying patients and/or equipment.	
03.11	State the guidelines for reaching and their application.	
03.12	State the guidelines for pushing and pulling.	
03.13	Discuss patient positioning in common emergency situations.	
03.14	Discuss situation that may require the use of medical restraints on the patient and explain guidelines and safety consideration for their use.	
03.15	Define “infectious disease” and “communicable disease.”	
03.16	Describe the routes of transmission for infectious disease.	
03.17	Explain the mode of transmission and the steps to prevent/deal with an exposure of hepatitis, meningitis, tuberculosis and HIV.	
03.18	Explain how immunity to infectious diseases is acquired.	
03.19	Explain post exposure management of exposure to patient blood or body fluids, including completing a post exposure report.	
03.20	Describe the components of physical fitness and mental wellbeing. 	
03.21	Identify personal health practices and environmental factors which affect function of each of the major body systems. 	
03.22	Develop an awareness of complementary and alternative health practices. 	
03.23	Explain the basic concepts of positive self-image, wellness and stress. 	
03.24	Develop a wellness and stress control plan that can be used in personal and professional life. 	
03.25	Explore the importance of adequate nutrition (i.e. U.S. Department of Agriculture’s MyPlate food guide (www.choosemyplate.gov).)	
03.26	Identify personal health practices and environmental factors which affect function of each of the major body systems. 	
03.27	Demonstrate the safe use of medical equipment.	
03.28	Explain the theory of root- cause analysis.  	
03.29	Identify and describe methods in medical error reduction and prevention in the various healthcare settings.	
03.30	Identify and practice security procedures for medical supplies and equipment in the various healthcare settings. 	
03.31	Describe fire, safety, disaster and evacuation procedures in the various healthcare settings. 	
03.32	Discuss applicable accrediting and regulatory agency patient safety guidelines.	
04.0	Documentation: Demonstration of a fundamental depth, foundational breadth of the principles of medical documentation and report writing. –The student will be able to:	
04.01	Recognize applications of technology in healthcare. 	
04.02	Demonstrate basic computer skills. 	
04.03	Interpret and utilize information from electronic health records. 	
04.04	Identify methods of communication to access and distribute data such as fax, e-mail and internet. 	
04.05	Describe the use and importance of written communication and patient care documentation.	
04.06	Explain the legal implication of the patient care report.	
04.07	Identify the minimum dataset reference patient information and administrative information on the patient care report.	
04.08	Understand how to document refusal of care, including legal implications.	
04.09	Discuss the implications of the Health Insurance Portability and Accountability Act of 1996 on confidential documentation.	
04.10	Describe the special considerations concerning mass casualty incident documentation.	
04.11	Explain the relevance and importance of properly completed documentation.	
04.12	Demonstrate completion of a patient care report for a medical and trauma patient.	
04.13	Explain the rationale for patient care documentation. 	
05.0	EMS System Communication: Demonstration of a simple depth, simple breadth of the EMS communication system, communication with other health care professionals, and team communication. –The student will be able to:	
05.01	Understand the basic principles of the  various types of communications equipment used in EMS	
05.02	Describe the use of radio communication and correct radio procedures, including the proper methods of initiating and terminating the radio call/transmission. 	
05.03	Explain the rationale for providing efficient and effective radio communications and patient reports.	
05.04	Identify the essential components of the verbal report and legal aspects that need to be considered. 	
05.05	Perform an organized and concise radio transmission.	
05.06	Perform an organized, concise patient report that would be given to the staff at a receiving facility.	
05.07	Perform a brief, organized report that would be given to an ALS provider arriving at an incident scene at which the EMT was already providing care.	
06.0	Therapeutic Communication: Demonstration of a simple depth and simple breadth of the principles of therapeutic communication. –The student will be able to:	
06.01	Describe principles of therapeutic and effective communication with patients in a manner that achieves a positive relationship. 	
06.02	Develop basic speaking and active listening skills.	
06.03	Recognize the importance of patient/client educations regarding healthcare. 	
06.04	Demonstrate the adjustment of  communication strategies to effectively communicate with patients with:  
06.04.01	differing age groups
06.04.02	differing developmental stages
06.04.03	special needs 
06.04.04	Differing cultures, including language barriers.	
06.05	Demonstrate the communication techniques that should be used to interact with the patient, patient family, bystanders, and individuals from other agencies including verbal diffusion and interview techniques.	
06.06	Demonstrate the strategies for interviewing persons in special situations. 	
06.07	Distinguish between and respond to verbal and non-verbal cues.	
06.08	Analyze elements of communication using a sender-receiver/close loop model.	
06.09	Exhibit positive non-verbal behaviors.	
06.10	Establish proper patient rapport.	
07.0	Medical/Legal and Ethics: Demonstration of a fundamental depth, foundational breadth of medical legality and ethics. –The student will be able to:	
07.01	Differentiate between expressed, implied  and involuntary consent 	
07.02	Discuss the methods of obtaining consent and procedures for minors. 	
07.03	Discuss the issues of abandonment, negligence, false imprisonment and battery and their implications to the EMT.	
07.04	Discuss the implications for the EMT in patient refusal of care and/or transport.	
07.05	Explain the importance, necessity and legality of patient confidentiality.	
07.06	Discuss the importance of Do Not Resuscitate [DNR] (advance directives) and local or Florida provisions regarding EMS application.	
07.07	Discuss State of Florida and  Federal special reporting situations including:  
07.07.01	Abuse
07.07.02	sexual assault
07.07.03	gunshot and knife wounds
07.07.04	communicable disease	
07.08	Differentiate between civil tort and  criminal actions	
07.09	List the elements of negligence and defenses/protections from liability.	
07.10	Discuss the role of the EMT at crime scenes and preservation of evidence.	
07.11	Define ethics and morality and discuss their implication for the EMT.	
07.12	Differentiate between licensure and certification as they apply to EMS.	
07.13	Discuss Florida legislation such as the Baker Act, Marchman Act, and the Emergency Examination and Treatment of Incapacitated Persons Act.	
07.14	Differentiate between the scope of practice and the standard of care as applied to the EMT. 	
07.15	Discuss the legal concept of immunity, including Good Samaritan statutes and governmental immunity.	
07.16	Describe the appropriate patient management and care techniques in a refusal of care situation.	
07.17	Analyze the relationship between the law, morals and ethics in EMS and the premise that should under lie the EMTs ethical decisions. 	
07.18	Describe the criteria necessary to honor an advance directive.	
07.19	Explain the rationale for the needs, benefits and varying degrees of advance directives. 	
08.0	Anatomy and Physiology: Demonstrate the application of fundamental knowledge of the anatomy and function of all human systems to the practice of EMS. –The student will be able to:	
08.01	Label the following topographic terms: 
08.01.01	Medial
08.01.02	lateral
08.01.03	proximal
08.01.04	distal
08.01.05	superior
08.01.06	inferior
08.01.07	anterior
08.01.08	posterior
08.01.09	midline
08.01.10	right and left
08.01.11	mid-clavicular
08.01.12	bilateral
08.01.13	mid-axillary	
08.02	Chart the life support chain, aerobic metabolism and anaerobic metabolism.	
08.03	Define anatomy, physiology, pathophysiology and homeostasis. 	
08.04	Identify and describe the anatomical structures and functions of the following: 
08.04.01	Skeletal system
08.04.02	Muscular system 
08.04.03	Respiratory System
08.04.04	Circulatory/ Cardiovascular system 
08.04.05	Nervous System 
08.04.06	Integumentary system
08.04.07	Digestive system
08.04.08	Endocrine system including glands and hormones
08.04.09	Renal system
08.04.10	Reproductive system
08.04.11	Lymphatic System	
08.05	Explain cellular anatomy and physiology.	
08.06	Explain cellular respiration.	
08.07	Discuss cell division. 	
08.08	Describe the different types of muscle tissues including skeletal, smooth and cardiac.	
08.09	Describe the functions and divisions of the skeletal system including the classifications of bones.	
08.10	Name and identify the location of the bones of the axial and appendicular skeleton.	
08.11	Describe the classification and types of joints. 	
08.12	Describe the function of muscles. 	
08.13	Identify major muscles of the body	
08.14	Describe the general function of the respiratory system and its structures. 	
08.15	Discuss the mechanisms of breathing including:
08.15.01	Mechanical Ventilation
08.15.02	Pulmonary volumes
08.15.03	Dead space
08.15.04	Lung compliance	
08.16	Explain the diffusion of gases in external and internal respiration. 	
08.17	Describe oxygen and carbon dioxide transport in the blood.	
08.18	Describe nervous and chemical mechanisms that regulate Respirations.	
08.19	Discuss respiration and acid-base balance.	
08.20	Describe the composition and function of blood and plasma.	
08.21	Identify and describe the anatomical structures and functions of the cardiovascular system.  	
08.22	Discuss the hemodynamics of blood pressure. 	
08.23	Discuss the role of nutrition, metabolism and body temperature on body function. 	
08.24	Describe the causes, advantages and disadvantages of a fever	
08.25	Discuss the hypothalamus functions as the thermostat in the body	
09.0	Medical Terminology: Demonstrate the application of fundamental knowledge in the use of medical terminology and medical terms. –The student will be able to:	
09.01	Identify medical terminology word parts such as: 
09.01.01	root words
09.01.02	prefixes
09.01.03	suffixes
09.01.04	combining forms	
09.02	Correctly utilize medical terminology describing each of the following: 
09.02.01	body structures
09.02.02	functions,
09.02.03	conditions and disorders
09.02.04	body regions
09.02.05	cavities
09.02.06	areas
09.02.07	landmarks	
09.03	Correctly use medical abbreviations and symbols. 	
09.04	Read and understand basic medical documentation in medical records and medical reports. 	
09.05	Communicate with healthcare professionals utilizing basic medical terminology.	
09.06	Explain the rationale for using accepted medical terminology correctly.	
10.0	Pathophysiology: Demonstrate the application of a fundamental knowledge of the causes, pathophysiology and management of shock and the components of resuscitation.  –The student will be able to:	
10.01	Discuss signs of irreversible death.	
10.02	Review the anatomy and physiology of the respiratory and cardiovascular systems. 	
10.03	Discuss and identify the pathophysiology and medical care for respiratory failure as well as respiratory and cardiac arrest.	
10.04	Explain the system components of CPR, the four links in the AHA chain of survival and   how each one relates to maximizing the survival of the patient. 	
10.05	Show Provider (AHA guidelines) certification required prior to EMT program admission as per FS 401.27.	
10.06	Understand shock, including the pathophysiology, causes, and its signs and symptoms associated with the various types of shock. 	
10.07	Discuss patient assessment and steps to the emergency care of the patient with signs and symptoms of shock.	
10.08	Based on age variations, discuss and distinguish the variations and causes between the management of patient experiencing shock.	
11.0	Life Span Development: Demonstrate the application of fundamental knowledge of life span development to patient assessment and management. –The student will be able to:	
11.01	Describe the major physiologic and  psychosocial characteristics of:
11.01.01	An infant’s life
11.01.02	A toddler and preschooler’s life
11.01.03	A school age child’s life
11.01.04	An adolescent’s life
11.01.05	An early adults life
11.01.06	A middle adult’s life
11.01.07	A late adult’s life	
12.0	Public Health: Demonstrate the use of simple knowledge of the principles of illness and injury prevention in emergency care. –The student will be able to:	
12.01	Define public health and explain the goal of the public health field.	
12.02	Identify the EMS role within the public health field.	
12.03	Recognize the three categories of public health laws.	
12.04	Discuss basic concepts of epidemiology	
12.05	Discuss ways of EMS involvement in injury prevention.	
12.06	Identify areas of need for prevention programs in the community.	
13.0	Principles of Pharmacology:  Demonstrate a simple depth, simple breadth for medication safety and kinds of medications used during an emergency. –The student will be able to:	
13.01	Explain the “six rights” of medication administration and describe how each one related to EMS.	
13.02	Discuss the forms in which the medications may be found and provide examples of each and discuss how the form of a medication dictates its route of administration.	
13.03	Describe the difference between a generic medication name and trade name, and provide an example of each.	
13.04	Discuss the components and elements of a drug profile including: 
13.04.01	Actions
13.04.02	Contraindications
13.04.03	Side effects
13.04.04	Dose
13.04.05	Route	
13.05	Describe the role of medical direction in medication administration and explain the difference between direct orders (online) and standing orders (off-line).	
14.0	Medication Administration:  Demonstrate a fundamental depth and foundational breadth of medication administration within the scope of practice of the EMT. –The student will be able to:	
14.01	Discuss the difference between administration versus assistance of patient medications. 	
14.02	Explain the rationale for the administration of medications.	
14.02.01	Assist in the administration of medications by the following routes:
14.02.02	oral
14.02.03	sublingual
14.02.04	inhalation
14.02.05	auto- injector	
15.0	Emergency Medications: Demonstrate a fundamental depth and simple breadth of emergency medications within the scope of practice of the EMT. –The student will be able to:	
15.01	State the following for each medication that can be administered by an EMT as dictated by the State of Florida and local medical direction : 
15.01.01	Generic and trade names
15.01.02	Actions
15.01.03	Indication
15.01.04	Contraindications
15.01.05	Complications
15.01.06	Routes of administration
15.01.07	Side effects
15.01.08	Interactions
15.01.09	Doses of medications	
15.02	Discuss the forms in which the medications may be found.	
15.03	Demonstrate the steps in properly inspecting each type of medication.	
16.0	Airway Management:  Demonstrate a foundational depth, foundational breadth of airway management within the scope of practice of the EMT. –The student will be able to:	
16.01	Review the structures and functions of the respiratory system.	
16.02	State what care should be provided for a patient with or without adequate breathing.	
16.03	Describe and demonstrate the steps in performing the head-tilt chin-lift and jaw thrust in all age groups.	
16.04	Relate mechanism of injury to opening the airway.	
16.05	Explain the differences between airway anatomies in all age groups.	
16.06	Describe the following for a patient with an automatic transport ventilator (ATV): 
16.06.01	Indications
16.06.02	Contraindications
16.06.03	Advantages
16.06.04	Disadvantages 
16.06.05	Complications
16.06.06	Technique for ventilating 	
16.07	Describe the following regarding supplemental oxygen delivery devices: 
16.07.01	Indications
16.07.02	Contraindications
16.07.03	Advantages
16.07.04	Disadvantages 
16.07.05	Complications 
16.07.06	Liter Flow Range
16.07.07	Concentration of Delivered Oxygen 	
16.08	Define, identify and describe the following:  
16.08.01	tracheostomy
16.08.02	laryngectomy
16.08.03	stoma
16.08.04	tracheostomy tube	
16.09	Describe the special considerations in airway management and ventilation for the pediatric patient.	
16.10	Demonstrate the techniques of suctioning in all age groups.	
16.11	Demonstrate relief of FBAO in all age groups. 	
16.12	Demonstrate how to insert an oral and nasal -airway adjunct in all age groups.	
16.13	Demonstrate how to insert both esophageal and supra-glottic airways in all age groups. 	
17.0	Respirations:  Demonstrate a fundamental depth, foundational breadth of respiration. –The student will be able to:	
17.01	Review the pulmonary ventilation process to include mechanics of ventilation and  alveolar ventilation (tidal volumes, dead space, etc)	
17.02	Describe the oxygenation process	
17.03	Explain both external and  internal respiration process	
17.04	Discuss the various pathophysiologies of the respiratory system.	
17.05	Describe assessment and management for adequate and inadequate respiration, including the use of pulse oximetry and capnography.	
17.06	State the following for oxygen delivery devices:
17.06.01	components
17.06.02	purpose
17.06.03	indications
17.06.04	contraindications
17.06.05	complications
17.06.06	procedures	
17.07	Describe and demonstrate the steps in performing the skill of assisting ventilations in the conscious and unconscious patient in respiratory distress using a bag-valve-mask (BVM), and continuous positive airway pressure (CPAP). 	
17.08	Review the anatomy and physiology of the respiratory system including:
17.08.01	control of respirations
17.08.02	mechanics of respiration
17.08.03	pulmonary ventilation
17.08.04	oxygenation
17.08.05	mechanical ventilation	
17.09	Explain the rationale for providing adequate oxygenation through high inspired oxygen concentrations to patients who, in the past, may have received low concentrations. 	
17.10	Demonstrate the correct operation of oxygen tanks and regulators.	
17.11	Demonstrate the use of high, medium, low and variable concentration oxygen delivery devices for all age groups.	
17.12	Demonstrate the use of an oxygen humidifier and the requirements needed for its use.	
17.13	Discuss the differences between negative pressure and positive pressure ventilation.	
18.0	Artificial Ventilations: Demonstrate a fundamental depth, foundational breadth of assessment and management utilizing artificial ventilation. –The student will be able to:	
18.01	Demonstrate how to artificially ventilate a patient with a pocket mask.	
18.02	Demonstrate the steps in performing the skill of artificially ventilating a patient with a BVM for one and two rescuers using oral-nasal airway adjusts, head tilt chin lift and jaw thrust.	
18.03	Demonstrate the signs of adequate and inadequate artificial ventilation using the BVM.	
18.04	Describe and demonstrate the steps in artificially ventilating a patient with a manually triggered ventilation device. 	
18.05	Demonstrate how to artificially ventilate the pediatric, adult and geriatric patient.	
18.06	Describe the steps involved in performing a comprehensive assessment of ventilations in all age groups.	
18.07	Demonstrate how to artificially ventilate a patient with a stoma. 	
18.08	Demonstrate how to artificially ventilate a patient for all age groups.	
18.09	Demonstrate the use of various devices used in the assessment of supra-glottic and esophageal airway placement. 	
19.0	Scene Size-Up: Demonstrate a fundamental depth, foundational breadth of scene management and multiple patient situations. –The student will be able to:	
19.01	Recognize and describe hazards/potential hazards at the scene.	
19.02	Discuss common mechanisms of injury/nature of illness.	
19.03	Discuss the procedures for multiple-patient situations.	
19.04	Explain why it is important for the EMT to determine the need for additional or specialized resources. 	
19.05	Discuss the importance of continuous scene assessment to ensure safety of the EMS team and the patient.	
19.06	List the minimum standard precautions that should be followed and PPE that should be worn at the emergency scene.	
19.07	Determine special considerations for dealing with a violent scene.	
19.08	Explain the rationale for crew members to evaluate scene safety prior to entering. 	
19.09	Explain how patient situations affect your evaluation of mechanism of injury or illness.	
20.0	Primary Assessment:  Demonstrate a fundamental depth, simple breadth of the primary assessment for all patient situations. –The student will be able to:	
20.01	Summarize the elements of a general impression of the patient.	
20.02	Explain the reason for performing a primary assessment.	
20.03	Discuss and demonstrate methods of assessing altered mental status using assess for level of consciousness (AVPU). 	
20.04	Discuss and demonstrate methods of assessing the airway and providing airway care.  	
20.05	Describe and  demonstrate methods used for assessing if a patient is breathing	
20.06	Differentiate between a patient with adequate and inadequate breathing.	
20.07	Distinguish between methods of assessing breathing for all age groups. 	
20.08	Describe and  demonstrate the methods used to obtain a pulse in all age groups 	
20.09	Compare the methods of providing airway care in all age groups. 	
20.10	Discuss and demonstrate the need for assessing the patient for external bleeding.	
20.11	Describe and demonstrate normal and abnormal findings when assessing skin color, temperature, moisture and capillary refill for all age groups. 	
20.12	Explain the reason for and demonstrate prioritizing a patient for care and transport.	
20.13	Describe when it is appropriate to expose the patient completely	
20.14	Differentiate between critical life-threatening, potentially life- threatening, and non-life-threatening patient presentations.	
21.0	History-Taking: Demonstrate a fundamental depth, foundational breadth of the components of history taking. –The student will be able to:	
21.01	Determine the chief complaint.	
21.02	Investigate the chief complaint.	
21.03	Describe components of the patient history	
21.04	Explain the importance of obtaining a SAMPLE and OPQRST history.	
21.05	Recognize and respond to the feelings patients experience during assessment.	
21.06	Discuss the value of obtaining a family and social history.	
21.07	Describe examples of different techniques the EMT may use to obtain information from patients, family or bystanders during the history taking process.	
22.0	Secondary Assessment: Demonstrate a fundamental depth, foundational breadth of techniques used for a secondary assessment. –The student will be able to:	
22.01	Describe the unique needs and demonstrate assessing an individual with a specific chief complaint with no known prior history. 	
22.02	Discuss the components and techniques of the physical exam and skills involved.	
22.03	Differentiate between the history and physical exam that are performed for responsive patients with no known prior history, responsive patients with a known prior history and unresponsive patients.	
22.04	State the circumstances for performing a rapid assessment.	
22.05	Discuss the reason for performing a focused history and physical exam.	
22.06	Describe and demonstrate the techniques of inspection, palpation, percussion, and auscultation.	
22.07	Describe and demonstrate the importance of obtaining a baseline set of vital signs.	
22.08	List normal blood pressure ranges for all age groups. 	
22.09	Describe and demonstrate the head to toe examination. 	
22.10	Demonstrate special examination techniques of the cardiovascular examination.	
22.11	Demonstrate the examination of the nervous system	
22.12	Demonstrate a physical exam performed for a responsive patient with and without a known prior history.	
22.13	Demonstrate a physical exam performed for an unresponsive patient.	
22.14	Recognize and respond to the feelings patients experience during assessment.	
23.0	Monitoring Devices:   Demonstrate a simple depth, simple breath of monitoring devices within the scope of practice of the EMT. –The student will be able to:	
23.01	Explain and demonstrate the use and interpretation of pulse oximetry and capnography device readings.	
23.02	Demonstrate and understand the findings of a blood pressure measured by palpation, auscultation and electronic device.	
23.03	Describe and demonstrate the purpose, indications, procedure, normal findings, and limitations of the following patient monitoring technologies.
23.03.01	Pulse Oximetry
23.03.02	Glucometry
23.03.03	Capnography 	
23.04	Demonstrate the application of a cardiac monitor. 	
24.0	Reassessment:   Demonstrate a fundamental depth, foundational breadth of how and when to perform a reassessment for all patient situations.  –The student will be able to:	
24.01	Describe the components of the reassessment and demonstrate the skills involved.	
24.02	Discuss the reasons for repeating the initial assessment as part of the reassessment.	
24.03	Explain trending assessment components and its value to other health professionals who assume care of the patient.	
24.04	Demonstrate the steps for performing the reassessment of patients in all age groups.	
24.05	Explain the rationale of recording additional sets of vital signs.	
25.0	Medical Overview: Demonstrate a simple depth, foundation breadth of pathophysiology, assessment and management of medical complaints. –The student will be able to:	
25.01	Identify the assessment factors for a patient with a medical complaint including:	
25.01.01	scene safety	
25.01.02	environmental factors	
25.01.03	chief complaint	
25.01.04	non-life threatening conditions	
25.01.05	distracting injuries	
25.01.06	tunnel vision	
25.01.07	patient cooperation	
25.01.08	rescuer attitude	
25.02	Discuss forming a field impression and utilizing available information to determine a differential diagnosis. 	
26.0	Neurology:  Demonstrate a fundamental depth, foundational breadth of the assessment and management of neurologic disorders/emergencies for all age groups. –The student will be able to:	
26.01	Review the anatomy and physiology of the nervous system. 	
26.02	Describe the pathophysiology of the following neurologic disorders:  
26.02.01	Altered Mental Status
26.02.02	Stroke
26.02.03	Transient Ischemic Attack
26.02.04	Headache
26.02.05	Seizures
26.02.06	Syncope	
26.03	Discuss and identify the causes, signs and symptoms of ischemic strokes, hemorrhagic strokes and transient ischemic attacks and their similarities and differences.	
26.04	Discuss and demonstrate how to use a stroke scoring system in the assessment of patients with suspected stroke.	
26.05	Define and differentiate generalize seizure, partial seizure and status epilepticus and list their possible causes.	
26.06	Define and differentiate migraine headache, sinus headache, tension headache and discuss how to distinguish a harmless headaches from something more serious.	
26.07	Define “altered mental status” and identify the possible causes	
26.08	Describe and demonstrate the assessment and  management of the patient with various neurological emergencies in all age groups to include:
26.08.01	strokes
26.08.02	headaches
26.08.03	seizures
26.08.04	altered mental status	
26.09	Discuss the transport of the stroke patient to the appropriate treatment center. 	
27.0	Abdominal and Gastrointestinal Disorder: Demonstrate a fundamental depth, foundational breadth of the assessment and management of abdominal and gastrointestinal disorders/emergencies for all age groups.  –The student will be able to:	
27.01	Review the basic anatomy and physiology the gastrointestinal, genital and urinary systems.	
27.02	Describe the pathophysiology of the following abdominal and gastrointestinal disorders:   
27.02.01	Abdominal Pain
27.02.02	Acute Abdomen
27.02.03	Peritonitis
27.02.04	Appendicitis
27.02.05	Pancreatitis
27.02.06	Cholecystitis
27.02.07	Gastrointestinal bleeding
27.02.08	Esophageal Varicies
27.02.09	Gastroenteritis
27.02.10	Ulcers
27.02.11	Intestinal Obstruction
27.02.12	Hernia
27.02.13	Abdominal Aortic Aneurysm	
27.03	Define the term,” acute abdomen.”	
27.04	Identify the signs and symptoms, and common causes of an acute abdomen.	
27.05	Define upper and lower gastrointestinal bleeding.	
27.06	Describe and demonstrate the assessment and management of the patient in all age groups with various gastrointestinal emergencies to include upper and lower gastrointestinal bleeding.	
27.07	Recognize the signs and symptoms related to upper and lower gastrointestinal bleeding.	
27.08	Define acute gastroenteritis.	
27.09	Differentiate between hemorrhagic and non-hemorrhagic abdominal pain.	
27.10	Discuss the signs and symptoms of peritoneal inflammation relative to acute abdominal pain.	
28.0	Immunology: Demonstrate a fundamental depth, foundational breadth of the assessment and management of immunology disorders/emergencies for all age groups. –The student will be able to:	
28.01	Define and differentiate allergic reaction and anaphylaxis	
28.02	Describe the pathophysiology of the following immunology disorders:   
28.02.01	Allergic Reaction
28.02.02	Anaphylaxis
28.02.03	Anaphylactic Shock	
28.03	Describe and demonstrate the assessment and management of the patient in all age groups experiencing an allergic or anaphylactic reaction.	
28.04	State the following for the epinephrine auto-injector: 
28.04.01	generic and trade names
28.04.02	medication forms
28.04.03	dose
28.04.04	administration
28.04.05	action
28.04.06	contraindications	
28.05	Demonstrate the use of epinephrine auto-injector	
28.06	Review the anatomy and physiology of the organs and structures related to anaphylaxis	
28.07	Describe the incidence, morbidity and mortality of anaphylaxis.	
28.08	Identify the risk factors most predisposing to anaphylaxis.	
28.09	Recognize the signs and symptoms related to anaphylaxis	
28.10	Describe the prevention of anaphylaxis and appropriate patient education.	
28.11	List common antigens most frequently associated with anaphylaxis.	
28.12	Demonstrate how to remove a stinger from a bee sting and proper management following its removal.	
29.0	Infectious Disease: Demonstrate a simple depth, simple breadth of the assessment and management of a patient who may have an infectious disease for all age groups. –The student will be able to:	
29.01	List the causes of infectious diseases	
29.02	Describe the pathophysiology of the following infectious diseases: 
29.02.01	Hepatitis B
29.02.02	Hepatitis C
29.02.03	Tuberculosis
29.02.04	Human Immunodeficiency Virus (AIDS)
29.02.05	Severe Acute Respiratory Syndrome
29.02.06	West Nile Virus
29.02.07	Multidrug-Resistant Organisms	
29.03	Describe and demonstrate the assessment and management of the patient in all age groups experiencing an infectious disease.	
29.04	Discuss mandatory notification to State or Federal agencies of various diseases.	
29.05	Identify patients with risk factors for infectious disease.	
29.06	Explain the principles and practices of infection control in prehospital care.	
29.07	Describe and discuss the rationale for the various types of PPE.	
29.08	Discuss the proper disposal of contaminated supplies (sharps, gauze sponges, tourniquets, etc.).	
29.09	Discuss decontamination of the ambulance and disinfection of patient care equipment, and areas in which care of the patient occurred.	
29.10	Describe the actions to take if the EMS provider is exposed to an infectious disease.	
29.11	Demonstrate the ability to comply with body substance isolation guidelines.	
30.0	Endocrine Disorders:  Demonstrate a fundamental depth, foundational breadth of the assessment and management of endocrine disorders/emergencies for all age groups. –The student will be able to:	
30.01	Review the anatomy and physiology of the endocrine system and its main function in the body.	
30.02	Describe the pathophysiology of the following endocrine disorders:   
30.02.01	Insulin Dependent Diabetes Mellitus
30.02.02	Non-Insulin Dependent Diabetes Mellitus
30.02.03	Hypoglycemia
30.02.04	Hyperglycemia
30.02.05	Diabetic Ketoacidosis(DKA)
30.02.06	Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS)	
30.03	Define and differentiate diabetes (type I and II), Hypoglycemia, Hyperglycemia, insulin shock and diabetic ketoacidosis.	
30.04	Identify and demonstrate the steps in the management of the patient taking diabetic medicine with an altered mental status and a history of diabetes.	
30.05	State the following for oral glucose:  
30.05.01	Generic and trade names
30.05.02	Medication forms
30.05.03	Dose
30.05.04	Administration
30.05.05	Action
30.05.06	Contraindications	
30.06	Demonstrate the steps of using a glucometer device and administering oral glucose. 	
30.07	Describe and demonstrate the assessment and the management of the patient in all age groups experiencing an endocrinologic emergency to include hypo- and hyper-glycemia. 	
30.08	Discuss the general assessment findings associated with endocrinologic emergencies.	
30.09	Differentiate between the pathophysiology of normal glucose metabolism and diabetic glucose metabolism.	
30.10	Recognize the signs and symptoms of the patient with hypoglycemia.	
30.11	Recognize the signs and symptoms of the patient with hyperglycemia.	
30.12	Discuss the pathophysiology of diabetic ketoacidosis.	
30.13	Recognize the signs and symptoms of the patient with diabetic ketoacidosis.	
31.0	Psychiatric:  Demonstrate a fundamental depth, foundational breadth regarding the assessment and management of psychiatric emergencies for all age groups. –The student will be able to:	
31.01	Define behavior, psychiatric disorders and behavioral emergencies.	
31.02	Describe the pathophysiology of the following  psychiatric disorders:   
31.02.01	Anxiety
31.02.02	Phobias
31.02.03	Depression
31.02.04	Paranoia
31.02.05	Psychosis
31.02.06	Schizophrenia
31.02.07	Suicidal Ideations
31.02.08	Agitated Delirium
31.02.09	Violence toward Others	
31.03	Discuss the general factors that may cause an alteration in a patient's behavior. 	
31.04	Discuss the risk factors/signs or symptoms of various psychiatric emergencies to include suicide. 	
31.05	Given an scenario, apply knowledge of  the special medical/legal considerations for managing behavioral emergencies to include Florida statues:
31.05.01	Baker Act (FS 394.451)
31.05.02	Marchman Act (FS 397.601 and  FS 397.675)
31.05.03	Emergency examination and  treatment of incapacitated  (FS401.445)	
31.06	Describe and demonstrate the assessment and management of the patient in all age groups experiencing a behavioral or psychiatric emergency.	
31.07	Describe the biological, psychosocial, and sociocultural influences on psychiatric disorders.	
31.08	Describe the special considerations for the safety of the EMS provider and EMS crew, the patient and bystanders when dealing with behavioral and psychiatric disorders.	
31.09	Describe methods of restraint that may be necessary in managing the emotionally disturbed patient and the possible legal implications.	
31.10	Explain the rationale for learning how to modify your behavior toward the patient with a behavioral emergency.	
32.0	Cardiovascular: Demonstrate a fundamental depth, foundational breadth of the assessment and management of cardiovascular emergencies for all age groups. –The student will be able to:	
32.01	Review the basic anatomy and physiology of the cardiovascular system.	
32.02	Describe the pathophysiology of the following cardiovascular disorders:  
32.02.01	Acute Coronary Syndrome
32.02.02	Angina pectoris
32.02.03	Thromboembolism
32.02.04	Myocardial infarction
32.02.05	Hypertensive emergencies
32.02.06	Aortic aneurysm/dissection
32.02.07	Left and right sided Heart Failure 
32.02.08	Cardiogenic Shock
32.02.09	Hypertensive Emergencies
32.02.10	Cardiac Arrest	
32.03	Describe and demonstrate the assessment and management of the patient in all age groups experiencing a cardiac emergency. 	
32.04	List the indications and contraindications for automated external defibrillation (AED).	
32.05	Explain the impact of age and weight on defibrillation.	
32.06	Discuss the position of comfort for patients with various cardiac emergencies.	
32.07	Explain the rationale for early defibrillation. 	
32.08	Discuss the various types of automated external defibrillators.	
32.09	Differentiate between the fully automated and the semi-automated defibrillator.	
32.10	Understand the importance of maintenance and operators check list for AED’s. 	
32.11	Demonstrate the ability to use an AED according to the latest American Heart Association (AHA) guidelines. 	
32.12	Explain the role medical direction plays in the use of automated external defibrillation.	
32.13	Explain the rationale for administering nitroglycerin and ASA to a patient with chest pain or discomfort.	
32.14	Demonstrate the assessment and documentation of patient response to the automated external defibrillator.	
32.15	Demonstrate the assessment and documentation of patient response to nitroglycerin. 	
33.0	Toxicology: Demonstrate a fundamental depth, foundational breadth of the assessment and management of toxicological (poisoning and overdose) emergencies for all age groups. –The student will be able to:	
33.01	Define and differentiate toxicology, poisoning and overdose.	
33.02	Describe the pathophysiology of the following toxicological emergencies: 
33.02.01	Food Poisoning
33.02.02	Carbon Monoxide Poisoning
33.02.03	Cyanide Poisoning
33.02.04	Exposure to Acid or Alkaline Substances
33.02.05	Exposure to Hydrocarbons
33.02.06	Methanol Ingestion
33.02.07	Isopropanol Ingestion
33.02.08	Ethylene Glycol Ingestion
33.02.09	Exposure to Poisonous Plants
33.02.10	Drug Withdrawal
33.02.11	Alcoholic Syndrome
33.02.12	Withdrawal syndrome (including delirium tremens)
33.02.13	Illicit Drug Use
33.02.14	Medication Overdose	
33.03	List various ways that poisons enter the body.	
33.04	List signs/symptoms associated with poisoning.	
33.05	Discuss and demonstrate the assessment and management for the patient in all age groups with poisoning or overdose.	
33.06	Discuss the role of the Poison Control Center with the nationwide contact number 800-222-1222 in the United States.	
33.07	Explain the rationale for contacting medical direction early in the prehospital management of the poisoning or overdose patient.	
34.0	Respiratory:  Demonstrate a fundamental depth, foundational breadth of the assessment and management of respiratory disorders/emergencies for all age groups. –The student will be able to:	
34.01	Review the basic anatomy and physiology of the respiratory system.	
34.02	Describe the pathophysiology of the following respiratory disorders:   
34.02.01	Chronic Obstructive Pulmonary Disease: Emphysema, Chronic Bronchitis, and Asthma
34.02.02	Pulmonary Edema
34.02.03	Spontaneous Pneumothorax
34.02.04	Hyperventilation Syndrome
34.02.05	Epiglottitis
34.02.06	Pertussis
34.02.07	Cystic Fibrosis
34.02.08	Pulmonary Embolism
34.02.09	Pneumonia
34.02.10	Viral Respiratory Infections
34.02.11	Poisonous Exposures	
34.03	List signs of adequate air exchange.	
34.04	State the signs and symptoms of a patient with respiratory distress.	
34.05	Describe and demonstrate the assessment and management of the patient in all age groups with a respiratory emergency.	
34.06	State the following for the metered-dose inhaler:
34.06.01	generic name
34.06.02	medication forms
34.06.03	dose
34.06.04	administration
34.06.05	action
34.06.06	indications
34.06.07	contraindications	
34.07	Describe and demonstrate the steps in facilitating the use of an inhaler.	
34.08	Differentiate between upper airway obstruction and lower airway disease in the patient for all age groups.	
34.09	Discuss the measures needed to ensure personal safety while attending to the patient with a respiratory emergency or infection.	
34.10	Demonstrate proper use of airway and ventilation devices.	
34.11	Explain the rationale and demonstrate the application of a CPAP/ BiPAP unit.	
35.0	Hematology: Demonstrate a simple depth, simple breadth of the assessment, and management of hematology disorders for all age groups. –The student will be able to:	
35.01	Review the anatomy and physiology of blood.	
35.02	Describe the pathophysiology of the following hematology  disorders:   
35.02.01	Anemia
35.02.02	Sickle Cell Anemia / Sickle Cell Crisis
35.02.03	Hemophilia	
35.03	State the signs and symptoms of a patient with a Sickle Cell crisis or a clotting disorder.	
35.04	Describe and demonstrate the assessment and the management of the patient with Sickle cell crisis or a clotting disorder.	
35.05	Describe the anatomy and physiology of the hematologic system to the pathophysiology and assessment of patients with hematologic disorders such as Sickle cell.	
36.0	Genitourinary /Renal: Demonstrate a simple depth, simple breath of the assessment and management of genitourinary/ renal emergency for all age groups. –The student will be able to:	
36.01.01	Review the basic anatomy and physiology of the genitourinary and renal systems	
36.02	Describe the pathophysiology of the following  genitourinary/ renal disorders:   
36.02.01	Urinary Tract Infection
36.02.02	Kidney Stones
36.02.03	Kidney Failure	
36.03	Understand the basic principles of kidney dialysis.	
36.04	Discuss the signs and symptoms of a patient with a dialysis emergency.	
36.05	Describe and demonstrate the assessment and management of the patient with a dialysis emergency.	
37.0	Gynecology: Demonstrate a fundamental depth, foundational breadth of the assessment and management of gynecologic emergencies for all age groups. –The student will be able to:	
37.01	Review the basic anatomy and physiology of the female reproductive system.	
37.02	Describe the pathophysiology of the following gynecologic disorders and emergencies:   
37.02.01	Sexual Assault
37.02.02	Nontraumatic Vaginal Bleeding
37.02.03	Menstrual Pain
37.02.04	Ovarian Cyst
37.02.05	Endometritis
37.02.06	Endometriosis
37.02.07	Pelvic Inflammatory Disease
37.02.08	Sexually Transmitted Diseases	
37.02.09	Describe and demonstrate the assessment and management of the patient in all age groups  experiencing a gynecologic emergency to include:
37.02.10	excessive bleeding
37.02.11	abdominal pain
37.02.12	sexual assault.	
37.03	Discuss the special consideration and precautions an EMT must observe when arriving at the scene of a suspected case of sexual assault or rape.	
37.04	Describe the assessment and management of a patient who has experienced a sexual assault including the psychosocial impact and assessment findings/presentations.	
37.05	Value the importance of maintaining a patient’s modesty and privacy while still being able to obtain necessary information.	
37.06	Defend the need to provide care for a patient of sexual assault, while still preventing destruction of crime scene information.	
38.0	Non-Traumatic Musculoskeletal Disorders: Demonstrate a fundamental depth, foundational breadth of the assessment and management of non-traumatic fractures for all age groups.  –The student will be able to:	
38.01	Review the basic anatomy and physiology of the musculoskeletal system.	
38.02	Describe and demonstrate the assessment and management of the patient in all age groups with a non-traumatic musculoskeletal emergency.	
39.0	Diseases of the Eyes, Ears, Nose, and Throat: Demonstrate a simple depth, simple breadth in recognition and management of nose bleed for all age groups. –The student will be able to:	
39.01	Discuss the recognition and management of an epistaxis. 	
39.02	Describe and demonstrate the assessment and management of the patient in all age groups with abnormal conditions affecting the eyes, ears, nose and throat. 	
40.0	Shock and Resuscitation: Demonstrate the application of fundamental knowledge of the causes, pathophysiology, and management of shock and respiratory failure. –The student will be able to:	
40.01	Discuss and identify causes and pathophysiology of the categories of hemorrhage and shock.	
40.02	Discuss and identify causes and pathophysiology of respiratory failure and arrest.	
40.03	Discuss and identify causes and pathophysiology of cardiac failure or arrest.	
40.04	Discuss the various types and degrees of shock. 	
40.05	Discuss and identify post resuscitation and management.	
40.06	Explain the system components of CPR, the links in the AHA chain of survival and how each one relates to maximizing the survival of the patient.	
40.07	Show Provider (AHA guidelines) certification required prior to rescuer program completion.	
40.08	Discuss and distinguish the variations and causes between the management of the infant, child, adult and geriatric patient experiencing shock.	
40.09	Define and differentiate compensated and decompensated hemorrhagic shock.	
40.10	Defend the importance of teamwork, experience, and practice in preparation to manage the critical patient	
40.11	Demonstrate how to perform one and two rescuer CPR, adult, child, infant	
40.12	Demonstrate how to perform rescuer level appropriate defibrillation in an adult, child and infant patient	
40.13	Demonstrate the steps of rescuer level appropriate post resuscitative care	
40.14	Management and resuscitation of the critical patient	
40.15	Demonstrate rapid decision making based on differential field diagnosis of the critical patient with a peri-arrest condition	
40.16	Describe and demonstrate the assessment and management of the patient with hemorrhage and shock.  	
41.0	Trauma Overview: Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment and management of the trauma patient for all age groups. –The student will be able to:	
41.01	Discuss and define pathophysiology of the trauma patient	
41.02	List and describe the components of a comprehensive trauma systems and levels of trauma centers.	
41.03	Describe the criteria for different transportation modes to a trauma center.	
41.04	Explain the relationship between mechanism of injury and potential energy, kinetic energy and work in relation to trauma.
41.04.01	Define energy, force, laws of motion
41.04.02	Explain the physics of trauma	
41.05	Define the term blunt and  penetrating trauma and provide examples of the mechanism of injury (MOI) that would cause each to occur and include:
41.05.01	Effects of high, medium and  low velocity penetrating trauma
41.05.02	Primary, secondary, tertiary and miscellaneous blast injuries
41.05.03	Factors to consider of a patient injured in a fall.
41.05.04	Consider all age groups 	
41.06	Describe the kinematics of penetrating injuries.	
41.07	Discuss the role of documentation in trauma.	
41.08	Demonstrate the use of the Florida Trauma Alert Criteria, classify various types of trauma patients.	
41.09	Discuss and describe significant and non-significant Mechanism of Injury (MOI) and provide examples of each. 	
41.10	Discuss and describe State of Florida’s trauma scorecard methodologies as required in Florida Statute and Florida Administrative Code (F.A.C.) 	
41.11	Discuss the National Trauma Triage Protocol of injured Patients (http://cdc.gov/fieldtriage/ ) 	
42.0	Bleeding: Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of bleeding for all age groups. –The student will be able to:	
42.01	Review the anatomy and  physiology of the circulatory system	
42.02	Review the different types of bleeding and classes of hemorrhage.	
42.03	List signs and symptoms of shock (hypo-perfusion).	
42.04	Describe the body’s physiologic response to bleeding.	
42.05	Review the pathophysiology of hemorrhagic shock.	
42.06	Explain the sense of urgency to transport patients that are bleeding and show signs of shock (hypoperfusion).	
42.07	Describe and demonstrate the assessment and management of a patient in all age groups with hemorrhagic shock.	
42.08	Demonstrate how to apply a commercial tourniquet. 	
42.09	Formulate a field impression based upon the assessment findings for a patient with hemorrhagic shock.	
43.0	Chest Trauma: Demonstrate a fundamental depth, simple breadth of pathophysiology, assessment and management of chest trauma for all age groups. –The student will be able to:	
43.01	Review the anatomy and physiology of the thoracic/chest cavity and respiratory system.	
43.02	Differentiate between a pneumothorax (open, simple and tension) and hemothorax. 	
43.03	Discuss the pathophysiology and MOI of myocardial injuries, including the following:
43.03.01	pericardial tamponade
43.03.02	myocardial contusion,
43.03.03	myocardial rupture
43.03.04	commotio cordis	
43.04	Identify the need for rapid intervention and transport of the patient with thoracic injuries.	
43.05	Discuss the pathophysiology and MOI of specific chest wall injuries, including the following:
43.05.01	rib fracture
43.05.02	flail segment
43.05.03	sternal fracture 	
43.06	Describe and demonstrate the assessment and management of injuries to the chest wall, lung and myocardial tissue.	
43.07	Identify the need for rapid intervention and transport of the patient with chest wall, lung and myocardial tissue injuries.	
43.08	Formulate a field impression based upon the assessment findings for a patient with chest trauma. 	
44.0	Abdominal and Genitourinary Trauma: Demonstrate a fundamental depth, simple breadth of pathophysiology, assessment and management of abdominal and genitourinary trauma for all age groups. –The student will be able to:	
44.01	Review the anatomy and physiology and of the abdominal cavity and genitourinary (both male and female) system.	
44.02	Describe the abdominal quadrants and the organs found within each quadrant.	
44.03	Describe the differences between hollow and solid organs.	
44.04	Discuss the pathophysiology and MOI for abdominal trauma including hallow and solid injuries.	
44.05	Describe and demonstrate the assessment and management of a patient with a suspected abdominal or genitourinary injury including:
44.05.01	Penetrating
44.05.02	Blunt
44.05.03	Open
44.05.04	Closed	
44.06	Formulate a field impression based upon the assessment findings for a patient with abdominal trauma. 	
45.0	Orthopedic Trauma:  Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of orthopedic trauma for all age groups. –The student will be able to:	
45.01	Review the anatomy and physiology of the musculo-skeletal system. 	
45.02	and  Discuss pathophysiology and MOI for orthopedic injury including: 
45.02.01	Fractures
45.02.02	Sprains
45.02.03	Strains 
45.02.04	Pelvic Injury 
45.02.05	Amputation 	
45.03	Describe the different types of orthopedic injuries including:
45.03.01	Fractures
45.03.02	Sprains
45.03.03	Strains 
45.03.04	Pelvic Injury 
45.03.05	Amputation 	
45.04	List the primary signs and symptoms of extremity trauma.	
45.05	Explain the rationale for stabilization of an open and a closed painful, swollen, deformed extremity.	
45.06	Describe and demonstrate the assessment and management of a patient with a suspected orthopedic injury including:
45.06.01	Fractures
45.06.02	Sprains
45.06.03	Strains 
45.06.04	Pelvic Injury 
45.06.05	Amputation 	
45.07	Explain the benefits and general guidelines for the following management techniques: 
45.07.01	Heat Therapy
45.07.02	Cold Therapy
45.07.03	Splinting 	
45.08	List the six “Ps” of orthopedic injury assessment.	
45.09	Discuss the need for assessment of pulses, motor, and sensation before and after splinting.	
45.10	Describe age-associated changes in the bones.	
45.11	Discuss the usefulness of the pneumatic anti-shock garment (PASG) in the management of fractures.	
45.12	Discuss the out-of-hospital management of dislocation/fractures, including splinting and realignment and sprains and strains.	
45.13	Discuss the pathophysiology of replantation. 	
45.14	Explain the rationale for splinting at the scene versus load and go.	
45.15	Demonstrate the proper use of following techniques for a patient with a suspected fracture:, ,
45.15.01	Hard
45.15.02	Improvised
45.15.03	Soft
45.15.04	Traction splints 	
45.16	Formulate a field impression based upon the assessment findings for a patient with orthopedic trauma. 	
46.0	Soft Tissue Trauma: Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of soft tissue trauma for all age groups.  –The student will be able to:	
46.01	Review anatomy and physiology of the integumentary system to include the layers of the skin.	
46.02	Describe the pathophysiology and MOI of wounds, burns, crush injuries and high pressure injection injuries.	
46.03	Describe and demonstrate the assessment and management of the following types of closed soft tissue injuries: 
46.03.01	wounds
46.03.02	burns
46.03.03	high pressure injection
46.03.04	crush syndrome injuries
46.03.05	compartment syndrome injuries
46.03.06	contusion
46.03.07	hematoma	
46.04	Describe and demonstrate the assessment and management of the following types of open soft tissue injuries:
46.04.01	abrasions
46.04.02	lacerations
46.04.03	major arterial lacerations
46.04.04	avulsions,
46.04.05	bites
46.04.06	impaled objects
46.04.07	amputations
46.04.08	incisions
46.04.09	crush injuries
46.04.10	blast injuries
46.04.11	Penetrations/punctures.	
46.05	Identify types of burn injuries, including:
46.05.01	thermal burn
46.05.02	inhalation burn
46.05.03	chemical burn
46.05.04	electrical burn
46.05.05	radiation exposure	
46.06	Describe the depth classifications of burn injuries, including:
46.06.01	superficial burn
46.06.02	partial-thickness burn
46.06.03	full-thickness burn
46.06.04	Other depth classifications	
46.07	Describe methods for determining body surface area percentage of a burn injury including the “rules of nines," the "rules of palms," and other methods.	
46.08	Explain how the seriousness of a burn is related to its depth and extent (percent of body surface area (BSA) involved or rule of nines) for patients in all age groups. 	
46.09	Differentiate and demonstrate the various management techniques for hemorrhage control of open soft tissue injuries, including but not limited to:
46.09.01	direct pressure
46.09.02	pressure dressing
46.09.03	tourniquet application
46.09.04	Hemostatic agents	
46.10	Differentiate between the types of injuries requiring the use of an occlusive versus non- occlusive dressing.	
46.11	Discuss the possible complications of an improperly applied dressing, bandage, tourniquet and hemostatic agents.	
46.12	Describe and demonstrate the assessment and management of specific burn injuries including: 
46.12.01	Thermal 
46.12.02	Inhalation
46.12.03	Chemical
46.12.04	Electrical
46.12.05	Radiation 	
46.13	Formulate a field impression based upon the assessment findings for a patient with soft tissue trauma. 	
47.0	Head, Facial, Neck, and Spine Trauma: Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of head, facial, neck and spine trauma for all age groups.  –The student will be able to:	
47.01	Review the anatomy and physiology and of the head, face, and neck (non-spinal).	
47.02	Describe the pathophysiology and MOI for head, face, and neck (non-spinal) hemorrhage.	
47.03	Describe and demonstrate the assessment and  management of a patient with the following injuries to the head, face and  neck (non-spinal): 
47.03.01	Penetrating Neck Trauma
47.03.02	Laryngotracheal injury
47.03.03	Skull Fracture 
47.03.04	Facial Fracture 
47.03.05	Eye Injury ( foreign body)
47.03.06	Dental Trauma 	
47.04	Recognize and manage life threats due to head, neck and spine trauma.	
47.05	Discuss and demonstrate the rationale and use of the Glasgow Coma Score.	
47.06	Formulate a field impression based upon the assessment findings for a patient with head, facial, and/ or neck (non-spinal) trauma. 	
48.0	Nervous System Trauma: Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of nervous system trauma for all age groups. –The student will be able to:	
48.01	Review the anatomy and physiology and of the nervous system. 	
48.02	Discuss the pathophysiology and MOI for brain and spinal injury including:
48.02.01	Increased intracranial pressure (ICP)
48.02.02	Concussion
48.02.03	Contusion	
48.03	Describe and demonstrate the assessment and management of a patient with a brain and spinal injury including:
48.03.01	Brain Trauma 
48.03.02	Spinal Cord Trauma
48.03.03	Cervical Spine Trauma 	
48.04	Explain the rationale for motion restriction of the entire spine when a cervical spine injury is suspected.	
48.05	Explain the rationale for utilizing spinal motion restriction methods apart from the straps on the cots.	
48.06	Explain the rationale for utilizing a short spine motion restriction device when moving a patient from the sitting to the supine position.	
48.07	Given a scenario, defend whether or not to remove a helmet prior to transport of a patient. 	
48.08	Demonstrate specific management techniques for a patient with a suspected spinal cord injury.  	
48.09	Demonstrate various methods for stabilization and removal of a helmet.	
48.10	Demonstrate documentation of assessment before, during and after spinal motion restriction.	
48.11	Formulate a field impression based upon the assessment findings for a patient with brain and/or spinal trauma. 	
49.0	Special Considerations in Trauma: Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment and management of trauma patients with special considerations for all age groups. –The student will be able to:	
49.01	Review the anatomy and physiology for the following trauma patients:
49.01.01	pregnant
49.01.02	pediatric
49.01.03	geriatric
49.01.04	cognitively impaired	
49.02	Discuss the pathophysiology and MOI of trauma in the following patients: 
49.02.01	pregnant
49.02.02	pediatric
49.02.03	geriatric
49.02.04	cognitively impaired	
49.03	Discuss and  demonstrate unique assessment and  management considerations for the following trauma patients: 
49.03.01	pregnant
49.03.02	pediatric
49.03.03	geriatric
49.03.04	cognitively impaired	
49.04	Formulate a field impression based upon the assessment findings for a patient requiring special considerations. 	
50.0	Environmental Emergencies: Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment and management of environmental emergencies for all age groups. –The student will be able to:	
50.01	Define drowning and discuss its incidence, rick factors and prevention.	
50.02	Discuss the pathophysiology and MOI of the following: 
50.02.01	Drowning and water related incidents
50.02.02	temperature-related illness
50.02.03	bites and envenomation
50.02.04	dysbarism such as high-altitude edema
50.02.05	diving injuries
50.02.06	lightning (electrical) injury
50.02.07	high altitude illness	
50.03	Describes and demonstrate the assessment and management for a patient with the following:
50.03.01	Drowning and water related incidents
50.03.02	temperature-related illness
50.03.03	bites and envenomation
50.03.04	dysbarism such as high-altitude edema
50.03.05	diving injuries
50.03.06	lightning (electrical) injury
50.03.07	high altitude illness	
50.04	Discuss the physics of the gas laws including: Boyle’s, Dalton, Henry and Charles.	
50.05	Discuss scene management and provider safety considerations for a submersion, diving, or lightning incident.  	
50.06	Explain the five ways a body can lose heat	
50.07	Identify the species of insects, spiders and snakes in the US that may cause life threatening injuries.	
50.08	Formulate a field impression based upon the assessment findings for a patient with an environmental emergency. 	
51.0	Multi-Systems Trauma: Demonstrate a fundamental depth, foundational breadth of the pathophysiology, assessment, and management of multi-system trauma and blast injuries.  –The student will be able to:	
51.01	Discuss the pathophysiology and MOI of multi-system trauma and blast injuries.	
51.02	Discuss the golden principle of out-of-hospital trauma care	
51.03	Describe and demonstrate assessment and management considerations for a patient of multi system trauma and blast injuries.	
51.04	Formulate a field impression based upon the assessment findings for a patient with multi systems trauma and/ or blast injuries. 	
52.0	Obstetrics: Demonstrate a fundamental depth, foundational breadth of management of the obstetric patient within the scope of practice of the EMT.   –The student will be able to:	
52.01	Identify and describe the anatomical structures and functions of the female reproductive system and how these structures and functions change during pregnancy	
52.02	Define the stages of labor and discuss how to assess them	
52.03	Differentiate between normal delivery, abnormal delivery and complications associated with delivery.	
52.04	Differentiate the management of a patient with predelivery emergencies from a normal delivery.	
52.05	State the patient care measures for all stages of labor in a normal (cephalic) delivery for the mother and the newborn	
52.06	Describe how to care for the newborn post-delivery.	
52.07	Describe the management of the mother post-delivery.	
52.08	State the patient care measures for all stages of labor in abnormal (non-cephalic) deliveries for the mother and the newborn	
52.09	Describe the procedures for handling complications of pregnancy	
52.10	Describe special considerations when meconium is present in amniotic fluid or during delivery.	
52.11	Describe special patient care considerations of a premature baby.	
52.12	Demonstrate how to listen to fetal heart tones.	
52.13	Demonstrate the patient care measures for all stages of labor in a normal (cephalic) delivery for the mother and the newborn	
52.14	Demonstrate the patient care measures for all stages of labor in abnormal (non-cephalic) deliveries for the mother and the newborn	
52.15	Demonstrate the procedures for handling complications of pregnancy including pre-eclampsia and eclampsia	
53.0	Neonatal Care: Demonstrate a fundamental depth, foundational breadth of management of the newborn and neonatal patient within the scope of practice of the EMT. –The student will be able to:	
53.01	Discuss and demonstrate assessment and management considerations of a neonate.	
53.02	Define the term neonate.	
53.03	Identify the factors that lead to premature birth and low birth weight newborns.	
53.04	Calculate the APGAR score given various newborn situations.	
53.05	Discuss the common signs when ventilator assistance is appropriate for a neonate.	
53.06	Identify and discuss the use of oxygen/airway adjuncts in the neonate 	
53.07	Discuss the steps in resuscitation of a neonate	
53.08	Discuss the signs of hypovolemia in a newborn.	
53.09	Discuss the effects maternal narcotic usage has on the newborn	
53.10	Discuss the management/treatment plan for vomiting in the neonate.	
53.11	Discuss the assessment findings associated with common birth injuries in the neonate.	
53.12	Demonstrate assessment of APGAR scoring during a scenario	
53.13	Demonstrate appropriate assessment technique for examining a neonate.	
53.14	Demonstrate appropriate assisted ventilations for a neonate.	
53.15	Demonstrate appropriate chest compression and ventilation technique for a neonate.	
53.16	Demonstrate the initial steps in resuscitation of a neonate.	
53.17	Demonstrate blow-by oxygen delivery for a neonate.	
54.0	Pediatrics: Demonstrate a fundamental depth, fundamental breath of management of the pediatric patient within the scope of practice of the EMT. –The student will be able to:	
54.01	Review the anatomy, physiology and pathophysiology and differences of patients in the pediatric age ranges. 	
54.02	Discuss the differences in approaching and assessing patients in the pediatric age ranges.	
54.03	Discuss and demonstrate assessment and management considerations for Sudden Unexplained Infant Death Syndrome (SUIDS).	
54.04	Describe the selection of appropriate airway adjuncts and ventilation devices for infants and children.	
54.05	Discuss complications of improper utilization of airway adjuncts and ventilation devices with infants and children.	
54.06	Describe the common causes, assessment and management of respiratory distress, failure, or arrest in infants and children. 	
54.07	Discuss the common causes, assessment and management of hypoperfusion in infants and children.	
54.08	Discuss the common causes, assessment and management of cardiopulmonary arrest in infants and children.	
54.09	Describe the common causes, assessment and management of altered level of consciousness in infants and children.	
54.10	Describe the common causes, assessment and management of trauma in infants and children.	
54.11	Discuss the pathophysiology of hypo-perfusion in infants and children.	
54.12	Describe the common causes, assessment and management of hypoperfusion in infants and children.	
54.13	Describe the common causes, assessment and management of neurological emergencies in infants and children.	
54.14	Demonstrate proper technique for administering blow-by oxygen to infants and children.	
54.15	Demonstrate proper technique for suctioning of infants and children.	
54.16	Demonstrate appropriate use of airway adjuncts and ventilation devices with infants and children.	
54.17	Demonstrate age appropriate basic airway clearing maneuvers for infants and children with a completely obstructed airway.	
54.18	Demonstrate appropriate airway and breathing control maneuvers for infant and child trauma patients.	
55.0	Geriatrics: Demonstrate a fundamental depth, foundational breadth of management of the geriatric patient within the scope of practice of the EMT. –The student will be able to:	
55.01	Define and discuss the term “geriatrics.”	
55.02	Review the anatomy, physiology and pathophysiology of the Geriatric patient. 	
55.03	Discuss common emotional and psychological reactions to aging to include causes and manifestations.	
55.04	Discuss the problems with mobility in the elderly and develop strategies to prevent falls.	
55.05	Discuss factors that may complicate the assessment of the elderly patient including communication issues and methods to overcome them.	
55.06	Describe principles that should be employed when assessing and communicating with the elderly.	
55.07	Describe the common causes, assessment and management of  the elderly patient with the following complaints: 	
55.07.01	Pulmonary, including pneumonia, chronic obstructive pulmonary diseases, and pulmonary embolism.	
55.07.02	Cardiovascular, including myocardial infarction, heart failure, dysrhythmias, aneurism, and hypertension.	
55.07.03	Nervous system, including cerebral vascular disease, delirium, dementia, Alzheimer’s disease and Parkinson’s disease.	
55.07.04	Endocrine system, including diabetes and thyroid diseases.	
55.07.05	Gastrointestinal problems.	
55.07.06	Toxicological problems including alcohol/drug abuse, and polypharmacy errors.	
55.07.07	Environmental considerations.	
55.07.08	Traumatic injuries, including orthopedic injuries, burns and head injuries.	
56.0	Patients with Special Challenges: Demonstrate a simple depth, simple breadth of management of the patient with special challenges. –The student will be able to:	
56.01	Define child abuse / neglect	
56.02	Define children with special health care needs. 	
56.03	Discuss the pathophysiology of abuse and neglect in infants and children.	
56.04	Discuss the assessment and management/treatment plan for abuse and neglect in infants and children, including documentation and reporting.	
56.05	Discuss the pathophysiology of children with special health care needs including technology 	
56.06	Discuss the assessment management/treatment plan for children with special health care needs including technology assisted children.	
56.07	Discuss the incidence and categories of abuse and assault.	
56.08	Describe the characteristics associated with the profile of the typical abuser of a spouse, elder and child.	
56.09	Identify the profile of the "at-risk" spouse, elder and child.	
56.10	Discuss special considerations for the assessment and management of the abused patient.	
56.11	Discuss the legal aspects of documentation and mandatory reporting associated with abused and assaulted patient.	
56.12	Discuss considerations for approach, assessment and treatment of patients with the following impairments/disabilities: (LIST) Hearing, Vision, and Speech. 	
56.13	Describe paraplegia/quadriplegia.	
56.14	Recognize the patient with a developmental disability.	
56.15	Recognize the patient with Down’s syndrome.	
56.16	Describe the following diseases/illnesses: 
56.16.01	Cerebral palsy
56.16.02	Cystic fibrosis
56.16.03	Spina bifida
56.16.04	Patients with a previous head injury	
56.17	Identify a patient that is terminally ill.	
56.18	Differentiate between the role of EMS provider and the role of the home care provider.	
56.19	Discuss the aspects of home care that impact quality of the care for a given patient.	
56.20	List complications commonly seen in the home care patients, which result in their hospitalization.	
56.21	Define hospice care and comfort care. 	
56.22	List the stages of the grief process and relate them to an individual in hospice care.	
56.23	Describe airway maintenance devices typically found in the home care environment.	
56.24	Describe indwelling catheters, implanted central IV ports and central line monitoring.	
56.25	Identify failure of GI/GU devices found in the home care setting.	
56.26	Identify failure of ventilating devices found in the home care setting.	
56.27	Identify failure of vascular access devices found in the home care setting.	
56.28	Demonstrate the ability to assess a spouse, elder or child abused patient.	
56.29	Demonstrate the ability to assess a sexually assaulted patient.	
56.30	Demonstrate the assessment of a patient with a sensory deficit or developmental disability.	
56.31	Develop a treatment and management plan of the elderly psychiatric patient, including depression and suicide.	
57.0	Principles of Safely Operating a Ground Ambulance: Demonstrate a simple depth, foundational breadth of risks and responsibilities of transport. –The student will be able to:	
57.01	Discuss the importance of performing regular vehicle and equipment inspection. 	
57.02	Demonstrate how to perform a daily inspection of an ambulance.	
57.03	Describe the general provisions of Florida laws relating to the operation of the ambulance and privileges. , 	
57.04	Identify current local and state standards which influence ambulance design. 	
57.05	Demonstrate how to place a patient in, and remove a patient from an ambulance.	
57.06	Discuss the guidelines for operating an ambulance safety during emergency and non-emergency situation/incident.	
57.07	Discuss considerations that are required for ensuring scene safety, including personal safety, patient safety, and traffic control.	
57.08	Demonstrate how to clean and disinfect the ambulance and equipment.	
58.0	Incident Management: Demonstrate a fundamental depth, fundamental breadth of establishing and working within the incident management system. –The student will be able to:	
58.01	Explain the need for the incident management system (IMS)/incident command system (ICS) in managing emergency medical services incidents.	
58.02	Define the term disaster management.	
58.03	Discuss the importance of NIMS (National Incidence Management System).	
58.04	Describe the functional components of the incident management system in terms of the following: 
58.04.01	Command
58.04.02	Finance
58.04.03	Logistics
58.04.04	Operations
58.04.05	Planning 	
58.05	Differentiate between singular and unified command and when each is most applicable.	
58.06	Describe the role of command	
58.07	Describe the need for transfer of command and procedures for transferring it.	
58.08	List and describe the functions of the following groups and leaders in ICS as it pertains to EMS incidents:
58.08.01	safety
58.08.02	logistics
58.08.03	rehabilitation
58.08.04	staging,
58.08.05	treatment
58.08.06	triage
58.08.07	transportation
58.08.08	extrication/rescue
58.08.09	morgue
58.08.10	communications	
58.09	Describe techniques used to allocate patients to hospitals and track them.	
58.10	List the physical and psychological signs of critical incident stress.	
58.11	Explain the organizational benefits for having standard operating procedures (SOPs) for using the incident management system or incident command system.	
59.0	Multiple Casualty Incidents: Demonstrate a simple depth, foundational breadth of responding to an emergency during a multiple casualty incident. –The student will be able to:	
59.01	Describe essential elements of scene size-up when arriving at a potential MCI.	
59.02	Describe the role of the rescuers and EMS systems in planning for MCIs and disasters.	
59.03	Describe the role of the physician at multiple casualty incidents.	
59.04	Define triage and describe the principles of triage.	
59.05	Describe the START (simple triage and rapid treatment) method of initial triage.	
59.06	Describe techniques used to allocate patients to hospitals and track them.	
59.07	List and describe the essential equipment to provide logistical support to MCI operations, including but not limited to:, 
59.07.01	Airway
59.07.02	respiratory and hemorrhage control
59.07.03	Burn management
59.07.04	Patient packaging/immobilization	
59.08	List the physical and psychological signs of critical incident stress.	
59.09	Describe the role of critical incident stress management sessions in MCIs.	
59.10	Explain the organizational benefits for having standard operating procedures (SOPs) for using the incident management system or incident command system.	
59.11	Demonstrate the use of local/regional triage tagging system used for primary and secondary triage.	
59.12	Given a classroom simulation of a MCI with 5-10 patients, fulfill the role of triage group leader.	
60.0	Air Medical: Demonstrate a simple depth, simple breadth of safe air medical operations and criteria for utilizing air medical response. –The student will be able to:	
60.01	Discuss safe air medical operations. 	
60.02	Describe key scene safety considerations when preparing for a helicopter medivac, including establishing a landing zone and approaching the aircraft.	
60.03	Describe the capabilities, protocols, and methods for accessing air medical transport.	
60.04	Describe the advantages and disadvantages of air medical transport.	
60.05	Identify the conditions/situations in which air medical transport should be considered.	
60.06	Assess personal practices relative to air medical operations which may affect the safety of the crew, the patient and bystanders.	
60.07	Perform setting up an air medical helicopter landing zone.	
61.0	Vehicle Extrication:  Demonstrate a simple depth, simple breadth for safe vehicle extrication and use of simple hand tools. –The student will be able to:	
61.01	Describe the role of the EMT in patient rescue and  vehicle extrication	
61.02	Describe personal and patient safety during vehicle extrication. 	
61.03	Explain the difference between simple access and complex access in vehicle extrication	
61.04	Discuss patient care consideration related to assisting with rapid extrication, providing emergency care to the trapped patient and removing and transferring a patient. 	
61.05	Discuss the use of simple hand tools used for vehicle extrication	
61.06	Describe the effects of traffic flow on the highway rescue incident including limited access superhighways and regular access highways.	
61.07	List and describe the hazards associated with the following auto/ truck components:
61.07.01	energy absorbing bumpers
61.07.02	air bag/supplemental restraint systems
61.07.03	catalytic converters and conventional fuel systems
61.07.04	stored energy
61.07.05	alternate fuel systems	
61.08	Describe methods for emergency stabilization using rope, cribbing, jacks, spare tire, and come-a-longs for vehicles. 	
61.09	Describe the electrical hazards commonly found at highway incidents (above and below ground).	
61.10	Explain the difference between tempered and safety glass, identify its locations on a vehicle and how to break it safely.	
61.11	Explain typical door anatomy and methods to access through stuck doors.	
61.12	Explain SRS or "air bag" systems and methods to neutralize them.	
61.13	Demonstrate the use of wood cribbing to stabilize a vehicle.	
61.14	Demonstrate how to gain access to a patient by using a spring- loaded center punch.	
62.0	Hazardous Materials Awareness: Demonstrate a simple depth, simple breadth of risks and responsibilities of operating in a cold zone at a hazardous material or other special incident. –The student will be able to:	
62.01	Identify resources for substance identification, decontamination and treatment information, including but not limited to the following:
62.01.01	poison control center
62.01.02	medical control
62.01.03	material safety data sheets (MSDS),
62.01.04	reference textbooks
62.01.05	computer databases
62.01.06	Computer-Aided Management of Emergency Operations (CAMEO) 
62.01.07	CHEMTREC
62.01.08	technical specialists
62.01.09	Agency for toxic substances and disease registry	
62.02	Explain primary and secondary contamination risk.	
62.03	List and describe the following routes of exposure:	
62.03.01	topical	
62.03.02	respiratory	
62.03.03	gastrointestinal	
62.03.04	parenteral	
62.04	Explain how the substance and route of contamination alters triage and decontamination methods.	
62.05	List and explain the common signs, symptoms and treatment for the following substances: 
62.05.01	corrosives (acids/alkalis)
62.05.02	pesticides (carbamates / organophosphates),
62.05.03	chemical asphyxiants (cyanide/carbon monoxide)
62.05.04	hydrocarbon solvents (xylene, methylene chloride)	
62.06	Identify local facilities and resources capable of treating patients	
62.07	Determine the appropriate level of PPE by considering the following:  
62.07.01	Types
62.07.02	Application
62.07.03	Use and Limitations
62.07.04	Use of chemical compatibility chart 	
62.08	Explain specific decontamination procedures.	
62.09	Demonstrate the donning and doffing of appropriate PPE.	
62.10	Set up and demonstrate an emergency two-step decontamination process.	
62.11	Identify DOT Labels, placards and markings that are used to designate HAZMAT materials	
62.12	Demonstrate the ability to use a variety of reference materials to identify a HAZMAT material	
63.0	Mass Casualty Incidents Due to Terrorism and Disaster: Demonstrate a simple depth, simple breadth of risks and responsibilities of operating on the scene of a natural or man-made disaster. –The student will be able to:	
63.01	Describe the role of the EMT on the scene of a natural or man-made disaster	
63.02	Define the different types of terrorism and provide examples of incidents of each.	
63.03	Describe personal and patient safety during a natural or man-made disaster.	
63.04	Describe the factors related to ensuring situational safety at the site of a disaster and the procedures required.	
63.05	Discuss the National Terrorism Advisory System	
63.06	Discuss factors to consider when responding to a terrorist situation	
63.07	Discuss important actions to take at the scene of a terrorist event such as:
63.07.01	scene safety
63.07.02	personal protection
63.07.03	notification procedures
63.07.04	available resources
63.07.05	working with in the command system	
63.08	List the main categories of weapons of mass destruction	
63.09	Discuss the different types of chemical agents and their signs and symptoms	
63.10	Discuss the treatment and management of patients exposed to various types of chemical agents and radiation.	
63.11	Define the different types of radiations and their effect on the human body.	
63.12	Demonstrate the use of a nerve agent antidote kit.	

Paramedic:  Completion of intended outcomes 64-125 lead to the student’s eligibility to sit for the licensure exam for Paramedic.	
64.0	EMS Systems: Demonstrate a fundamental depth and foundational breadth of the History of EMS and a complex depth and comprehensive breadth of EMS Systems.  –The student will be able to:	
64.01	Define terms, including but not limited to: EMS systems, licensure, registration, profession, professionalism, health care professional, ethics, peer review, medical direction and protocols.	
64.02	Describe the attributes of a paramedic as a health care professional. 	
64.03	Explain paramedic licensure/ certification, recertification, and reciprocity requirements in his or her state. 	
64.04	Evaluate the importance of maintaining one’s paramedic license/ certification. 	
64.05	Describe the benefits of paramedic continuing education. 	
64.06	Discuss the role of national associations and of a national registry agency.	
64.07	Discuss Chapter 401, Florida Statutes, and Chapter 64-E, Florida Administrative Code 	
64.08	Discuss the roles of various EMS standard setting agencies.  	
64.09	Identify the standards (components) of an EMS System as defined by the National Highway Traffic Safety Administration. 	
64.10	Describe examples of professional behaviors in the following areas: integrity, empathy, self-motivation, appearance and personal hygiene, self-confidence, communications, time management, teamwork and diplomacy, respect, patient advocacy, and careful delivery of service. 	
64.11	Describe the importance of quality EMS research to the future of EMS. 	
64.12	Describe the role of the EMS physician in providing medical direction.	
64.13	Provide examples of local protocols. 	
64.14	Describe the relationship between a physician on the scene, the paramedic on the scene, and the EMS physician providing on-line medical direction. 	
64.15	Define the role of the paramedic relative to the safety of the crew, the patient, and bystanders. 	
64.16	Assess personal practices relative to the responsibility for personal safety, the safety of the crew, the patient, and bystanders. 	
64.17	Advocate the need for injury prevention, including abusive situations. 	
64.18	Exhibit professional behaviors in the following areas: integrity, empathy, self-motivation, appearance and personal hygiene, self-confidence, communications, time management, teamwork and diplomacy, respect, patient advocacy, and careful delivery of service. 	
64.19	Discuss the diverse types of EMS services and how they affect the delivery of advanced pre-hospital care	
65.0	Research:  Demonstrate a fundamental depth, foundational breath of research principles to interpret literature and advocate evidence-based practice. –The student will be able to:	
65.01	Interpret results, reach conclusions, and generate new ideas based on results	
65.02	Discuss the importance of evidenced based medicine and medical research and its role in refining EMS practices.	
66.0	Workforce Safety and Wellness:  Demonstrate a complex depth, comprehensive breadth of workforce safety and wellness. –The student will be able to:	
66.01	Discuss the concept of wellness and its benefits. 	
66.02	Discuss how cardiovascular endurance, muscle strength, and flexibility contribute to physical fitness. 	
66.03	Describe the impact of shift work on circadian rhythms. 	
66.04	Discuss how periodic risk assessments and knowledge of warning signs contribute to cancer and cardiovascular disease prevention. 	
66.05	Differentiate proper from improper body mechanics for lifting and moving patients in emergency and non-emergency situations. 	
66.06	Describe the problems that a paramedic might encounter in a hostile situation and the techniques used to manage the situation.	
66.07	Describe the equipment available for self-protection when confronted with a variety of adverse situations. 	
66.08	Describe the three phases and factors that trigger the stress response. 	
66.09	Differentiate between normal/ healthy and detrimental reactions to anxiety and stress. 	
66.10	Identify and describe the defense mechanisms and management techniques commonly used to deal with stress. 	
66.11	Describe the components of critical incident stress management (CISM).	
66.12	Describe the needs of the paramedic when dealing with death and dying. 	
66.13	Discuss the importance of standard precautions and body substance isolation practices.	
66.14	Defend the need to treat each patient as an individual, with respect and dignity. 	
66.15	Defend the need to respect the emotional needs of dying patients and their families.  	
66.16	Identify the human, environmental, and socioeconomic impact of unintentional and alleged unintentional events. 	
66.17	Identify health hazards and potential crime areas within the community. 	
66.18	Describe the importance of effective documentation as one justification for funding of prevention programs. 	
67.0	Documentation: Demonstrate a complex depth, comprehensive breadth of the principles of medical documentation and report writing. –The student will be able to:	
67.01	Identify the general principles regarding the importance of EMS documentation and ways in which documents are used. 	
67.02	Identify and use medical terminology correctly.	
67.03	Record all pertinent administrative information to a given standard	
67.04	Analyze the documentation for accuracy and completeness, including spelling. 	
67.05	Describe the differences between subjective and objective elements of documentation.	
67.06	Describe the potential consequences of illegible, incomplete, or inaccurate documentation. 	
67.07	Describe the special considerations concerning patient refusal of transport. 	
67.08	Explain how to properly record direct patient or bystander comments. 	
67.09	Describe the special considerations concerning mass casualty incident documentation. 	
67.10	Identify and record the pertinent, reportable clinical data of each patient interaction. 	
67.11	Note and record pertinent negative clinical findings. 	
67.12	Demonstrate proper completion of an EMS event record used locally. 	
68.0	EMS Communication: Demonstrate a complex depth, comprehensive breadth of EMS communication system.  –The student will be able to:	
68.01	Identify the role of verbal, written, and electronic communications in the provision of EMS. 	
68.02	Describe the phases of communications necessary to complete a typical emergency. 	
68.03	Identify the importance of proper terminology when communicating during an emergency. 	
68.04	List factors that impede effective verbal and written communications. 	
68.05	List factors which enhance verbal and written communications. 	
68.06	Recognize the legal status of written communications related to an emergency. 	
68.07	Identify the components of the local EMS communications system and describe their function and use. 	
68.08	Identify and differentiate among the following communications systems: simplex, multiplex, duplex, trunked, digital communications, and cellular telephone.	
68.09	Describe the functions and responsibilities of the Federal Communications Commission. 	
68.10	Describe how an emergency medical dispatcher (EMD) functions as an integral part of the EMS team. 	
68.11	List appropriate information to be gathered by the Emergency Medical Dispatcher. 	
68.12	Describe and organize a list of patient assessment information in the correct order for electronic transmission to medical direction according to the format used locally.	
68.13	State the proper procedures and sequence for delivery of patient information to other healthcare professionals.	
69.0	Therapeutic Communication:  Demonstrate a complex depth and comprehensive breadth of the therapeutic communication principles. –The student will be able to:	
69.01	Identify internal and external factors that affect a patient/ bystander interview conducted by a paramedic. 	
69.02	Review the strategies for developing patient rapport. 	
69.03	Summarize the methods to assess mental status based on interview techniques.	
69.04	Discuss the strategies for interviewing a patient who is unmotivated to talk. 	
69.05	Summarize developmental considerations of various age groups that influence patient interviewing. 	
69.06	Review unique interviewing techniques necessary to employ with patients who have special needs. 	
69.07	Discuss interviewing considerations used by paramedics in cross-cultural communications. 	
70.0	Medical/Legal and Ethics: Demonstrate a complex depth, comprehensive breadth of medical legal and ethical concepts related to EMS. –The student will be able to: 	
70.01	Differentiate between legal and ethical responsibilities. 	
70.02	Differentiate between licensure and certification as they apply to the paramedic.	
70.03	List the specific problems or conditions encountered while providing care that a paramedic is required to report, and identify in each instance to whom the report is to be made.	
70.04	Review terms, including but not limited to, the following: abandonment, battery, breach of duty, consent (expressed, implied, informed, voluntary), DNR orders, duty to act, emancipated minor, false imprisonment, liability, libel, negligence, proximate cause, scope of practice, slander, and tort.	
70.05	Differentiate between the scope of practice and the standard of care for paramedic practice. 	
70.06	Discuss the concept of medical direction, including off-line medical direction and on-line medical direction, and its relationship to the standard of care of a paramedic. 	
70.07	Review the four elements that must be present in order to prove negligence. 	
70.08	Review the legal concept of immunity, including Good Samaritan statutes and governmental immunity, as it applies to the paramedic.	
70.09	Review the importance and necessity of patient confidentiality and the standards for maintaining patient confidentiality that apply to the paramedic. 	
70.10	Review consent to include expressed, informed, implied, and involuntary. 	
70.11	Given a scenario, demonstrate appropriate patient management and care techniques in a refusal of care situation. 	
70.12	Differentiate between assault and battery and describe how to avoid each. 	
70.13	Describe the actions that the paramedic should take to preserve evidence at a crime or accident scene. 	
70.14	Describe the importance of providing accurate documentation (oral and written) in substantiating an incident. 	
70.15	Describe the characteristics of a patient care report required to make it an effective legal document.	
70.16	Describe the criteria necessary to honor an advance directive in Florida.	
70.17	Demonstrate an understanding of the Paramedic’s role in mandatory reporting associated with abused, neglected and/or assaulted patient.	
71.0	Anatomy and Physiology: Demonstrate a complex depth and comprehensive breadth of anatomy and physiology of all human systems. –The student will be able to:	
71.01	Review the EMT standards and benchmarks for the Anatomy & Physiology and apply an integration of a complex depth and comprehensive breath of knowledge of the anatomy and physiology of all human body systems.	
72.0	Medical Terminology:  Demonstrate the integration of comprehensive anatomical and medical terminology and abbreviations into written and oral communication with health care professionals. –The student will be able to:	
72.01	Review the EMT standards and benchmarks for the medical terminology and apply an integration of comprehensive anatomical and medical terminology and abbreviations with colleagues and other health care professionals.	
73.0	Pathophysiology:  Demonstrate a comprehensive knowledge of pathophysiology of major systems. –The student will be able to:	
73.01	Describe the factors that precipitate disease in the human body including familial diseases and risk factors. 	
73.02	Describe environmental risk factors.	
73.03	Review terms including but not limited to: cardiogenic, hypovolemic, neurogenic, anaphylactic and septic shock.	
73.04	Describe multiple organ dysfunction syndrome (MODS) 	
73.05	Discuss the correlation of pathophysiology with disease processes.	
73.06	Identify the Major classes of cells.	
73.07	Describe and discuss the cellular structure, function and components.	
73.08	Define the types of body tissues.	
73.09	Describe alterations in cells and tissues including cellular adaptation, cellular injury, manifestation of cellular injury, and cellular death/necrosis.	
73.10	Discuss the cellular environment including distribution of body fluids, aging and distribution of body fluids, water movement between ICF and ECF, water movement between plasma and interstitial fluid, alterations in water movement - edema, water balance and the role of electrolytes, and acid-base balances.	
73.11	Describe genetics and familial diseases including factors causing disease, analyzing risk, combined effects and interaction among risk factors, and common familial disease and associated risk factors.	
73.12	Define hypoperfusion and discuss pathogenesis, types of shock, multiple organ dysfunction syndrome, cellular metabolism impairment.	
73.13	Describe the self –defense mechanisms including the lines of defense, characteristics of the immune response, introduction of the immune response, humoral immune response, cell-mediated immune response, cellular interactions in the immune response, fetal and neonatal immune function and aging and the immune response in the elderly.	
73.14	Describe  the  inflammation  process  including  the  acute inflammatory  response,  mast  cells  plasma  protein  systems, cellular components of inflammation, cellular products, systemic response of acute inflammation, chronic inflammation responses, local inflammation responses, phases of resolution and repair, and aging and self defense mechanisms.	
73.15	Discuss variances in immunity and inflammation including hypersensitivity, allergy, autoimmunity and isoimmunity, and immunity and inflammation deficiencies.	
73.16	Discuss blood volume circulation disturbances	
73.17	Describe the buffer system	
74.0	Life Span Development:  Apply the integration of knowledge of the physiological, psychological, and sociological changes throughout human development. –The student will be able to:	
74.01	Compare, contrast and analyze the physiological and psychosocial characteristics of  the following age groups to an early adult: 
74.01.01	an infant 
74.01.02	a toddler
74.01.03	pre-school child
74.01.04	school aged child
74.01.05	adolescent
74.01.06	middle aged adult	
75.0	Public Health:  Demonstrate the application of fundamental knowledge of principles of public health. –The student will be able to:	
75.01	Review the EMT standards and benchmarks for the public health and apply a fundamental knowledge of the principles of public health, epidemiology, health promotion and illness and injury prevention.	
76.0	Principles of Pharmacology: Demonstrate a complex depth, comprehensive breadth in the principles of pharmacology. –The student will be able to:	
76.01	Differentiate among the chemical, generic (nonproprietary), and trade (proprietary) names of a drug.	
76.02	List the four main sources of drug products.	
76.03	Describe how drugs are classified. 	
76.04	List legislative acts controlling drug use and abuse in the United States.	
76.05	Differentiate among Schedule I, II, III, IV, and V substances. 	
76.06	Use reference materials to research medications.	
76.07	Discuss standardization of drugs. 	
76.08	Discuss investigational drugs, including the Food and Drug Administration (FDA) approval process and the FDA classifications for newly approved drugs. 	
76.09	Discuss the paramedic's responsibilities and scope of management pertinent to the administration of medications. 	
76.10	List and describe general properties of drugs. 	
76.11	List and describe liquid and solid drug forms.	
76.12	List and differentiate all methods and routes of medication administration covered in the current National EMS Scope of Practice Model. 	
76.13	Describe the process called pharmacokinetics, and pharmacodynamics, including theories of drug action, drug-response relationship, factors altering drug responses, predictable drug responses, iatrogenic drug responses, and unpredictable adverse drug responses.	
76.14	Describe specific medications used by rescuers in the prehospital setting.	
76.15	Describe common unintended adverse effects of medication administration.	
76.16	Discuss the prevention, recognition and management of adverse medication reactions.	
76.17	Anticipate how various factors, such as age, body mass, and others, can alter drug responses.	
76.18	Select the optimal medication and method of medication administration for patients with a particular clinical condition or situation.	
77.0	Medication Administration: Demonstrate a complex depth, comprehensive breadth of medication administration within the scope of practice of the paramedic. –The student will be able to:	
77.01	Review the specific anatomy and physiology pertinent to medication administration.	
77.02	Discuss the paramedic’s responsibilities and scope of management pertinent to the administration of medications.	
77.03	Review mathematical principles and discuss equations as a basis for performing drug calculations. 	
77.04	Describe the indications, contraindications, procedure, equipment and risks associated with peripheral intravenous or external jugular access. 	
77.05	Describe the indications, equipment needed, technique used, precautions, and general principles of intraosseous needle placement and infusion. 	
77.06	Describe complications that can occur as a result of IV therapy.	
77.07	Discuss the "six rights" of drug administration and correlate these with the principles of medication administration. 	
77.08	Describe the use of standard precautions and body substance isolation (BSI) procedures when administering a medication. 	
77.09	Prepare medications for administration from a variety of types of packaging, including vials, non-constituted vials, ampules, prefilled syringes, and packaging for intravenous solutions.	
77.10	Describe the role of medical direction in medication administration and describe the difference between direct orders (online) and standing orders (off-line).	
77.11	Explain why determining what medications (prescribed / OTC) a patient is taking is a critical aspect of patient assessment.	
77.12	Describe the equipment needed and general principles of administering oral medications. 	
77.13	Describe the indications, equipment needed, techniques used, precautions, and general principles of administering medications by the following routes: 
77.13.01	inhalation route
77.13.02	gastric tube
77.13.03	rectal route	
77.14	Differentiate among the different percutaneous routes of medication administration. 	
77.15	Describe the purpose, equipment needed, techniques used, complications, and general principles for obtaining a blood sample. 	
77.16	Obtain venous and capillary blood for testing and discuss blood chemistry and normal values as referenced in the National EMS educational guidelines: Paramedic Instructional Guidelines.	
77.17	Demonstrate principles of medical asepsis in the administration of medications.	
77.18	Synthesize a pharmacologic management plan including medication administration.	
77.19	Demonstrate the procedure for disposal of contaminated items and supplies.	
77.20	Demonstrate cannulation of peripheral or external jugular veins. 	
77.21	Demonstrate intraosseous needle placement and infusion. 	
77.22	Demonstrate administration of medications by the following routes: 
77.22.01	oral
77.22.02	Sublingual 
77.22.03	Auto-injector 
77.22.04	inhalation route
77.22.05	intranasal route.
77.22.06	subcutaneous route.
77.22.07	intramuscular route.
77.22.08	intravenous route.
77.22.09	intraosseous route.	
78.0	Emergency Medications: Demonstrate a complex depth, comprehensive breadth of emergency medications within the scope of practice for the paramedic.  –The student will be able to:	
78.01	Identify medications used by the paramedic, including indications, contraindications, dosages, adverse reactions, side effects, and interactions for the following: 	
78.01.01	Airway management 	
78.01.02	Respiratory 	
78.01.03	Cardiovascular 	
78.01.04	Neurologic conditions 	
78.01.05	Gastrointestinal 	
78.01.06	Miscellaneous medications 	
79.0	Airway Management and Respiration: Demonstrate a complex depth, comprehensive breadth of airway management and respiration within the scope of practice of the paramedic. –The student will be able to:	
79.01	Explain the primary objective of airway maintenance. 	
79.02	Explain the differences between pediatric, adult and geriatric airway anatomy.  	
79.03	List the concentration of gases that comprise atmospheric air. 	
79.04	Describe the measurement of oxygen in the blood. 	
79.05	Describe the measurement of carbon dioxide in the blood.	
79.06	Describe peak expiratory flow. 	
79.07	List factors that cause decreased oxygen concentrations in the blood.	
79.08	List the factors that increase and decrease carbon dioxide production in the body. 	
79.09	Define pulses paradoxes. 	
79.10	Describe indications, contraindications, advantages, disadvantages, complications, and technique for ventilating a patient with an automatic transport ventilator (ATV).	
79.11	Describe the indications, contraindications, advantages, disadvantages, complications, liter flow range, and concentration of delivered oxygen for supplemental oxygen delivery devices.   	
79.12	Define, identify and describe a tracheostomy, stoma, and tracheostomy tube. 	
79.13	Define, identify, and describe a laryngectomy. 	
79.14	Describe the special considerations in airway management and ventilation for the pediatric patient. 	
79.15	Describe the indications, contraindications, advantages, disadvantages, complications and equipment for rapid sequence intubation with neuromuscular blockade. 	
79.16	Identify neuromuscular blocking drugs and other agents used in rapid sequence intubation. 	
79.17	Describe the indications, contraindications, advantages, disadvantages, complications and equipment for sedation during intubation. 	
79.18	Describe the indications, contraindications, advantages, disadvantages and complications for performing an open cricothyrotomy. 	
79.19	Demonstrate the procedure for percutaneous cricothyrotomy.	
79.20	Identify and describe the function of the structures located in the upper and lower airway.	
79.21	Discuss the physiology of ventilation and respiration. 	
80.0	Artificial Ventilation: Demonstrate a complex breadth, comprehensive breadth of assessment and management utilizing artificial ventilation. –The student will be able to:	
80.01	Perform pulse oximetry. 	
80.02	Perform and interpret wave form capnography and colormetric in all age groups. 	
80.03	Demonstrate proper use of airway and ventilation devices including administration of BIPAP/CPAP and PEEP devices.	
80.04	Demonstrate effective techniques of advanced airway management of the following: 
80.04.01	orotracheal, 
80.04.02	nasotracheal, 
80.04.03	subglottic, 
80.04.04	supraglottic,
80.04.05	digital intubation 	
80.05	Describe and demonstrate methods of assessment for confirming correct placement of Any airway device	
80.06	Describe the indications, contraindications, advantages, disadvantages, complications, equipment and technique for extubation. 	
80.07	Describe methods of endotracheal intubation in the pediatric patient. 	
80.08	Demonstrate proper use of airway and ventilation devices.	
80.09	Demonstrate the procedure for the following :
80.09.01	lighted stylet
80.09.02	fiber optic	
81.0	Scene Size-Up: Demonstrate a complex depth, comprehensive breadth of scene management. –The student will be able to:	
81.01	Describe common hazards found at the scene of a trauma and a medical patient. 	
81.02	Discuss common mechanisms of injury/ nature of illness.  	
81.03	Explain the rationale for crew members to evaluate scene safety prior to entering. 	
81.04	Observe various scenarios and identify potential hazards. 	
81.05	Demonstrate the scene-size-up. 	
82.0	Primary Assessment: Demonstrate a complex depth, comprehensive breadth of the primary assessment for all patient situations. –The student will be able to:	
82.01	Summarize the reasons for forming a general impression of the patient. 	
82.02	Discuss and demonstrate methods of evaluating and assessing mental status. 	
82.03	Categorize levels of consciousness in the pediatric, adult and geriatric patient. 	
82.04	Discuss and demonstrate methods of assessing the airway in the pediatric, adult and geriatric patient. 	
82.05	Describe and demonstrate methods used for assessing if a patient is breathing. 	
82.06	Differentiate between the methods of assessing breathing and providing airway care to the pediatric, adult and geriatric patient. 	
82.07	Differentiate between locating and assessing a pulse in the pediatric, adult and geriatric patient. 	
82.08	Discuss the need for assessing the patient for external bleeding. 	
82.09	Demonstrate the techniques for assessing the patient for external bleeding.	
82.10	Describe normal and abnormal findings when assessing skin color, temperature, and condition. 	
82.11	Demonstrate the techniques for assessing if the patient has a pulse. 	
82.12	Demonstrate the techniques for assessing the patient's skin color, temperature, and condition. 	
82.13	Discuss and demonstrate prioritizing a patient for care and transport. 	
82.14	Perform a detailed physical examination. 	
83.0	History Taking: Demonstrate a complex depth, comprehensive breath of the components of history taking. –The student will be able to:	
83.01	Describe the components and demonstrate techniques of patient history taking. 	
83.02	Demonstrate the importance of empathy when obtaining a health history. 	
83.03	Adapt communication strategies to communicate effectively with the following types of patients: patients of all ages; patients of various cultures; patients with sensory impairments; angry, hostile, uncooperative, silent or overly talkative patients; patients who are anxious , crying or depressed; patients who offer multiple complaints or symptoms; intoxicated patients	
84.0	Secondary Assessment: Demonstrate a complex depth, comprehensive breadth of techniques used for a secondary assessment. –The student will be able to:	
84.01	Describe the techniques of inspection, palpation, percussion, and auscultation for patients of all ages	
84.02	Distinguish the importance of abnormal findings of the assessment of the skin. 	
84.03	Differentiate normal and abnormal assessment findings of the mouth and pharynx. 	
84.04	Appreciate the limitations of conducting a physical exam in the out-of-hospital environment. 	
84.05	Demonstrate the examination of the patient including the following:
84.05.01	skin, hair and nails. 
84.05.02	head and neck
84.05.03	eyes, ears and nose
84.05.04	mouth and pharynx
84.05.05	thorax and ventilation
84.05.06	peripheral vascular system
84.05.07	musculoskeletal system
84.05.08	nervous system	
84.06	Demonstrate the examination of the posterior chest including auscultation and percussion of the chest. 	
84.07	Demonstrate the examination of the arterial pulse including location, rate, rhythm, and amplitude. 	
84.08	Demonstrate special examination techniques of the cardiovascular examination. 	
84.09	Demonstrate the examination of the abdomen including auscultation of the abdomen. 	
84.10	Demonstrate the examination of the, and the. 	
84.11	Describe the evaluation of patient’s perfusion status based on findings in the initial assessment. 	
84.12	State the reasons for performing a rapid trauma assessment. 	
84.13	Discuss the reason for performing a focused history and physical exam. 	
84.14	Discuss the components of the detailed physical exam in relation to the techniques of examination. 	
84.15	Demonstrate the external visual examination of the female genitalia. 	
84.16	Demonstrate the examination of the male genitalia. 	
84.17	Explain the reasons for identifying the need for additional help or assistance. 	
84.18	State reasons for management of the cervical spine once the patient has been determined to be a trauma patient. 	
84.19	Discuss the reasons for repeating the initial assessment as part of the on-going assessment. 	
84.20	Describe the components of the on-going assessment. 	
84.21	Discuss medical identification devices/ systems.  	
85.0	Monitoring Devices: Demonstrate a fundamental depth, foundational breadth of monitoring devices within the scope of practice of the paramedic. –The student will be able to:	
85.01	Describe the purpose, indications, procedure, normal findings, and limitations of the following patient monitoring technologies.
85.01.01	Continuous ECG monitoring
85.01.02	12-Lead ECG
85.01.03	Capnography (wave form)
85.01.04	Capnometry (colorimetric)
85.01.05	CO-oximetry
85.01.06	Methaglobin monitoring
85.01.07	Total hemoglobin
85.01.08	Basic blood chemistry
85.01.09	Ultrasound
85.01.10	other devices identified at the EMT level	
85.02	Demonstrate the use of the following patient monitoring technologies.
85.02.01	Continuous ECG monitoring
85.02.02	12-Lead ECG
85.02.03	Capnography (wave form)
85.02.04	Capnometry (colorimetric)
85.02.05	other devices identified at the EMT level	
86.0	Reassessment: Demonstrate a complex depth, comprehensive breadth of how and when to perform a reassessment for all patient situations. –The student will be able to:	
86.01	Review the EMT standards and benchmarks for the reassessment section and demonstrate a complex depth and comprehensive breadth of how and when to perform a reassessment for all patient situations.	
87.0	Medical Overview:  Demonstrate a complex depth and comprehensive breadth of pathophysiology, assessment, and management of medical complaints. –The student will be able to:	
87.01	Review the EMT standards and benchmarks for medical overview and demonstrate a complex depth and comprehensive breadth of pathophysiology, assessment and management of medical complaints.	
88.0	Neurology:  Demonstrate a complex depth and comprehensive breadth of neurologic disorders/emergencies for all age groups. –The student will be able to:	
88.01	Identify the risk factors associated with nervous system dysfunction. 	
88.02	Review the anatomy and physiology of the organs and structures related to nervous system. 	
88.03	Discuss the pathophysiology and demonstrate the assessment, and management of patients with the following conditions: : 
88.03.01	coma
88.03.02	altered mental status
88.03.03	seizures
88.03.04	syncope
88.03.05	transient ischemic attack
88.03.06	stroke and intracranial hemorrhage
88.03.07	degenerative neurologic diseases
88.03.08	chronic alchoholism
88.03.09	back pain and non-traumatic spinal disorders	
88.04	Describe and differentiate the major types of seizures. 	
88.05	Describe the types of stroke and intracranial hemorrhage. 	
88.06	Describe the significance of the prevalence of neurologic disorders in the United States.	
88.07	Adapt the scene size-up, primary assessment, patient history, secondary assessment, and use of monitoring technology to meet the needs of patients with complaints and presentations related to neurologic disorders.	
89.0	Abdominal and Gastrointestinal Disorders:  Demonstrate a complex depth and comprehensive breadth of abdominal and gastrointestinal disorders/emergencies for all age groups. –The student will be able to:	
89.01	Review the anatomy and physiology of the organs and structures related to gastrointestinal diseases.	
89.02	Discuss the pathophysiology of inflammation and its relationship to acute abdominal pain. 	
89.03	Differentiate between hemorrhagic and non-hemorrhagic abdominal pain.	
89.04	Describe the technique for performing a comprehensive physical examination on a patient complaining of abdominal pain.   	
89.05	Discuss the pathophysiology and demonstrate the assessment, and management of patients with the following abdominal and gastrointestinal disorders:
89.05.01	Both Upper and lower gastrointestinal bleeding
89.05.02	Acute gastroenteritis. 
89.05.03	Colitis.
89.05.04	Diverticulitis. 
89.05.05	Appendicitis.
89.05.06	Peptic ulcer disease. 
89.05.07	Bowel obstruction.
89.05.08	Crohn’s disease. 
89.05.09	Pancreatitis.
89.05.10	Esophageal varices. 
89.05.11	Hemorrhoids.
89.05.12	Cholecystitis.
89.05.13	Acute hepatitis.	
89.06	Identify patients with risk factors for gastrointestinal emergencies.	
89.07	Adapt the scene size-up, primary assessment, patient history, secondary assessment, and use of monitoring technology to meet the needs of patients with complaints and presentations related to gastrointestinal disorders.	
89.08	Demonstrate how to auscultate the abdomen to assess for diminished, absent or abnormal bowel sounds. 	
90.0	Immunology:  Demonstrate a complex depth, comprehensive breadth of immunology disorders/emergencies for all age groups. –The student will be able to:	
90.01	Define:
90.01.01	Allergic reaction. 
90.01.02	Anaphylaxis
90.01.03	Antigens
90.01.04	Antibodies	
90.02	Review the anatomy and physiology of the organs and structures related to anaphylaxis.	
90.03	Describe the prevention of anaphylaxis and appropriate patient education. 	
90.04	Discuss the pathophysiology of allergy and anaphylaxis. 	
90.05	Describe the common methods of entry of substances into the body. 	
90.06	List common antigens most frequently associated with anaphylaxis. 	
90.07	Describe physical manifestations in anaphylaxis. 	
90.08	Differentiate manifestations of an allergic reaction from anaphylaxis.	
90.09	Recognize the signs and symptoms related to anaphylaxis. 	
90.10	Differentiate among the various treatment and pharmacological interventions used in the management of anaphylaxis. 	
90.11	Develop a treatment plan based on field impression in the patient with allergic reaction and anaphylaxis. 	
91.0	Infectious Diseases:  Demonstrate a complex depth, comprehensive breadth of assessment and management of a patient who may have an infectious diseases for all age groups. –The student will be able to:	
91.01	Review the specific anatomy and physiology pertinent to infectious and communicable diseases. 	
91.02	List and describe the steps of an infectious process. 	
91.03	List and describe infectious agents, including bacteria, viruses, fungi, protozoans, and helminths (worms). 	
91.04	Describe characteristics of the immune system, including the categories of white blood cells, the reticuloendothelial system (RES), and the complement system. 	
91.05	Describe and discuss the rationale for the various types of PPE. 	
91.06	Discuss the proper disposal of contaminated supplies (sharps, gauze sponges, tourniquets, etc.). 	
91.07	Discuss disinfection of patient care equipment, and areas in which care of the patient occurred. 	
91.08	Consistently demonstrate the proper use of body substance isolation. 	
91.09	Perform an assessment of a patient with an infectious/communicable disease. 	
91.10	Effectively and safely manage a patient with an infectious/communicable disease, including airway and ventilation care, support of circulation, pharmacological intervention, transport considerations, psychological support/communication strategies, and other considerations as mandated by local protocol. 	
91.11	Explain public health principles related to infectious disease.	
91.12	Describe the roles of local, state, and federal agencies involved in infectious disease surveillance and outbreaks.	
91.13	Describe the interactions of the agent, host, and environment as determining factors in disease transmission.	
91.14	Explain the principles and practices of infection control in prehospital care.	
91.15	Describes the EMS professional’s responsibilities as well as their rights under the Ryan White Act.	
91.16	Discuss the causative agent, body systems affected and potential secondary complications, routes of transmission, susceptibility and resistance, signs and symptoms and demonstrate the patient management and protective/control measures, and immunization for the following infectious diseases:
91.16.01	HIV
91.16.02	Hepatitis A, B, C, D, E
91.16.03	Tuberculosis
91.16.04	Meningococcal meningitis (spinal meningitis)
91.16.05	Pneumonia
91.16.06	Tetanus
91.16.07	Varicella (chickenpox)
91.16.08	Mumps
91.16.09	Rubella (German measles)
91.16.10	Measles (rubeola, hard measles)
91.16.11	Influenza
91.16.12	Mononucleosis  
91.16.13	gastroenteritis	
91.17	Discuss the characteristics of, and organisms associated with, febrile and afebrile respiratory disease, to include bronchiolitis, bronchitis, laryngitis, croup, epiglottitis, and the common cold. 	
91.18	Describe the pathophysiology of infectious diseases of immediate concern to EMS providers.	
91.19	Describe the EMS provider’s role in patient education and preventing disease transmission.	
91.20	Explain the pathophysiology, risk factors, assessment, and prehospital management of sepsis/systemic inflammatory response syndrome (SIRS).	
92.0	Endocrine Disorders: Demonstrate a complex depth, comprehensive breadth in endocrine disorders/emergencies for all age groups. –The student will be able to:	
92.01	Identify the risk factors related to disorders of the endocrine system. 	
92.02	Review the anatomy and physiology of organs and structures related to endocrinologic diseases.	
92.03	Discuss the pathophysiology and demonstrate the assessment, and management of patients with the following endocrinologic emergencies:
92.03.01	30.03.01   hypoglycemia (responsive and unresponsive)
92.03.02	30.03.02   hyperglycemia
92.03.03	30.03.03   diabetic ketoacidosis
92.03.04	30.03.04   Cushing’s syndrome
92.03.05	30.03.05   Adrenal insufficiency
92.03.06	30.03.06   Pituitary disorders
92.03.07	30.03.07   Thyroid disorders	
92.04	Describe the mechanism of ketone body formation and its relationship to ketoacidosis. 	
92.05	Describe the compensatory mechanisms utilized by the body to promote homeostasis relative to hypoglycemia. 	
92.06	Develop a patient management plan based on field impression in the patient with an endocrinologic emergency. 	
92.07	Demonstrate how to administer glucagon to a hypoglycemic patient.	
93.0	Psychiatric: Demonstrate a complex depth, comprehensive breadth regarding the assessment and management of psychiatric disorders/emergencies for all age groups. –The student will be able to:	
93.01	Define behavior and distinguish between normal and abnormal behavior. 	
93.02	Discuss the prevalence of behavior and psychiatric disorders.	
93.03	Discuss the factors that may alter the behavior or emotional status of an ill or injured individual.	
93.04	Describe the medical legal considerations for management of emotionally disturbed patients. 	
93.05	Discuss the pathophysiology of behavioral and psychiatric disorders. 	
93.06	Define the following terms:
93.06.01	Affect
93.06.02	Anger
93.06.03	Anxiety
93.06.04	Confusion
93.06.05	Depression
93.06.06	Fear
93.06.07	Mental status
93.06.08	Open-ended questions
93.06.09	Posture	
93.07	Describe the verbal techniques useful in managing the emotionally disturbed patient. 	
93.08	Describe the circumstances when relatives, bystanders and others should be removed from the scene. 	
93.09	Describe the techniques that facilitate the systematic gathering of information from the disturbed patient. 	
93.10	Identify techniques for physical assessment in a patient with behavioral problems. 	
93.11	Describe methods of restraint that may be necessary in managing the emotionally disturbed patient.	
93.12	List the risk factors (including behaviors) for suicide. 	
93.13	Differentiate between the various behavioral and psychiatric disorders based on the assessment and history. 	
93.14	Develop a patient management plan based on the field impressions. 	
93.15	Demonstrate safe techniques for managing and restraining a violent patient. 	
94.0	Cardiovascular: Demonstrate a complex depth, comprehensive breadth of cardiovascular disorders/ emergencies for all age groups. –The student will be able to:	
94.01	Describe the epidemiology, incidence, morbidity and mortality of cardiovascular disease.	
94.02	Identify the risk factors of coronary artery disease. 	
94.03	Review the anatomy and physiology of the cardiovascular system. 	
94.04	Describe the blood flow pathway through the vascular system including the arteries, veins and associated structures.	
94.05	Explain how the heart functions as a pump; including the concepts of cardiac output, stroke volume, heart rate, and ejection fraction.	
94.06	Discuss the physiology of the cardiac cycle and the fluid dynamics associated with the cardiovascular system including Starling's Law, systole and diastole.	
94.07	Identify the four properties that aid in the function of the heart including excitability, conductivity, automaticity, and contractility.	
94.08	Define the terms:
94.08.01	depolarization
94.08.02	repolarization
94.08.03	pulse deficit
94.08.04	pulsus paradoxus
94.08.05	pulsus alternans
94.08.06	hypertensive emergency
94.08.07	cardiac tamponade
94.08.08	cardiogenic shock
94.08.09	cardiac arrest	
94.09	List the ions involved in myocardial action potential and their primary and their primary function in this process.	
94.10	Describe the events involved in the steps from excitation to contraction of the cardiac muscle fibers.	
94.11	Identify the structure and course of all divisions and subdivisions of the cardiac conduction system. 	
94.12	Identify and describe how the heart's pacemaking control, rate, and rhythm are determined.   	
94.13	Compare and contrast the coronary artery distribution to the major portions of the cardiac conduction systems.	
94.14	Identify the structures of the autonomic nervous system (ANS).  	
94.15	Identify the effect of the ANS on heart rate, rhythm and contractility.  	
94.16	Define and give examples of positive and negative inotropes, chronotropes and dromotropes. 	
94.17	Identify and describe the components of the focused history as it relates to the patient with cardiovascular compromise. 	
94.18	Explain the assessment and management of the following cardiovascular conditions:	
94.19	Identify the normal characteristics of the point of maximal impulse (PMI).	
94.20	Identify and define the normal and abnormal heart sounds.	
94.21	Relate heart sounds to hemodynamic events in the cardiac cycle.	
94.22	Explain the purpose of ECG monitoring and how ECG wave forms are produced.  	
94.23	Identify the components of the ECG rhythm strip and list any limitations. 	
94.24	Identify how heart rates, durations, and amplitudes may be determined from ECG tracings.	
94.25	Describe the placement of leads and electrodes in 3 lead and 12 lead ECG monitoring..	
94.26	Differentiate among the primary mechanisms responsible for producing cardiac dysrhythmias.	
94.27	Describe a systematic approach to the analysis and interpretation of cardiac dysrhythmias.  	
94.28	Describe the dysrhythmias originating or sustained in the in the following areas:
94.28.01	sinus node
94.28.02	the AV junction
94.28.03	bundle branch system
94.28.04	atria 
94.28.05	ventricles	
94.29	Describe the process and the pitfalls of differentiation of wideQRS complex tachycardias.	
94.30	Describe the conditions of pulseless electrical activity.  	
94.31	Describe the phenomena of reentry, aberration and accessory pathways.	
94.32	Identify the ECG changes characteristically produced by electrolyte imbalances and specify the clinical implications.	
94.33	Identify patient situations where ECG rhythm analysis is indicated.	
94.34	Recognize the changes and any limitations on the ECG that may reflect evidence of myocardial ischemia and injury.  	
94.35	Compare manual defibrillation from cardioversion and synchronized cardioversion.	
94.36	Describe the components of a transcutaneous pacer, its application and setting adjustments as well as the clinical indications and techniques for use.	
94.37	Based on field impressions, identify the need for rapid intervention for the patient in cardiovascular compromise.	
94.38	Discuss the pathophysiology and demonstrate the assessment, and management of patients following conditions including the development of a treatment plan: 
94.38.01	Angina
94.38.02	Myocardial infarction STEMI/Non-STEMI
94.38.03	Congestive heart failure 
94.38.04	Cardiac tamponade
94.38.05	Cardiogenic shock
94.38.06	Hypertension and acute hypertensive states 
94.38.07	Cardiac arrest
94.38.08	Vascular disorders
94.38.09	Hypertrophic cardiomyopathies 
94.38.10	Infectious diseases of the heart	
94.39	Identify the drugs of choice, the rationale for use, clinical precautions and disadvantages and/or complications for the following conditions:
94.39.01	Angina
94.39.02	Myocardial infarction STEMI/Non-STEMI
94.39.03	Congestive heart failure 
94.39.04	Cardiac tamponade
94.39.05	Cardiogenic shock
94.39.06	Hypertension and acute hypertensive states 
94.39.07	Cardiac arrest
94.39.08	Vascular disorders
94.39.09	Hypertrophic cardiomyopathies 
94.39.10	Infectious diseases of the heart	
94.40	Describe the most commonly used pharmacological agents in the management of congestive heart failure in terms of therapeutic effect, dosages, and routes of administration, side effects and toxic effects.	
94.41	List other clinical conditions that may mimic signs and symptoms of coronary artery disease and angina pectoris. 	
94.42	Compare fibrinolysis from percutaneous intervention as reperfusion techniques used in patients with AMI or suspected AMI and describe the "window of opportunity" as it pertains to reperfusion of a Myocardial infarction.	
94.43	List the characteristics of a patient eligible for thrombolytic therapy.	
94.44	Define the term "acute pulmonary edema" and describe its relationship to left ventricular failure.	
94.45	Define preload, afterload and left ventricular end-diastolic pressure and relate each to the pathophysiology of heart failure.   	
94.46	Differentiate between early and late signs and symptoms of left ventricular failure and those of right ventricular failure.  	
94.47	Explain the clinical significance of paroxysmal nocturnal dyspnea.	
94.48	Explain clinical significance of edema of the extremities and sacrum.	
94.49	Describe how to determine if pulses paradoxus, pulses alternans, or electrical alternans is present.	
94.50	Identify non-cardiac causes of cardiac arrest.	
94.51	Identify the clinical significance of claudication and presence of arterial bruits in a patient with peripheral vascular disorders.	
94.52	Describe the clinical significance of unequal arterial blood pressure readings in the arms.	
94.53	Discuss the components of post resuscitation care including how to determine the return of spontaneous circulation (ROSC).	
94.54	Explain how to confirm asystole using 3 lead ECG.	
94.55	Identify circumstances and situations where resuscitation efforts would not be initiated.	
94.56	Identify and list inclusion and exclusion criteria for termination of resuscitative efforts.	
94.57	Identify communication and documentation protocols with medical direction and law enforcement used for termination of resuscitation efforts.	
94.58	Apply knowledge of the epidemiology of cardiovascular disease to develop prevention strategies.	
94.59	Defend the urgency in rapid determination of and rapid intervention of patients in cardiac arrest.	
94.60	Defend the possibility of termination of resuscitative efforts in the out-of-hospital setting.	
94.61	Demonstrate how to set and adjust the ECG monitor settings to varying patient situations.	
94.62	Demonstrate how to record a 3, 4, 10 and 12 lead ECG.	
94.63	Given the model of a patient with signs and symptoms of heart failure, position the patient to afford them comfort or relief.	
94.64	Demonstrate how to determine if pulsus paradoxus, pulsus alternans, or electrical alternans is present.	
94.65	Set up and apply a transcutaneous pacing system. 	
94.66	List the possible complications of pacing. 	
94.67	Demonstrate how to perform post-resuscitative care.	
94.68	Demonstrate satisfactory performance of psychomotor skills of basic and advanced life support techniques according to the current American Heart Association Guidelines or its equivalent, including:  
94.68.01	cardiopulmonary resuscitation 
94.68.02	defibrillation 
94.68.03	synchronized cardioversion
94.68.04	transcutaneous pacing	
95.0	Toxicology:  Demonstrate a complex depth, comprehensive breadth of the assessment and management of toxicology emergencies for all age groups. –The student will be able to:	
95.01	Describe the epidemiology, incidence, morbidity and mortality of toxic emergencies. 	
95.02	Identify the risk factors of toxic emergencies. 	
95.03	Discuss the role of the Poison Control Center in the United States. 	
95.04	List the most common poisonings by ingestion.  	
95.05	Recognize the signs and symptoms related to the most common poisonings by ingestion. 	
95.06	Discuss the factors affecting the decision to induce vomiting in a patient with ingested poison. 	
95.07	Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with the most common poisonings by ingestion.	
95.08	Define poisoning by inhalation. 	
95.09	List the most common poisonings by inhalation. 	
95.10	Describe the pathophysiology of poisoning by inhalation. 	
95.11	Recognize the signs and symptoms related to the most common poisonings by inhalation. 	
95.12	Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with the most common poisonings by inhalation. 	
95.13	Define poisoning by injection. 	
95.14	List the most common poisonings by injection. 	
95.15	Recognize the signs and symptoms related to the most common poisonings by injection. 	
95.16	Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with the most common poisonings by injection. 	
95.17	Define poisoning by surface absorption.	
95.18	List the most common poisonings by surface absorption. 	
95.19	Describe the pathophysiology of poisoning by surface absorption. 	
95.20	Recognize the signs and symptoms related to the most common poisonings by surface absorption.	
95.21	Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for patients with the most common poisonings by surface absorption. 	
95.22	Define poisoning by overdose. 	
95.23	List the most common poisonings by overdose. 	
95.24	Describe the pathophysiology of poisoning by overdose. 	
95.25	Recognize the signs and symptoms related to the most common poisonings by overdose. 	
95.26	Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for patients with the most common poisonings by overdose.	
95.27	Define drug abuse. 	
95.28	Define the following terms: 
95.28.01	Substance or drug abuse
95.28.02	Substance or drug dependence
95.28.03	Tolerance
95.28.04	Withdrawal
95.28.05	Addiction	
95.29	List the most commonly abused drugs (both by chemical name and street names). 	
95.30	Recognize the signs and symptoms related to the most commonly abused drugs.	
95.31	Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for patients using the most commonly abused drugs. 	
95.32	List the clinical uses, street names, pharmacology, assessment finding and management for patient who have taken the following drugs or been exposed to the following substances: Cocaine, marijuana and cannabis compounds, Amphetamines and amphetamine-like drugs, Barbiturates, Sedative-hypnotics, Cyanide, Narcotics/opiates, cardiac medications, Caustics, common household substances, Drugs abused for sexual purposes/sexual gratification, Carbon monoxide, Alcohols, Hydrocarbons, Psychiatric medications, Newer anti-depressants and serotonin syndromes, Lithium, MAO inhibitors, Non-prescription pain medications, Nonsteroidal anti-inflammatory agents, Salicylates, Acetaminophen, Theophylline, Metals, Plants and mushrooms	
95.33	Discuss the specific differences and considerations in the pathophysiology, assessment findings and treatment associated with a patient suffering from the following toxins and toxidromes:
95.33.01	Carbon Monoxide.
95.33.02	Cyanide.
95.33.03	Cardiac Medications 
95.33.04	Organophosphates. 
95.33.05	Caustic Substances.  
95.33.06	Hydrocarbons.
95.33.07	Hydrofluoric Acid
95.33.08	Prescription Medications (pain relievers, psychiatric medications).
95.33.09	Alcohol, Alcoholism and withdrawal.  
95.33.10	Tricyclic Antidepressants
95.33.11	Monoamine Oxidase Inhibitors
95.33.12	Newer Antidepressants and Serotonin Syndrome  
95.33.13	Lithium
95.33.14	Salicylates
95.33.15	Acetaminophens.
95.33.16	NSAIDs
95.33.17	Theophylline
95.33.18	Metals (iron, lead, mercury). 
95.33.19	Contaminated Food.
95.33.20	Poisonous plants and Mushrooms 
95.33.21	Animal bites, Insect Stings
95.33.22	Commonly Abused Drugs	
95.34	Discuss common causative agents, pharmacology, assessment findings and management for a patient with food poisoning. 	
95.35	Discuss common offending organisms, pharmacology, assessment findings and management for a patient with a bite or sting. 	
95.36	Develop a patient management plan based on field impression in the patient exposed to a toxic substance. 	
95.37	Describe the epidemiology of toxicologic disorders and substance abuse.	
95.38	Explain the proper procedures for transporting a patient exposed to a toxic chemical to a receiving facility.	
95.39	Demonstrate the steps for assessment and management of the suspected poisoning or overdose patient.	
96.0	Respiratory: Demonstrate a complex depth, comprehensive breadth of the assessment and management of respiratory disorders/emergencies for all age groups. –The student will be able to:	
96.01	Discuss the epidemiology, morbidity, and mortality of respiratory illness in the United States	
96.02	Define hypoventilation and hyperventilation, and outline the conditions with which they are often associated	
96.03	Review the anatomy, physiology and functions of the respiratory system.	
96.04	Explain how gas exchange occurs at the interface of the alveoli and the pulmonary capillary bed.	
96.05	Describe the physiology of respiration including nervous, cardiovascular, muscular, chemical, renal respiratory control mechanisms and ventilation-perfusion mismatch.	
96.06	Discuss those factors that contribute to the formation of a general impression and degree of respiratory distress.	
96.07	Identify breathing patterns that are associated with respiratory distress and neurologic insults and their correlation with the signs of increased work of breathing.	
96.08	Differentiate between normal and abnormal breath sounds and its physiologic significance.	
96.09	Discuss abnormal assessment findings associated with pulmonary diseases and conditions.	
96.10	Explain how to access the adequacy of the circulation of a patient with dyspnea.	
96.11	Discuss the way transport decisions are made for patients with respiratory distress.	
96.12	Describe the interventions available for treating  patients  with respiratory emergencies.	
96.13	Describe those devices used to monitor patients with respiratory complaints.	
96.14	Discuss those complications which cause the COPD patient to decompensate.	
96.15	Explain the concepts of hypoxic drive and auto-PEEP as they relate to the COPD patient.	
96.16	Discuss the pathophysiology and demonstrate the assessment, and management of patients with the following respiratory conditions:
96.16.01	pulmonary infections (upper and lower airway) 
96.16.02	atelectasis
96.16.03	anatomic or foreign body obstruction
96.16.04	aspiration
96.16.05	asthma
96.16.06	emphysema
96.16.07	chronic bronchitis
96.16.08	spontaneous pneumothorax
96.16.09	pleural effusion
96.16.10	pulmonary embolism
96.16.11	cancer 
96.16.12	toxic inhalations 
96.16.13	pulmonary edema
96.16.14	acute respiratory distress syndrome (ARDS)
96.16.15	Pneumonia 
96.16.16	Neoplasms of the lung
96.16.17	Hyperventilation syndrome 	
96.17	Compare various airway and ventilation techniques used in the management of pulmonary diseases.	
96.18	Review the pharmacological preparations that paramedics use for management of respiratory diseases and conditions.	
96.19	Review the use of equipment used during the physical examination of patients with complaints associated with respiratory diseases and conditions.	
96.20	Describe the variations of respiratory anatomy and the pathophysiology of respiratory disease across the life spans.	
97.0	Hematology:  Demonstrate a complex depth, foundational breadth of the assessment, and management of hematology disorders/ emergencies for all age groups. –The student will be able to:	
97.01	Identify the role of heredity in the risk for hematologic disorders.	
97.02	Review the anatomy of the hematopoietic system. 	
97.03	Describe volume and volume-control related to the hematopoietic system. 	
97.04	Describe normal red blood cell (RBC) production, function and destruction. 	
97.05	Explain the significance of the hematocrit with respect to red cell size and number.	
97.06	Explain the correlation of the RBC count, hematocrit and hemoglobin values. 	
97.07	Define anemia. 	
97.08	Recognize medications used to decrease the risk of thrombosis.	
97.09	Describe normal white blood cell (WBC) production, function and destruction. 	
97.10	Identify alterations in immunologic response. 	
97.11	List the leukocyte disorders. 	
97.12	Describe platelets with respect to normal function, life span and numbers. 	
97.13	Describe the components of the hemostatic mechanism. 	
97.14	Describe the function of coagulation factors, platelets and blood vessels necessary for normal coagulation.  	
97.15	Identify blood groups. 	
97.16	Identify the components of physical assessment as they relate to the hematologic system. 	
97.17	Discuss the pathophysiology and demonstrate the assessment, and management of patients with the following conditions:
97.17.01	Anemia 
97.17.02	Leukemia 
97.17.03	Lymphomas 
97.17.04	Polycythemia 
97.17.05	Disseminated intravascular coagulopathy
97.17.06	Hemophilia 
97.17.07	Sickle cell disease 
97.17.08	Multiple myeloma
97.17.09	Leukopenia/neutropenia
97.17.10	Leukocytosis
97.17.11	Thrombocytosis
97.17.12	Thrombocytopenia	
97.18	Integrate pathophysiological principles into the assessment of a patient with hematologic disease. 	
98.0	Genitourinary/Renal:  Demonstrate a complex depth, comprehensive breadth of genitourinary and renal emergencies all age groups. –The student will be able to:	
98.01	Describe the epidemiology, incidence, morbidity, mortality, and risk factors of urological emergencies. 	
98.02	Review the anatomy and physiology of the organs and structures related to urogenital diseases. 	
98.03	Define referred pain and visceral pain as it relates to urology.   	
98.04	Describe the technique for performing a comprehensive physical examination of a patient complaining of abdominal pain.   	
98.05	Discuss the pathophysiology and demonstrate the assessment, and management of patients of the following urologic and renal conditions:
98.05.01	Acute renal failure
98.05.02	Chronic renal failure
98.05.03	Complications related to hemodialysis and peritoneal dialysis. 
98.05.04	Renal Calculi
98.05.05	Priapism
98.05.06	Testicular torsion
98.05.07	Urinary tract infection	
98.06	Apply the epidemiology to develop prevention strategies for urological emergencies. 	
98.07	Integrate pathophysiological principles to the assessment of a patient with abdominal pain. 	
98.08	Synthesize assessment findings and patient history information to accurately differentiate between pain of a urogenital emergency and that of other origins. 	
98.09	Develop, execute, and evaluate a treatment plan based on the field impression made in the assessment. 	
98.10	Adapt the scene size-up, primary assessment, patient history, secondary assessment, and use of monitoring technology to meet the needs of patients with complaints and presentations related to urologic and renal disorders.	
99.0	Gynecology: Demonstrate a complex depth, comprehensive breadth of the assessment findings and the management of gynecology disorders/emergencies for all age groups. –The student will be able to:	
99.01	Review the anatomic structures and physiology of the female reproductive system. 	
99.02	Identify the normal events of the menstrual and ovarian cycle including:  
99.02.01	Proliferative phase
99.02.02	Secretory phase
99.02.03	Menstrual phase
99.02.04	Menopause	
99.03	Explain how to recognize a gynecological emergency. 	
99.04	Discuss the pathophysiology and demonstrate the assessment, and management of patients with specific gynecological emergencies: 
99.04.01	Infection (including Pelvic inflammatory disease, Bartholin’s abscess, and vaginitis/ vulvovaginitis)
99.04.02	Ovarian cyst and ruptured ovarian cyst 
99.04.03	Ovarian torsion
99.04.04	Endometriosis
99.04.05	Dysfunctional uterine bleeding 
99.04.06	Prolapsed uterus
99.04.07	Vaginal foreign body 
99.04.08	Vaginal Hemorrhage 
99.04.09	Ectopic Pregnancy	
99.05	Describe the importance of maintaining a patient’s modesty and privacy while still being able to obtain necessary information.  	
99.06	Defend the need to provide care for a patient of sexual assault, while still preventing destruction of crime scene information. 	
99.07	Demonstrate how to assess a patient with a gynecological complaint.  	
99.08	Demonstrate how to provide care for a patient with: 
99.08.01	Excessive vaginal bleeding
99.08.02	Abdominal pain 
99.08.03	Sexual assault.	
100.0	Non-Traumatic Musculoskeletal Disorders: Demonstrate a fundamental depth, foundation breadth of the assessment and management of non-traumatic fractures for all age groups. –The student will be able to:	
100.01	Discuss the epidemiology of non-traumatic musculoskeletal disorders.	
100.02	Discuss various non-traumatic musculoskeletal disorders such as:
100.02.01	osteomyelitis and tumors
100.02.02	disc disorders, lower back pain (cauda equine syndrome, sprain, strain.)
100.02.03	joint abnormalities
100.02.04	muscle abnormalities 
100.02.05	overuse syndrome
100.02.06	soft tissue infections	
101.0	Diseases of the Eyes, Ears, Nose , and Throat : Demonstrate a fundamental depth, foundational breadth of the assessment and management of common or major diseases of the eyes, ears, nose and throat for all age groups. –The student will be able to:	
101.01	Relate the anatomy and physiology of the eyes, ears, nose, and throat to the pathophysiology and assessment of patients with diseases of the eyes, ears, nose, and throat.	
101.02	Discuss the pathophysiology and demonstrate the assessment, and management of patients with various eye diseases/injuries including:
101.02.01	Burns of eye and adnexa 
101.02.02	Conjunctivitis
101.02.03	Corneal abrasions 
101.02.04	Foreign body
101.02.05	Inflammation of the eyelid
101.02.06	Glaucoma
101.02.07	Hyphema 
101.02.08	Iritis
101.02.09	Papilledema
101.02.10	Retinal detachment and defect 
101.02.11	Cellulitis of orbit	
101.03	Discuss the pathophysiology and demonstrate the assessment, and management of patients with various ear diseases/injuries including:
101.03.01	Foreign body
101.03.02	Impacted cerumen
101.03.03	Labyrinthitis
101.03.04	Meniere’s disease
101.03.05	Otitis external and media
101.03.06	Perforated tympanic membrane	
101.04	Discuss the pathophysiology and demonstrate the assessment, and management of patients with various nose diseases/injuries including:
101.04.01	Epistaxis
101.04.02	Foreign body intrusion
101.04.03	Rhinitis
101.04.04	Sinusitis	
101.05	Discuss the pathophysiology and demonstrate the assessment, and management of patients with oropharynx/throat diseases/injuries including:
101.05.01	Dentalgia and dental abscess
101.05.02	Diseases of oral soft tissue/ Ludwig’s angina
101.05.03	Foreign body intrusion
101.05.04	Epiglottitis
101.05.05	Laryngitis
101.05.06	Tracheitis
101.05.07	Oral candidiasis
101.05.08	Peritonsillar abscess
101.05.09	Pharyngitis/tonsillitis
101.05.10	Temporomandibular joint disorders	
102.0	Shock and Resuscitation: Demonstrate the integration of a comprehensive knowledge of causes and pathophysiology into the management of shock and respiratory failure. –The student will be able to:	
102.01	Describe the epidemiology, including: premorbid and comorbid conditions and prevention strategies, for shock and hemorrhage.	
102.02	Review the anatomy and physiology of the cardiovascular and respiratory systems.	
102.03	Discuss the physiology of blood flow during normal states, peri-arrest, cardiac arrest and shock.   	
102.04	Discuss and demonstrate the assessment and management of shock. 	
102.05	Review and demonstrate the management of external hemorrhage. 	
102.06	Differentiate between the administration rate and amount of IV fluid in a patient with controlled versus uncontrolled hemorrhage. 	
102.07	Relate internal hemorrhage to the assessment findings of compensated and decompensated hemorrhagic shock. 	
102.08	Review the following for the cardiac arrest victim: 
102.08.01	Epidemiology
102.08.02	Pathophysiology
102.08.03	Physiology of blood flow during external chest compressions
102.08.04	Resuscitation success/research	
102.09	Review defibrillation and cardioversion to include manual techniques, automatic and semi-automated devices.	
102.10	Discuss causes, pathophysiology and management of special arrest and peri-arrest conditions:
102.10.01	Electrolyte disorders
102.10.02	Toxic exposures 
102.10.03	Drowning
102.10.04	Hypothermia
102.10.05	Near-Fatal Asthma
102.10.06	Anaphylaxis
102.10.07	Trauma
102.10.08	Pregnancy
102.10.09	Electrical Shock and lightning strikes	
102.11	Review post resuscitative care include, temperature regulation, glucose/electrolyte management.	
102.12	Discuss and demonstrate the assessment and management of internal hemorrhage.	
102.13	Discuss the stages and classifications of hemorrhage	
102.14	Discuss the pathophysiology and demonstrate the assessment and management of the different types of shock	
102.15	Describe the effects of decreased perfusion at the capillary level. 	
102.16	Relate pulse pressure changes to perfusion status. 	
102.17	Relate orthostatic vital sign changes to perfusion status. 	
102.18	Define and differentiate between compensated and decompensated shock for all types of shock. 	
102.19	Discuss the complications of shock	
102.20	Discuss and differentiate the physiological manifestations of shock across the age continuum. 	
102.21	Differentiate between the normotensive, hypotensive, or profoundly hypotensive patient. 	
102.22	Differentiate between the administration of fluid in the normotensive, hypotensive, or profoundly hypotensive patient. 	
102.23	Develop, execute and evaluate a treatment plan based on the field impression for the hemorrhage or shock patient. 	
102.24	Discuss the destination decision for patients in varying types of shock.	
102.25	Demonstrate how to manage a patient suffering from an abnormal heart rate or rhythm.	
103.0	Trauma Overview: Demonstrate a complex depth, comprehensive breadth of pathophysiology, assessment and management of the trauma patient for all age groups. –The student will be able to:	
103.01	Discuss the incidence, morbidity, and mortality of blast injuries. 	
103.02	Predict blast injuries based on mechanism of injury, including primary, secondary and tertiary.	
103.03	Discuss the effects of an explosion within an enclosed space on a patient. 	
103.04	Defend the components of a comprehensive trauma system and the levels of trauma centers. 	
103.05	Describe the criteria for transport to a trauma center. 	
103.06	Explain the rational for utilizing air medic al transport in the trauma patient. 	
103.07	Review energy and force as they relate to trauma. 	
103.08	Explain laws of motion and energy and apply the kinetic energy equation. 	
103.09	Describe the pathophysiology of the head, spine, thorax, and abdomen that result from the above forces. 	
103.10	List suspected injuries from the different causes of trauma:
103.10.01	Motor vehicles (restrained and un-restrained)
103.10.02	Frontal/head on
103.10.03	Lateral or side impacts
103.10.04	Rear impacts
103.10.05	Rotational impacts
103.10.06	Rollovers
103.10.07	Motorcycles
103.10.08	Pedestrian (include the differences for pediatric patient)
103.10.09	Falls from heights
103.10.10	Penetrating
103.10.11	Blasts	
103.11	Discuss and demonstrate the State of Florida’s trauma scorecard methodologies as required by Florida Administrative Code and Florida Statute	
103.12	Explain the National Trauma Triage Protocol of Injured Patients	
104.0	Bleeding: Demonstrate a complex depth, comprehension breadth of pathophysiology, assessment and management of bleeding for all age groups. –The student will be able to:	
104.01	Discuss the compensatory mechanism in hemorrhagic shock.	
104.02	Discuss the administration of medications to assist in the maintenance of homeostasis.	
104.03	Discuss the maintenance of tissue oxygenation in a bleeding patient. 	
104.04	Defend and differentiate the type and use of IV fluids for fluid resuscitation in hemorrhagic shock. 	
104.05	Demonstrate the different methods/modalities of controlling bleeding.	
105.0	Chest Trauma: Demonstrate a complex depth, comprehensive breadth of pathophysiology, assessment, and management of chest trauma for all age groups. –The student will be able to:	
105.01	Review the anatomy and physiology of the organs and structures related to thoracic injuries. 	
105.02	Review the pathophysiology and Mechanism of Injury (MOI) of the following injuries, including:
105.02.01	Myocardial injuries
105.02.01.1	pericardial tamponade
105.02.01.2	myocardial contusion
105.02.01.3	myocardial rupture
105.02.02	Vascular injury
105.02.02.1.1	Aortic Dissection
105.02.02.1.2	Pulmonary contusion
105.02.03	Hemothorax
105.02.04	Pneumothorax
105.02.05	Hemopneumothorax
105.02.06	Cardiac Tamponade
105.02.07	Commotio Cordis
105.02.08	Tracheobronchial disruption
105.02.09	Diaphragmatic rupture and injury 
105.02.10	Tramatic asphyxia
105.02.11	Rib fracture
105.02.12	Flail segment
105.02.13	Sternal fracture		
105.03	Discuss and demonstrate the assessment and management of the patient for each the  following:
105.03.01	thoracic injuries. 
105.03.02	chest wall injuries.
105.03.03	lung injuries.
105.03.04	myocardial injuries.
105.03.05	vascular injuries.
105.03.06	diaphragmatic injuries.
105.03.07	tracheo-bronchial injuries
105.03.08	traumatic asphyxia.	
105.04	Identify the need for rapid intervention and transport of the patient for each of the following:  
105.04.01	thoracic injuries. 
105.04.02	chest wall injuries.
105.04.03	lung injuries.
105.04.04	myocardial injuries.
105.04.05	vascular injuries.
105.04.06	diaphragmatic injuries.
105.04.07	esophageal injuries
105.04.08	tracheo-bronchial injuries
105.04.09	traumatic asphyxia.	
105.05	Assist with the insertion of a chest tube and when in place monitor and manage chest tube patency. 	
105.06	Discuss and demonstrate the assessment and management of 	
105.07	Integrate the pathophysiological principles to the assessment of a patient with a thoracic injury.	
105.08	Develop a patient management plan based on the field impression.	
105.09	Recognize the need for the use of a thorough assessment to determine a differential diagnosis and treatment plan for thoracic trauma.	
105.10	Demonstrate a clinical assessment for a patient with suspected thoracic trauma. 	
105.11	Demonstrate the following techniques of management for thoracic injuries: Needle decompression, Fracture stabilization, Elective intubation, ECG monitoring , Oxygenation and ventilation	
106.0	Abdominal and Genitourinary Trauma:  Demonstrate a complex depth, comprehensive breadth of pathophysiology, assessment, and management of abdominal and genitourinary trauma for all age groups. –The student will be able to:	
106.01	Review the anatomy and physiology of organs and structures related to abdominal injuries. 	
106.02	Discuss the abdominal vascular structures	
106.03	Describe the mechanism of injury for and types of open and closed abdominal and retroperitoneal injuries involving seat belts, penetrating, blunt and evisceration.
	
106.04	Discuss and explain the pathophysiology for:
106.04.01	Pelvic fractures. 
106.04.02	Solid organ injuries
106.04.03	Hollow organ injuries
106.04.04	Abdominal vascular injuries
106.04.05	Retroperitoneal space (kidneys)
106.04.06	Genitourinary system	
106.05	Describe and demonstrate the assessment and management for:
106.05.01	Pelvic fractures. 
106.05.02	Solid organ injuries
106.05.03	Hollow organ injuries
106.05.04	Abdominal vascular injuries
106.05.05	Retroperitoneal space (kidneys)
106.05.06	Genitourinary system	
106.06	Develop a patient management plan for a patient with abdominal injuries, based upon field impression. 	
106.07	Describe the epidemiology, including the morbidity/mortality and prevention strategies for abdominal vascular injuries.	
106.08	Integrate the pathophysiological principles to the assessment of a patient with abdominal injuries	
106.09	Develop and demonstrate the management of a patient with an impaled object, evisceration and shock.	
106.10	Discuss the variations in symptoms, signs and treatment of patients across the ages	
106.11	Discuss the emotional treatment associated with abdominal and genitourinary injuries. 	
107.0	Orthopedic Trauma: Demonstrate a fundamental depth, foundational breadth of pathophysiology, assessment, and management of orthopedic trauma for all age groups. –The student will be able to:	
107.01	Review the anatomy and physiology of the musculoskeletal system, include the healing process.	
107.02	Discuss types of musculoskeletal injuries:
107.02.01	fracture (open and closed – epiphyseal, greenstick, and torus), 
107.02.02	dislocation/fracture, 
107.02.03	sprain
107.02.04	strain	
107.03	Discuss the pathophysiology and potential complications of orthopedic injuries.	
107.04	Discuss and demonstrate the patient assessment techniques and findings for orthopedic injuries. 	
107.05	Explain the 6 “P” orthopedic injury assessment 	
107.06	Discuss the general guidelines  for management of orthopedic injuries:
107.06.01	Heat therapy
107.06.02	Cold therapy
107.06.03	Splinting
107.06.04	Medication administration (analgesics and anxiolytics)	
107.07	Discuss the pathophysiology of open and closed fractures. 	
107.08	Discuss  and demonstrate the assessment and management of specific orthopedic injuries: 
107.08.01	Shoulder girdle
107.08.02	Humeral fractures
107.08.03	Elbow 
107.08.04	Forearm
107.08.05	Wrist and Hand
107.08.06	Pelvis
107.08.07	Hip
107.08.08	Femoral shaft
107.08.09	Knee
107.08.10	Tibia and Fibula
107.08.11	Ankle
107.08.12	Calcaneus	
107.09	Discuss the pathophysiology and management of dislocations: 
107.09.01	Shoulder girdle
107.09.02	Elbow
107.09.03	Wrist and hand 
107.09.04	Hand
107.09.05	Hip
107.09.06	Knee	
107.10	Discuss the out-of-hospital management of dislocation/fractures, including splinting and realignment.  	
107.11	Explain the importance of manipulating a knee dislocation/fracture with an absent distal pulse. 	
107.12	Define luxation and subluxation 	
107.13	Discuss and demonstrate the assessment and management of sprains and strains	
107.14	Review the pathophysiology and mechanism of injury for compartment and crush syndrome	
107.15	Discuss and demonstrate the assessment and management of compartment and crush syndrome: 
107.15.01	Destination decision
107.15.02	Rhabodomylysis	
107.16	Discuss the pathophysiology, and demonstrate the assessment and management of a tendon injury to the knee (patellar), shoulder and Achilles. 	
107.17	Develop a patient management plan for the musculoskeletal injury based on the field impression. 	
107.18	Recognize the use of pain management in the treatment of musculoskeletal injuries.	
108.0	Soft Tissue Trauma: Demonstrate a complex depth, comprehensive breadth of pathophysiology, assessment, and management of soft tissue trauma for all age groups. –The student will be able to:	
108.01	Review anatomy and physiology and identify the major functions of the integumentary system. 	
108.02	Discuss the pathophysiology of soft tissue injuries and the healing process including:
108.02.01	Inflammation
108.02.02	Epithelialization
108.02.03	Neurovascularization
108.02.04	Collagen Synthesis
108.02.05	Alterations in would healing
108.02.06	Abnormal scar formation	
108.03	Differentiate between the following types of closed soft tissue injuries: contusions, hematoma and crush injuries.	
108.04	Review the assessment findings and management associated with closed soft tissue injuries. 	
108.05	Differentiate between the following types of open soft tissue injuries: abrasions, lacerations, major arterial lacerations, avulsions, impaled objects, amputations, incisions, crush injuries, blast injuries, and penetrations/punctures.	
108.06	Review the pathophysiology of open wounds.	
108.07	Review between the various management techniques for hemorrhage control of open soft tissue injuries, including but not limited to: direct pressure, pressure dressing, and tourniquet application. 	
108.08	Integrate pathophysiological principles to the assessment of a patient with a soft tissue injury and synthesize and demonstrate a treatment plan	
108.09	Formulate treatment priorities for patients with soft tissue injuries in conjunction with airway/face/neck trauma, thoracic trauma (open/closed), and abdominal trauma. 	
108.10	Defend the rationale explaining why immediate life-threats must take priority over wound closure. 	
108.11	Demonstrate the proper use of any Morgan type lens for irrigation of the eye.	
108.12	Describe the epidemiology, including incidence, mortality/ morbidity, risk factors, and prevention strategies for the patient with a burn injury. 	
108.13	Describe the pathophysiologic complications and systemic complications of a burn injury. 	
108.14	Review and describe types of burn injuries, including a thermal burn, an inhalation burn, a chemical burn, an electrical burn, and a radiation exposure. 	
108.15	Review and describe the depth classifications of burn injuries, including a superficial burn, a partial-thickness burn, a full-thickness burn, and other depth classifications described by local protocol. 	
108.16	Demonstrate the methods for determining body surface area percentage of a burn injury including the "rules of nines," the "rules of palms," and other methods described by local protocol. 	
108.17	Review and describe the severity of a burn including a minor burn, a moderate burn, a severe burn, and other severity classifications described by local protocol. 	
108.18	Describe special considerations for a pediatric patient with a burn injury. 	
108.19	Discuss conditions associated with burn injuries, including:
108.19.01	Trauma
108.19.02	blast injuries
108.19.03	airway compromise
108.19.04	respiratory compromise
108.19.05	child abuse 	
108.20	Describe the management of a burn injury, including airway and ventilation, circulation, pharmacological, non-pharmacological, transport considerations, psychological support/ communication strategies, and other management described by local protocol. 	
108.21	Describe the pathophysiology of a thermal burn injury. 	
108.22	Describe the pathophysiology and assessment findings of a burn from the following causes:
108.22.01	Inhalation
108.22.02	Chemicals	
108.22.03	electricity 	
108.23	Describe and demonstrate the assessment and management of a thermal, inhalation, electrical and chemical  burn injury and radiation exposure, including: 
108.23.01	airway and ventilation 
108.23.02	circulation
108.23.03	pharmacological, non-pharmacological
108.23.04	transport considerations
108.23.05	psychological support/ communication strategies	
108.24	Describe the types of chemicals and their burning processes and a chemical burn injury to the eye. 	
108.25	Describe the pathophysiology of a radiation exposure, including the types and characteristics of ionizing radiation. 	
108.26	Identify and describe the severity of a radiation exposure. 	
108.27	Develop, execute and evaluate a management plan based on the field impression for the patient with thermal, inhalation, chemical, electrical, and radiation burn injuries.  	
109.0	Head, Face, Neck, and Spine: Demonstrate a fundamental depth, foundational breadth of head, face, neck and spine trauma for all age groups. –The student will be able to:	
109.01	Differentiate between facial injuries based on the assessment and history.  	
109.02	Relate assessment findings associated with head, facial and neck injuries to pathophysiology. 	
109.03	Develop a patient management plan based on patient assessment and a field impression for injuries to the following areas:
109.03.01	Eye(s)
109.03.02	Nose
109.03.03	Throat/neck
109.03.04	Face
109.03.05	Mouth
109.03.06	Ear(s)	
109.04	Formulate a field impression for a patient with an injury for the following areas based on the assessment findings:   
109.04.01	Eye(s)
109.04.02	Nose
109.04.03	Throat/neck
109.04.04	Face
109.04.05	Mouth
109.04.06	Ear(s)	
109.05	Distinguish between head injury and brain injury.  	
109.06	Define and explain the process involved with each of the levels of increasing ICP. 	
109.07	Identify the need for rapid intervention and transport of the patient with a head/brain injury.  	
109.08	Describe and demonstrate the assessment andgeneral management of the head/ brain injury patient, including pharmacological and non-pharmacological treatment.  	
109.09	Explain the pathophysiology of skull fracture and intracranial hemorrhage, including epidural, subdural, intracerebral, and subarachnoid.	
109.10	Develop a management plan for a patient for each of the following conditions: 
109.10.01	skull fracture  
109.10.02	cerebral contusion
109.10.03	intracranial hemorrhage
109.10.04	epidural, subdural, intracerebral, and subarachnoid	
109.11	Differentiate between traumatic and non-traumatic spinal injuries based on the assessment and history.	
109.12	Describe the pathophysiology of non-traumatic spinal injury, including but not limited to, low back pain, herniated intervertebral disk and spinal cord tumors.	
109.13	Describe and demonstrate the assessment and management of non- traumatic spinal injuries.  	
109.14	Describe the pathophysiology of traumatic spinal injury related to:
109.14.01	spinal shock
109.14.02	spinal neurogenic shock
109.14.03	quadriplegia/paraplegia,
109.14.04	Incomplete cord injury/cord syndromes, including central cord syndrome, anterior cord syndrome and Brown-Sequard syndrome.	
109.15	Discuss and demonstrate the assessment and management of spine trauma including dislocations/subluxations, fractures, and sprains/strains.	
109.16	Develop a management plan for a patient with spine trauma including dislocations/subluxations, fractures, and sprains/strains.	
109.17	Develop a patient management plan for both a traumatic and a non-traumatic spinal injury based on the field impression. 	
109.18	Demonstrate a clinical assessment to determine the proper management modality for a patient for both a suspected traumatic spinal injury and a non-traumatic spinal injury. 	
109.19	Demonstrate spinal motion restriction of the urgent and non-urgent patient with assessment findings of spinal injury from the following presentations: Supine, Prone, Semi-prone, Sitting, Standing	
109.19.01	Given a scenario, defend whether or not to remove a helmet prior to transport of a patient.	
109.20	Demonstrate various methods for stabilization and removal of a helmet.	
109.21	Discuss and demonstrate the assessment and management of each of the following: 
109.21.01	Perforated tympanic membranes.
109.21.02	orbital fracture
109.21.03	mandibular fractures	
109.22	Develop a management plan for a patient for each of the following: 
109.22.01	Perforated tympanic membranes.
109.22.02	orbital fracture
109.22.03	mandibular fractures	
110.0	Nervous System Trauma: Demonstrate a fundamental depth, foundational breadth of nervous system trauma for all age groups. –The student will be able to:	
110.01	Review the anatomy and physiology of the central nervous system, brain, spinal cord, skull and spinal column.	
110.02	Discuss pathophysiology of the following nervous system injury including:
110.02.01	Cauda Equine syndrome
110.02.02	Peripheral nerve injuries
110.02.03	Intracerebral hemorrhages
110.02.04	Cranial fractures
110.02.05	Brain tissue injuries
110.02.06	Spinal cord injuries	
110.03	Discuss the mechanism of injury which would result in a nervous system injury.	
110.04	Discuss the specific assessment (s) for nervous system injuries including:
110.04.01	Brown-Sequard syndrome
110.04.02	Cauda Equine syndrome
110.04.03	Anterior cord syndrome
110.04.04	Central cord syndrome
110.04.05	Intracerebral hemorrhage	
110.05	Discuss the pathophysiology of a traumatic brain injury and spinal shock.	
110.06	Develop a management plan for a patient with traumatic brain injury and spinal shock	
110.07	Synthesize and demonstrate the spinal motion restriction technique for the different spinal cord injuries. 	
110.08	Discuss the research involving the management of nervous system injuries and patient management.	
111.0	Special Considerations in Trauma: Demonstrate a complex depth, comprehensive breadth of special considerations in trauma for all age groups. –The student will be able to:	
111.01	All trauma objectives should integrate the assessment and management differences associated with the following special populations:
111.01.01	Pregnancy
111.01.02	Pediatric
111.01.03	Geriatric
111.01.04	Cognitively impaired	
112.0	Environmental Emergencies: Demonstrate a complex depth, comprehensive breadth of environmental emergencies for all age groups. –The student will be able to:	
112.01	Define "environmental emergency." 	
112.02	Discuss the pathophysiology and MOI of the following: 
112.02.01	Drowning and water related incidents
112.02.02	temperature-related illness
112.02.03	bites and envenomation
112.02.04	dysbarism such as high-altitude edema
112.02.05	diving injuries
112.02.06	lightning (electrical) injury
112.02.07	high altitude illness	
112.03	Identify environmental factors that may cause illness, exacerbate preexisting illness and complicate treatment or transport decisions. 	
112.04	Describe several methods of temperature monitoring.	
112.05	Identify the components of the body’s thermoregulatory mechanism. 	
112.06	Describe the general process of thermal regulation, including substances used and wastes generated. 	
112.07	Describe the body’s compensatory process for overheating. 	
112.08	Discuss and list the common forms of heat and cold disorders. 	
112.09	Discuss the pathophysiology of temperature related illness	
112.10	Relate symptomatic findings to the commonly used terms: heat cramps, heat exhaustion, and heatstroke. 	
112.11	Describe the contribution of dehydration to the development of heat disorders.	
112.12	Describe the differences between classical and exertional heatstroke. 	
112.13	Define fever and discuss its pathophysiologic mechanism. 	
112.14	Discuss the role of fluid therapy in the treatment of temperature related emergencies	
112.15	Integrate the pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient who has dehydration, heat exhaustion, or heatstroke.	
112.16	Identify differences between mild, severe, chronic and acute hypothermia	
112.17	Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient who has either mild or severe hypothermia. 	
112.18	Define frostbite and superficial frostbite (frostnip).	
112.19	Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with superficial or deep frostbite. 	
112.20	Define submersion	
112.21	List signs and symptoms of submersion	
112.22	Describe the lack of significance of fresh versus saltwater immersion, as it relates to  submersion	
112.23	Discuss the incidence of "wet" versus "dry" drownings and the differences in their management. 	
112.24	Integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the submersion patient. 	
112.25	Define self-contained underwater breathing apparatus (SCUBA). 	
112.26	Discuss the pathophysiology of diving emergencies including: 
112.26.01	decompression illness/sickness 
112.26.02	Altitude Illnesses
112.26.03	Pulmonary Over Pressurization Syndrome (POPS)
112.26.04	Arterial Gas Embolism	
112.27	Relate the gas laws to the pathology of injury in a submersion emergency	
112.28	List signs and symptoms of diving emergencies. 	
112.29	Describe the function of the Divers Alert Network (DAN) and how its members may aid in the management of diving related illnesses. 	
112.30	Differentiate among the various treatments and interventions for the management of diving accidents.	
112.31	Describe the specific function and benefit of hyperbaric oxygen therapy for the management of diving accidents. 	
112.32	Integrate pathophysiological principles and assessment findings to formulate a field impression and implement a management plan for the patient who has had a diving accident.	
112.33	Develop a patient management plan based on the field impression of the patient affected by an environmental emergency. 	
112.34	Discuss the pathophysiology of bites and envenomation including: 
112.34.01	Hymenoptera
112.34.02	Snake bites
112.34.03	Spider Bites
112.34.04	Scorpion stings
112.34.05	Tick Bites	
112.35	Discuss and demonstrate the assessment and management of: 
112.35.01	Hymenoptera
112.35.02	Snake bites
112.35.03	Spider Bites
112.35.04	Scorpion stings
112.35.05	Tick Bites	
112.36	Relate the assessment of bites and envenomation to the immune response and shock	
113.0	Multi-Systems Trauma: Demonstrate a complex depth, comprehensive breadth of multi-system trauma and blast injuries. –The student will be able to:	
113.01	Demonstrate the priority of care in the multisystem trauma patient	
113.02	Explain which ALS interventions should occur prior to a transport decision and during transport	
114.0	Obstetrics: Demonstrate a complex depth, comprehensive breadth of the management of the obstetric patient within the scope of practice of the paramedic.  –The student will be able to:	
114.01	Review the anatomic structures and physiology of the reproductive system. 	
114.02	Identify and describe the normal events of pregnancy.  	
114.03	Describe and demonstrate how to assess an obstetrical patient. 	
114.04	Identify and describe the stages of labor and the paramedic's role in each stage.	
114.05	Differentiate between normal and abnormal delivery. 	
114.06	Identify and describe complications associated with pregnancy and delivery. 	
114.07	State indications of an imminent delivery. 	
114.08	Differentiate the management of a patient with predelivery emergencies from a normal delivery. 	
114.09	State the steps to assist in the delivery of a neonate including preparation of the mother. 	
114.10	Describe and demonstrate how to care for the neonate. 	
114.11	Describe how and when to cut the umbilical cord. 	
114.12	Discuss the steps in the delivery of the placenta. 	
114.13	Demonstrate how to prepare the obstetric patient for delivery. 	
114.14	Demonstrate how to assist in the normal cephalic delivery of the fetus. 	
114.15	Demonstrate how to deliver the placenta. 	
114.16	Describe and demonstrate the management of the mother post-delivery. 	
114.17	Describe and demonstrate the procedures for handling abnormal deliveries. 	
114.18	Describe and demonstrate the procedures for handling complications of pregnancy including  excessive vaginal bleeding, abdominal pain  and hypertensive crisis	
114.19	Describe and demonstrate the procedures for handling maternal complications of labor. 	
114.20	Describe special considerations when meconium is present in amniotic fluid or during delivery.  	
114.21	Describe special considerations of a premature baby. 	
115.0	Neonatal Care: Demonstrate a complex depth, comprehensive breadth of the management of the neonatal patient within the scope of practice of the paramedic. –The student will be able to:	
115.01	Define the term neonate. 	
115.02	Identify antepartum factors that can affect childbirth. 	
115.03	Identify intrapartum factors that can term the neonate “high risk”. 	
115.04	Identify the factors that lead to premature birth and low birth weight neonates. 	
115.05	Discuss pulmonary perfusion and asphyxia. 	
115.06	Calculate the APGAR score given various neonate situations. 	
115.07	Demonstrate appropriate assessment technique for examining a neonate.	
115.08	Determine when ventilatory assistance is appropriate for a neonate. 	
115.09	Prepare appropriate ventilation equipment, adjuncts and technique for a neonate.	
115.10	Determine when chest compressions are appropriate for a neonate. 	
115.11	Discuss and demonstrate appropriate chest compression techniques for a neonate.	
115.12	Determine when endotracheal intubation is appropriate for a neonate. 	
115.13	Discuss and demonstrate appropriate endotracheal intubation techniques for a neonate. 	
115.14	Identify complications related to endotracheal intubation for a neonate. 	
115.15	Determine when vascular access is indicated for a neonate. 	
115.16	Discuss the routes of medication administration for a neonate. 	
115.17	Determine when blow-by oxygen delivery is appropriate for a neonate.	
115.18	Demonstrate blow-by oxygen delivery for a neonate.	
115.19	Determine when an orogastric tube should be inserted during positive-pressure ventilation. 	
115.20	Demonstrate insertion of an orogastric tube in a neonate.	
115.21	Discuss the signs of hypovolemia in a neonate. 	
115.22	Demonstrate preparation of a neonate resuscitation area.	
115.23	Discuss and demonstrate the initial steps in resuscitation of a neonate. 	
115.24	Demonstrate appropriate assisted ventilations for a neonate. 	
115.25	Demonstrate appropriate endotracheal intubation technique for a neonate.	
115.26	Demonstrate appropriate chest compression and ventilation technique for a neonate. 	
115.27	Discuss the effects maternal narcotic usage has on the neonate. 	
115.28	Discuss appropriate transport guidelines for a neonate. 	
115.29	Determine appropriate receiving facilities for low and high risk neonates.	
115.30	Describe the epidemiology, including the incidence, morbidity/ mortality, risk factors and prevention strategies for meconium aspiration. 	
115.31	Discuss and demonstrate the assessment and management of meconium aspiration. 	
115.32	Discuss the pathophysiology of apnea in the neonate. 	
115.33	Discuss and demonstrate the assessment and management for apnea in the neonate. 	
115.34	Describe the epidemiology, including the incidence, morbidity/ mortality and risk factors for bradycardia in the neonate. 	
115.35	Discuss and demonstrate the assessment and management for bradycardia in the neonate. 	
115.36	Discuss the pathophysiology of premature infants. 	
115.37	Discuss and demonstrate the assessment and management for premature infants. 	
115.38	Discuss the pathophysiology of respiratory distress/ cyanosis in the neonate. 	
115.39	Discuss and demonstrate the assessment and management for respiratory distress/ cyanosis in the neonate.	
115.40	Discuss the pathophysiology of seizures in the neonate. 	
115.41	Discuss and demonstrate the assessment and management for seizures in the neonate. 	
115.42	Discuss the pathophysiology of fever in the neonate. 	
115.43	Discuss and demonstrate the assessment and management for fever in the neonate. 	
115.44	Discuss the pathophysiology of hypothermia in the neonate. 	
115.45	Discuss and demonstrate the assessment and management for hypothermia in the neonate. 	
115.46	Discuss the pathophysiology of hypoglycemia in the neonate. 	
115.47	Discuss and demonstrate the assessment and management plan for hypoglycemia in the neonate. 	
115.48	Discuss the pathophysiology of vomiting in the neonate. 	
115.49	Discuss and demonstrate the assessment and management for vomiting in the neonate. 	
115.50	Discuss the pathophysiology of common birth injuries in the neonate. 	
115.51	Discuss and demonstrate the assessment and management for common birth injuries in the neonate. 	
115.52	Discuss the pathophysiology of cardiac arrest in the neonate. 	
115.53	Discuss and demonstrate the assessment and management/treatment plan for cardiac arrest in the neonate. 	
115.54	Discuss the pathophysiology of post arrest management of the neonate. 	
115.55	Discuss and demonstrate the management to stabilize the post arrest neonate. 	
115.56	Demonstrate vascular access cannulation techniques for a newborn except umbilical vein/artery access.	
116.0	Pediatrics: Demonstrate a complex depth, comprehensive breadth of the management of the pediatric patient within the scope of practice of the paramedic. –The student will be able to:	
116.01	Review key growth and developmental characteristics of infants and children and their implications. 	
116.02	Identify key anatomical and physiological characteristics of infants and children and their implications.	
116.03	Describe and demonstrate techniques for successful assessment and treatment of infants and children. 	
116.04	Outline differences in adult and childhood anatomy and physiology. 	
116.05	Identify "normal" age group related vital signs.              	
116.06	Determine appropriate airway adjuncts for infants and children. 	
116.07	Discuss complications of improper utilization of airway adjuncts with infants and children. 	
116.08	Discuss and demonstrate appropriate ventilation devices for infants and children. 	
116.09	Discuss complications of improper utilization of ventilation devices with infants and children. 	
116.10	Identify complications of improper endotracheal intubation procedure in infants and children. 	
116.11	List the indications and methods for gastric decompression for infants and children. 	
116.12	Differentiate between upper airway obstruction and lower airway disease. 	
116.13	Describe the general approach to the treatment of children with respiratory distress, failure, or arrest from upper airway obstruction or lower airway disease. 	
116.14	Discuss the common causes of hypoperfusion in infants and children. 	
116.15	Identify the major causes of abnormal cardiac rhythmsin infants and pediatric. 	
116.16	Discuss the primary etiologies of cardiopulmonary arrest in infants and children.	
116.17	Discuss the appropriate equipment for vascular access in infants and children.	
116.18	Identify complications of vascular access for infants and children. 	
116.19	Describe the primary etiologies of altered level of consciousness in infants and children. 	
116.20	Identify common lethal mechanisms of injury in infants and children. 	
116.21	Identify infant and child trauma patients who require spinal immobilization. 	
116.22	Discuss and demonstrate fluid management and shock treatment for infant and child trauma patient.	
116.23	Determine when pain management and sedation are appropriate for infants and children. 	
116.24	Define child abuse and child neglect	
116.25	Review mandatory reporting requirements for child abuse/neglect	
116.26	Define children with special health care needs. 	
116.27	Review basic cardiac life support (CPR) guidelines for infants and children. 	
116.28	Integrate advanced life support skills with basic cardiac life support for infants and children. 	
116.29	Discuss the indications, dosage, route of administration and special considerations for medication administration in infants and children. 	
116.30	Discuss the pathophysiology of respiratory distress/failure in infants and children. 	
116.31	Discuss and demonstrate the assessment and management for respiratory distress/failure in infants and children. 	
116.32	Discuss the pathophysiology of hypoperfusion in infants and children.	
116.33	Discuss and demonstrate the assessment and management for hypoperfusion in infants and children. 	
116.34	Discuss the pathophysiology of cardiac dysrhythmias in infants and children. 	
116.35	Discuss and demonstrate the assessment and management for cardiac dysrhythmias in infants and children. 	
116.36	Discuss the pathophysiology of neurological emergencies in infants and children. 	
116.37	Discuss and demonstrate the assessment and management for neurological emergencies in infants and children. 	
116.38	Discuss the pathophysiology of trauma in infants and children. 	
116.39	Discuss and demonstrate the assessment and management for trauma in infants and children. 	
116.40	Discuss the pathophysiology of abuse and neglect in infants and children. 	
116.41	Discuss and demonstrate the assessment and management for abuse and neglect in infants and children, including documentation and reporting. 	
116.42	Discuss the pathophysiology of children with special health care needs including technology assisted children. 	
116.43	Discuss and demonstrate the assessment and management for children with special health care needs including technology assisted children. 	
116.44	Describe Sudden Unexplained Infant Death Syndrome (SUIDS), current theories, assessment and management, and the immediate needs of the family.	
116.45	Discuss the parent/caregiver responses to the death of an infant or child. 	
116.46	Discuss the pathophysiology of SUIDS in infants. 	
116.47	Discuss the assessment findings associated with SUIDS infants. 	
116.48	Discuss the management/treatment plan for SUIDS in infants. 	
116.49	Discuss and demonstrate the use of a length-based resuscitation device for determining equipment sizes, drug doses and other pertinent information for a pediatric patient. 	
116.50	Demonstrate appropriate treatment/management of intubation complications for infants and children. 	
116.51	Demonstrate appropriate needle cricothyrootomy in infants and children.	
116.52	Demonstrate proper placement of a gastric tube in infants and children. 	
116.53	Demonstrate an appropriate technique for insertion of peripheral intravenous catheters for infants and children. 	
116.54	Demonstrate an appropriate technique for administration of intramuscular, inhalation, subcutaneous, rectal, endotracheal and oral medication for infants and children. 	
116.55	Demonstrate an appropriate technique for insertion of an intraosseous line for infants and children. 	
116.56	Demonstrate proper technique for direct larnyngoscopy and foreign body retrieval in infants and children with a completely obstructed airway. 	
116.57	Demonstrate appropriate spinal motion restriction techniques for infant and child trauma patients. 	
116.58	Demonstrate treatment of infants and children with the following injuries: 
116.58.01	Head injuries. 
116.58.02	Chest injuries
116.58.03	Abdominal injuries
116.58.04	Extremity injuries 
116.58.05	Burns	
116.59	Demonstrate appropriate parent/caregiver interviewing techniques for infant and child death situations.	
116.60	Demonstrate proper infant and child CPR integrating ALS as appropriate 	
116.61	Demonstrate proper techniques for performing infant and child defibrillation and synchronized cardioversion.	
117.0	Geriatrics:   Demonstrate a complex depth, comprehensive breadth of the management of the geriatric patient within the scope of practice of the paramedic. –The student will be able to:	
117.01	Discuss common emotional and psychological reactions to aging to include causes and manifestations. 	
117.02	Discuss the problems with mobility in the elderly and develop strategies to prevent falls. 	
117.03	Discuss factors that may complicate the assessment of the elderly patient.	
117.04	Describe principles that should be employed when assessing and communicating with the elderly. 	
117.05	Discuss common complaints of elderly patients. 	
117.06	Discuss the impact of polypharmacy and medication non-compliance on patient assessment and management. 	
117.07	Discuss medication issues of the elderly including polypharmacy, dosing errors and increased drug sensitivity and toxicology. 	
117.08	Discuss  and demonstrate the assessment and management of the elderly patient with pulmonary complaints, including: 
117.08.01	pneumonia 
117.08.02	chronic obstructive pulmonary diseases
117.08.03	pulmonary embolism. 	
117.09	Identify the need for intervention and transport of the elderly patient with pulmonary complaints. 	
117.10	Discuss and demonstrate the assessment and management of the elderly patient with complaints related to the cardiovascular system, including:
117.10.01	myocardial infarction
117.10.02	heart failure
117.10.03	dysrhythmias
117.10.04	aneurism
117.10.05	hypertension. 	
117.11	Discuss and demonstrate the assessment and management of the elderly patient with complaints related to the nervous system, including:
117.11.01	cerebral vascular disease
117.11.02	delirium
117.11.03	dementia
117.11.04	Alzheimer’s disease
117.11.05	Parkinson’s disease. 	
117.12	Describe the epidemiology for endocrine diseases in the elderly, including incidence, morbidity/mortality, risk factors, and prevention strategies for patients with diabetes and thyroid diseases. 	
117.13	Discuss and demonstrate the assessment and management of the elderly patient with complaints related to the endocrine system, including diabetes and thyroid diseases.  	
117.14	Discuss and demonstrate the assessment and management of the elderly patient with the following:
117.14.01	gastrointestinal problems. 
117.14.02	toxicological problems
117.14.03	orthopedic injuries, burns and head injuries
117.14.04	drug and alcohol abuse
117.14.05	environmental considerations
117.14.06	depression or suicide risk factors	
117.15	Demonstrate the ability to adjust assessment to a geriatric patient. 	
117.16	Discuss the epidemiology of herpes zoster and inflammatory arthritis in the elderly	
118.0	Patients with Special Challenges: Demonstrate a complex depth, comprehensive breadth of management of the patient with special challenges within the scope of practice of the paramedic. –The student will be able to:	
118.01	Discuss the incidence of abuse and assault. 	
118.02	Describe the categories of abuse. 	
118.03	Discuss examples of each of the following:
118.03.01	Domestic partner abuse 
118.03.02	elder abuse
118.03.03	child abuse
118.03.04	sexual assault 	
118.04	Describe the characteristics associated with the profile of the typical abuser of: 
118.04.01	domestic abuser 
118.04.02	elder abuser
118.04.03	child abuser  	
118.05	Describe the characteristics associated with the profile of the typical assailant of sexual assault. 	
118.06	Identify the profile of the "at-risk" domestic partner, "at-risk" elder and "at-risk" child. 	
118.07	Discuss the legal aspects associated with abuse situations including mandatory reporting. 	
118.08	Discuss the documentation associated with abused and assaulted patient. 	
118.09	Demonstrate the ability to assess and manage a domestic partner, elder or child abused patient. 	
118.10	Demonstrate the ability to assess and manage a sexually assaulted patient. 	
118.11	Recognize the patient with a hearing impairment. 	
118.12	Anticipate accommodations that may be needed in order to properly manage the patient with a hearing impairment. 	
118.13	Recognize the patient with a visual impairment. 	
118.14	Anticipate accommodations that may be needed in order to properly manage the patient with a visual impairment	
118.15	Describe the various etiologies and types of speech impairments. 	
118.16	Recognize the patient with a speech impairment. 	
118.17	Describe paraplegia/quadriplegia. 	
118.18	Describe the various etiologies of mental illness. 	
118.19	Recognize the presenting signs of the following:
118.19.01	mental illnesses
118.19.02	Developmental disability
118.19.03	Down’s syndrome	
118.20	Describe the various etiologies of emotional impairment. 	
118.21	Recognize the patient with an emotional impairment. 	
118.22	Describe the following diseases/illnesses and identify each of their possible presenting signs: 
118.22.01	Arthritis, 
118.22.02	Cancer, 
118.22.03	Cerebral palsy,
118.22.04	Cystic fibrosis 
118.22.05	Multiple sclerosis, 
118.22.06	Muscular dystrophy, 
118.22.07	Myasthenia gravis, 
118.22.08	Poliomyelitis, 
118.22.09	Spina bifida, 
118.22.10	patients with a previous head injury	
118.23	Identify a patient that is terminally ill. 	
118.24	Recognize sign(s) of financial impairments. 	
118.25	Identify the importance of home health care medicine as related to the ALS level of care. 	
118.26	Differentiate between the role of EMS provider and the role of the home care provider. 	
118.27	Discuss the aspects of home care that result in enhanced quality of care for a given patient. 	
118.28	Discuss the aspects of home care that have a potential to become a detriment to the quality of care for a given patient. 	
118.29	List complications commonly seen in the home care patients, which result in their hospitalization. 	
118.30	Review hospice care, comfort care and DNR/DNAR as they relate to local practice, law and policy. 	
118.31	List the stages of the grief process and relate them to an individual in hospice care. 	
118.32	Given a series of home care scenarios, determine which patients should receive follow-up home care and which should be transported to an emergency care facility. 	
118.33	Describe airway maintenance devices typically found in the home care environment. 	
118.34	Describe devices that provide or enhance alveolar ventilation in the home care setting. 	
118.35	Describe and access indwelling catheters, implanted central IV ports and central line monitoring.	
118.36	Describe complications of assessing each of the airway, vascular access, and GI/GU devices described above. 	
118.37	Describe the indications and contraindications for urinary catheter insertion in an out-of-hospital setting. 	
118.38	Identify failure of GI/GU devices found in the home care setting. 	
118.39	Identify failure of ventilatory devices found in the home care setting. 	
118.40	Identify failure of vascular access devices found in the home care setting. 	
118.41	Identify and describe the failure of wound drains. 	
118.42	Discuss the rights of the terminally ill.  	
118.43	Observe for an infected or otherwise complicated venous access point. 	
118.44	Demonstrate proper tracheotomy care. 	
118.45	Demonstrate the insertion of a new inner cannula and/or the use of an endotracheal tube to temporarily maintain an airway in a tracheostomy patient.	
118.46	Demonstrate how to replace an ostomy tube.	
119.0	Principles of Safely Operating a Ground Ambulance: Demonstrate a simple depth, foundational breadth of risks and responsibilities of transport. –The student will be able to:	
119.01	Review the EMT standards and benchmarks for the Principles of Safely Operating a Ground Ambulance. 	
120.0	Incident Management:  Demonstrate a complex depth, comprehensive breadth of establishing and working within the incident management system. –The student will be able to:	
120.01	Review the EMT standards and benchmarks for Incident Management and apply a complex depth and comprehensive breadth of establishing and working within the incident management system.	
121.0	Multiple Casualty Incidents: Demonstrate a simple depth, foundational breadth of responding to an emergency during a multiple casualty incident. –The student will be able to:	
121.01	Review the EMT standards and benchmarks for Multiple Casualty Incidents. 	
122.0	Air Medical: Demonstrate a complex depth, comprehensive breadth of air medical transport risks, needs and advantages. –The student will be able to:	
122.01	Describe the advantages and disadvantages of air medical transport. 	
122.02	Identify appropriate reasons for the use of air medical for emergency patient transport.	
122.03	Describe the risks involved with the use of air medical transport	
122.04	Demonstrate the actions needed to ensure effective and safe ground operations involving air medical response	
122.05	Demonstrate appropriate communication of information needed for safe and effective interaction  between the air medical crew and ground personnel	
123.0	Vehicle Extrication: Demonstrate a simple depth, simple breadth for safe vehicle extrication and use of simple hand tools. –The student will be able to:	
123.01	Review the EMT standards and benchmarks for Vehicle Extrication.	
124.0	Hazardous Materials Awareness: Demonstrate a simple depth, simple breadth of risks and responsibilities of operating in a cold zone at a hazardous material or other special incident. –The student will be able to:	
124.01	Review the EMT standards and benchmarks for Hazardous Materials Awareness.	
125.0	Mass Casualty Incidents due to Terrorism and Disasters:  Demonstrate a simple depth, simple breadth of risks and responsibilities of operating on the scene of a natural or man- made disaster. –The student will be able to:	
125.01	Review the EMT standards and benchmarks for Mass Casualty Incidents.	
Management Option:  This option (outcomes 126-136) prepares students for administrative and supervisory positions in the Emergency Medical Services field.	
126.0	Demonstrate leadership and administrative skills basic to management emergency medical service systems–The student will be able to:	
126.01	Describe an emergency medical service system, its scope, national, state and local involvement, and the organizational climate that serves as the setting and framework for managing an emergency medical service system.	
126.02	Identify current trends and perspectives related to the management of health care organizations in general, and emergency medical service systems in particular, and the means by which the application of sound management principles and behavior can facilitate change.	
126.03	Interpret managerial principles, practices and processes and relate them to emergency medical service systems.	
126.04	Identify the role, responsibilities and parameters for the various levels of management within emergency medical service systems.	
126.05	State the control processes and techniques used to ensure that the objectives, strategies, and policies of the emergency medical service system are achieved effectively and efficiently.	
126.06	Relate the various aspects of organizational dynamics (decision making, motivations, leadership, and communication) to the needs and problems of emergency medical service systems.	
126.07	Relate personnel administration practices to the total scope of labor relations, including manpower acquisition, maintenance, and utilization.	
127.0	Interpret federal, state and local laws as they apply to emergency medical service systems–The student will be able to:	
127.01	List and discuss federal, state and local laws, administrative rules, requirements and recommendations relating to emergency medical service systems.	
127.02	List required standards and procedures for facility and staff.	
127.03	Identify mandatory requirements regarding environmental health and safety standards.	
127.04	Discuss the impact of legislative changes on emergency medical service systems.	
128.0	Demonstrate knowledge of operational and organizational structures of emergency medical service systems–The student will be able to:	
128.01	Describe the functions and standards of departments in emergency medical service systems.	
128.02	Contrast administrative roles and responsibilities in different types of emergency medical service systems.	
128.03	Describe principles and philosophies of emergency medical service systems.	
128.04	Identify several basic principles of emergency medical care.	
128.05	Describe communication techniques within health care systems.	
128.06	Utilize state of the art language and terminology when communicating within the emergency medical service system.	
129.0	Demonstrate knowledge of psychological problems and stressors in emergency medical service employees and find appropriate solutions–The student will be able to:	
129.01	Demonstrate knowledge of the worth and dignity of each employee.	
129.02	Accommodate individual differences, characteristics, and behaviors.	
129.03	Adjust employee schedules, personnel assignments, etc. to provide optimum performance.	
130.0	Demonstrate knowledge of materials and supplies used in emergency medical service systems–The student will be able to:	
130.01	Evaluate current inventory.	
130.02	Prepare purchase orders with knowledge of current financial status and budgetary constraints.	
130.03	Demonstrate knowledge of optimum quality, price, and quantity.	
131.0	Demonstrate knowledge of occupational safety and health–The student will be able to:	
131.01	Prepare a plan for employee safety in the event of emergency situations involving business or office facilities.	
131.02	Identify hazardous materials and substances in the workplace.	
131.03	Identify appropriate storage facilities for all substances.	
131.04	Conduct inservice for employees.	
131.05	Respond to employee inquiries and post notices as needed.	
131.06	Implement appropriate Joint Commission patient safety goals.	
132.0	Demonstrate knowledge of appropriate workloads for each employee–The student will be able to:	
132.01	Prepare job descriptions.	
132.02	Prepare job advertisements and notices.	
132.03	Compute man-hours required for each job position within the emergency medical service system.	
132.04	Identify factors that alter the workload and man-hours computed for each position.	
133.0	Review, approve and monitor departmental capital and operational budgets–The student will be able to:	
133.01	Develop capital budget justification format.	
133.02	Delegate capital budget preparation to key managers.	
133.03	Analyze and approve appropriate capital budget items.	
133.04	Develop an operational budget format.	
133.05	Analyze and approve appropriate financial levels in each operational budget.	
134.0	Identify and apply legal reimbursement systems–The student will be able to:	
134.01	Establish an item charge system that meets reimbursement system requirements.	
134.02	Establish a mechanism for utilization review and quality assurance.	
134.03	Develop an accounts receivable system which monitors and optimizes reimbursement.	
135.0	Comply with accreditation standards of governmental or governmental-appointed agencies and organizations–The student will be able to:	
135.01	Describe and discuss procedures to meet required standards for emergency medical service systems.	
135.02	Identify the required standards for health care personnel in general and emergency medical service personnel in particular.	
135.03	Develop policies and operational procedures to meet required standards.	
135.04	Establish liaison mechanisms with appropriate accrediting organizations.	
136.0	Demonstrate computer literacy–The student will be able to:	
136.01	Describe and demonstrate function and operation of basic computer systems.	
136.02	Describe and demonstrate various types of computer systems and their specific applications.	
136.03	Describe and demonstrate general applications such as word processing, database management, spreadsheets, and communications.	
136.04	Describe and discuss special applications such as computer-aided dispatch (CAD), quality assurance, and inventory control.	
Education Option:  This option (outcomes 137-142) prepares students as trainers and/or instructors in the EMS field.	
137.0	Demonstrate knowledge of basic teaching methods, learning and educational psychology–The student will be able to:	
137.01	Describe and demonstrate various methods of student learning.	
137.02	Describe and demonstrate various methods of teaching as they apply to student learning techniques.	
137.03	Describe and demonstrate competency-based education (CBE).	
137.04	Describe and demonstrate short-term and long-term memory and the implications of each on the student learning process.	
137.05	Describe and demonstrate various educational psychologies.	
138.0	Describe and discuss curriculum design and development–The student will be able to:	
138.01	Develop and discuss needs assessments.	
138.02	Develop a task analysis.	
138.03	Develop student behavioral objectives.	
138.04	Design and develop competency-based curriculum.	
138.05	Integrate curriculum with current occupational responsibilities.	
138.06	Perform on-going curriculum review and development.	
139.0	Demonstrate appropriate measurement and evaluation skills–The student will be able to:	
139.01	Construct appropriate objective tests commensurate with curriculum.	
139.02	Develop effective measurement instruments for student performance in clinical settings.	
139.03	Develop effective evaluation tools for evaluating student performance.	
139.04	Record, monitor, and provide feedback to student regarding student progress.	
140.0	Demonstrate mastery of required technical skills–The student will be able to:	
140.01	Demonstrate performance of basic life support instructor skills.	
140.02	Demonstrate performance of advanced life support instructor skills.	
140.03	Demonstrate performance of trauma life support instructor skills.	
140.04	Demonstrate performance of other medical skills appropriate to the emergency medical services curriculum.	
141.0	Demonstrate classroom management skills–The student will be able to:	
141.01	Demonstrate and apply effective leadership skills.	
141.02	Demonstrate and apply effective motivational skills.	
141.03	Demonstrate and apply effective organizational skills.	
141.04	Demonstrate and apply effective disciplinary skill.	
142.0	Demonstrate computer literacy–The student will be able to:	
142.01	Describe and discuss various types of computer systems and their specific applications as they relate to Emergency Medical Services.	
142.02	Describe and discuss applications such as word processing, database management, spreadsheets, communications, and computer-aided instruction (CAI) as they relate to Emergency Medical Services.	

Additional Information

Laboratory Activities

Laboratory investigations that include scientific inquiry, research, measurement, problem solving, emerging technologies, tools and equipment, as well as, experimental, quality, and safety procedures are an integral part of this career and technical program/course. Laboratory investigations benefit all students by developing an understanding of the complexity and ambiguity of empirical work, as well as the skills required to manage, operate, calibrate and troubleshoot equipment/tools used to make observations. Students understand measurement error; and have the skills to aggregate, interpret, and present the resulting data. Equipment and supplies should be provided to enhance hands-on experiences for students.

Special Notes

The following ATD program has been approved by the Florida State Board of Education for statewide articulation credit into this degree program. 

Emergency Medical Technician-ATD (0351090403/0351090404) – 11 credits (This program will be daggered beginning in 2016-2017 school year.)
Emergency Medical Technician –ATD (New) (0351090413/0351090408) – 12 credits 

The following industry certifications have been approved by the Florida State Board of Education for statewide articulation credit into this degree program.  

Emergency Medical Technician (NREMT001) – 9 credits 

Through the use of common core courses and the addition of several optional courses, this program is designed to prepare students for employment in the following occupational areas:

Education Option:  Field Training Officer, In-service Training Officer, or EMS Instructor, SOC Code 25-1194 Vocational Education Teachers, Postsecondary or to provide supplemental training for persons previously or currently employed in these occupations.  The program must be approved by the Department of Health, Office of Emergency Medical Services (EMS); and the curriculum must adhere to the US Department of Transportation (DOT) National EMS Educational Standards for both the EMT and Paramedic.

Management Option:  EMS Coordinator, EMS Supervisor, EMS Shift Supervisor, Operations Manager, EMS Manager, or Director of EMS Services. SOC Code 11-1021 (General and Operations Managers).

Career and Technical Student Organization (CTSO)

HOSA: Future Health Professionals is the intercurricular career and technical student organization providing leadership training and reinforcing specific career and technical skills. Career and Technical Student Organizations provide activities for students as an integral part of the instruction offered. 

Accommodations

Federal and state legislation requires the provision of accommodations for students with disabilities to meet individual needs and ensure equal access. Postsecondary students with disabilities must self-identify, present documentation, request accommodations if needed, and develop a plan with their counselor and/or instructors. Accommodations received in postsecondary education may differ from those received in secondary education. Accommodations change the way the student is instructed. Students with disabilities may need accommodations in such areas as instructional methods and materials, assignments and assessments, time demands and schedules, learning environment, assistive technology and special communication systems. Documentation of the accommodations requested and provided should be maintained in a confidential file.

Certificate Programs

A College Credit Certificate consists of a program of instruction of less than sixty (60) credits of college-level courses, which is part of an AS or AAS degree program and prepares students for entry into employment (Rule 6A-14.030, F.A.C.).  This AS degree program includes the following College Credit Certificates:

Paramedic (0351090405) – 42 credit hours
Emergency Medical Technician (0351090400) – 11 credit hours (This program will be daggered beginning in 2016-2017 school year.) 
Emergency Medical Technician (New) (0351090415) – 12 credit hours 

Standards for the above certificate programs are contained in separate curriculum frameworks.

Additional Resources

For additional information regarding articulation agreements, Bright Futures Scholarships, Fine Arts/Practical Arts Credit and Equivalent Mathematics and Equally Rigorous Science Courses please refer to:
http://www.fldoe.org/academics/career-adult-edu/career-tech-edu/program-resources.stml