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2016-2017 National Association of Emergency Medical Technicians CONTINUING EDUCATION CATALOG Serving our nation’s EMS practitioners Welcome For more than 30 years, the National Association of Emergency Medical Technicians (NAEMT) has been recognized as a global leader in continuing education for EMS practitioners. NAEMT education curriculum is rated 5 stars in my book. It blows away the competition in content, organization and support. — Peter Laitinen, Templeton, MA 2 Caring for patients in the out-of-hospital environment is complex and challenging. It requires a broad range of medical skills and knowledge to save lives, alleviate pain, and treat patients of all ages suffering from a wide range of diseases. At the same time, EMS practitioners need the interpersonal skills to communicate with patients and their family members and to work as part of a team. And given the growing threat of active shooters, the potential for mass casualty situations, plus the more commonplace risks when responding to highway accidents or to patients in high stress situations, EMS practitioners need an understanding of situational awareness and how to stay safe on the job. As the only national membership organization representing the professional interests of all EMS practitioners from all sectors of EMS, NAEMT believes that high-quality, evidence-based education is critically important to preparing EMS practitioners to successfully face these challenges. Making that education available to the EMS workforce is a core part of our mission. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org Commitment to Quality Because the greatest results occur when the best minds work together, all NAEMT courses are developed by teams of nationally and internationally recognized subject matter experts – physicians, EMS educators and experienced field EMS practitioners. In addition to our superior course content, the training centers that offer our courses and the instructors who teach our courses also must meet the high standards of our quality assurance process. Together, this ensures that students who take NAEMT courses can feel confident that they are receiving the best continuing education available to the EMS profession. Affordability and Convenience: Cornerstones of NAEMT Education Because we understand time is valuable and budgets are limited, NAEMT is also committed to offering affordability and convenience for our training centers, instructors, and students. Most administration can be done quickly and easily online. We’ve streamlined the process for instructors to qualify to teach NAEMT courses by making the NAEMT Instructor Preparation Course available online, 24/7. And always, if you have questions, NAEMT has a team of education specialists ready to assist, either by phone or email. Whether you are training an entry level provider or a seasoned one, I would recommend NAEMT courses to give your students an outstanding educational experience. — Anne Austin Ellerbee, Thomaston, GA NAEMT is honored to serve the EMS profession by helping to prepare our nation’s EMS workforce. We look forward to serving you. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 3 Experience the NAEMT Education Difference Table Of Contents 2 5 6 7 8 9 10 12 13 14 16 17 18 19 20 21 22 Welcome Key Attributes of NAEMT Curriculum Easy, Efficient and Cost-Effective Administration Getting Started Information for Course Coordinators Becoming an NAEMT Instructor Prehospital Trauma Life Support (PHTLS) Advanced Medical Life Support (AMLS) Emergency Pediatric Care (EPC) Geriatric Education for EMS (GEMS) EMS Safety EMS Vehicle Operator Safety (EVOS) All Hazards Disaster Response (AHDR) Principles of Ethics and Personal Leadership (PEPL) Tactical Combat Casualty Care (TCCC) Tactical Emergency Casualty Care (TECC) Law Enforcement and First Response Tactical Casualty Care (LEFR-TCC) 23 Bleeding Control for the Injured (B-Con) Serving our nation’s EMS practitioners www.naemt.org www.facebook.com/NAEMTfriends | www.twitter.com/NAEMT_ 4 NAEMT Education 1-800-346-2368 | [email protected] To develop great EMS practitioners, you have to start with great education. NAEMT and its teams of experts spend years developing the content for each course. Then we put our curriculum through a rigorous quality assurance process that includes field-testing courses before they are introduced, continually seeking feedback from students and instructors, and regularly reviewing and updating course content. NAEMT works in partnership with leading national organizations and agencies to provide evidence-based, medically appropriate course content. ❚ American College of Surgeons ❚ American Geriatrics Society ❚A merican Academy of Pediatrics ❚ National Association of EMS Physicians ❚ U.S. Department of Defense Key Attributes of NAEMT Curriculum Course content created by multi-disciplinary teams of experts. All NAEMT course content is created by teams of nationally and internationally recognized subject matter experts from within EMS, emergency medicine and other relevant medical specialties. Teams include physicians who contribute their medical expertise; EMS educators who advise on the most effective, innovative teaching strategies; and EMS practitioners who ensure that the curriculum reflects the realities of working in the field. These experts present the latest research, debate the merits and come to a consensus on what should be included in the curriculum. Curriculum incorporates evidence-based research and cutting-edge medical knowledge. The practice of medicine continually evolves as new or stronger evidence comes to light. Our experts ensure the latest evidence is included in each course. Then, each course is systematically reviewed and updated at least once every four years to reflect changes in medical practice. Instructional materials use a variety of proven learning methodologies. NAEMT courses aren’t lectures only. Our courses include patient simulations, skills stations, videos, case studies and group discussions to encourage critical thinking and reinforce material presented during lectures. Using a variety of proven learning methodologies ensures students receive a broad scope of knowledge to help with decision-making in the field. Content, instructors and training centers are quality assured. ❚ Curriculum for new or revised courses is field-tested and feedback is incorporated into the final curriculum. ❚ Students are surveyed to obtain feedback on course content and the quality of their learning experience. ❚ NAEMT Faculty are monitored and approved by NAEMT. ❚ NAEMT Training Centers are monitored and approved by NAEMT. Flexible learning formats We strive to provide the most convenient, flexible learning experience for our instructors and their students. NAEMT offers many courses in online/classroom combination formats. This allows students to complete part of their coursework at home, at their own pace, at a time that is convenient for them, and then come together in person for hands-on learning and discussion. We set a high standard for the quality of all of our educational materials, including our online content. Our online curriculum is highly engaging, including videos and other visual aids, that offer a rich and dynamic learning experience. All NAEMT Education courses are approved for continuing education credit by the Commission on Accreditation of Pre-Hospital Continuing Education (CAPCE).* The number of continuing education credits awarded equals the number of course hours. Courses are also recognized for recertification requirements by the National Registry of Emergency Medical Technicians (NREMT). *Except B-Con and TCCC-AC NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 5 Easy, Efficient and Cost-Effective Administration Responsive customer service When you have questions or need help, we are here for you! Call or email us. NAEMT Education specialists will get you answers quickly. Affordable NAEMT is committed to keeping prices as low as possible. No one likes spending more time on paperwork than they need to. To provide our training centers with the best possible experience, NAEMT has created a streamlined, user-friendly and cost-efficient administrative process. Easy online administration Most administration for NAEMT courses can be done quickly and easily online, including: ❚ Apply to become an NAEMT Training Center. ❚ Register courses. ❚ Manage and submit course rosters so your students can receive continuing education credits. ❚ Print student certificates and cards. ❚ Submit course administration fees. Quick access to course materials Many course materials are available for download online, or quickly available from Jones & Bartlett Learning. NAEMT staff make administration as painless and quick as possible. Their support and direction is second to none. COMING IN 2017! Recert Efficient, Engaging Online Education Today’s hectic schedules can make it tough to find the time for continuing education courses. A new partnership between NAEMT and the Jones & Bartlett Learning Public Safety Group will make it easier to meet the requirements for recertification, while expanding your knowledge and retaining critical skills. This new, easy-to-use service will offer the highest quality interactive content and a user-friendly online system for individuals and agencies to track continuing education. Scheduled to launch in early 2017, Recert will provide EMS practitioners with the most efficient and engaging online learning opportunities available anywhere. Look for more information about Recert in the coming months. — Chris Gibson, Guatemala City, Guatemala NAEMT’s Partner in Education: Jones & Bartlett Learning The Jones & Bartlett Learning Public Safety Group is the world’s most innovative and trusted source for educational materials and solutions for fire and EMS students, educators, and professionals by leveraging the collective value of our people, products, and partners. From initial training to recertification to retirement, we strive to be a lifelong learning partner to those who serve our communities tirelessly and ensure our safety and wellbeing. For more information visit jblearning.com/psg. All proceeds from NAEMT Education programs help support the advancement of the EMS profession through advocacy, education and research. 6 NAEMT Education 1-800-346-2368 | [email protected] | naemt.org Getting Started: Information for New NAEMT Training Centers NAEMT education programs are conducted through a network of approved EMS training centers. NAEMT strives to work with reputable EMS training centers which possess appropriate training facilities and experienced EMS faculty, maintain affiliation with an emergency medical institution, have a qualified medical director to provide medical oversight and guidance, and are committed to developing and sustaining a quality EMS training program at their center. Once you have decided to offer NAEMT courses, we have an easy process to get started. Go to naemt.org and click the “Course Administration” link. Here’s a quick guide to what you’ll find there. Apply as NAEMT Training Center ❚ Choose “Complete NAEMT Training Center Application” and follow the prompts to enter your information. ❚ Once approved, you will receive an email from NAEMT within two business days providing your training center ID number. This ID number will be required to utilize the NAEMT online course administration system. Manage Course Roster ❚B y choosing this link, you or your students can enter their data. Data must be entered in the roster for your students to earn continuing education credits. ❚ Upon course completion, submit your final roster. Register a Course ❚ A minimum of 30 days prior to your course start date, register your course(s) by following the instructions on the “Register a Course” link. ❚A ffiliate Faculty must be present for your first course. Request Affiliate Faculty by emailing [email protected]. ❚ If you want students to be able to locate and sign up for your course online, mark the course as being “Open to the Public.” Students will then be able to find your course on the “Locate a Course” page of the NAEMT website. ❚U pon acceptance of the course application, you will receive an emailed confirmation with your Course Number and access information for secure course materials. Submit Course Payment ❚ S ubmit payment online by following the instructions on this link. You can also submit payment by check. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 7 Course Coordinator Responsibilities Each NAEMT Training Center is asked to identify an experienced NAEMT instructor to serve as course coordinator. New training centers may choose an experienced EMS instructor. The course coordinator is responsible for administering the course and communicating with NAEMT to ensure all course information is submitted. Read more about the responsibilities of a course coordinator in the Course Administration Section of the NAEMT website. Certificates and Cards Course certificates and cards are printed using NAEMT’s online course administration system. Working with NAEMT staff has been wonderful. They have answered all my questions and delivered any materials I’ve needed in a timely manner. — Steve Mountfort, Orlando, FL For CAAHEP Accredited Programs CAAHEP accredited paramedic programs can monitor their own faculty to teach NAEMT courses, provided that their faculty comply with all NAEMT instructor requirements (i.e., successful completion of the NAEMT instructor course and provider course). For more information, contact NAEMT at [email protected]. 8 NAEMT Education 1-800-346-2368 | [email protected] | naemt.org Become an NAEMT instructor A key requirement to becoming an NAEMT Instructor is successfully completing the NAEMT Instructor Preparation Course, which provides instructor candidates with the basic training and information needed to become an instructor for any of NAEMT’s continuing education courses. For your convenience, this course is available online, 24/7, and is only required to be taken one time. Other steps to becoming an NAEMT instructor include: Step 1. Successfully complete the NAEMT provider course for the program for which you wish to serve as an instructor. Step 2. In the United States, be licensed as an EMT or paramedic. Instructors must be credentialed to perform the skills they teach. Some NAEMT courses require paramedic level licensure. In other countries, instructors must meet the commensurate certification and licensure requirements. Step 8. When approved by the Affiliate Faculty, you will be designated by NAEMT as an approved NAEMT instructor for a specific NAEMT education program. Step 9. Maintain your approved instructor status by teaching at least one course per year, attending all instructor updates, as required, and maintaining current contact information with NAEMT Headquarters. Step 3. Be associated with at least one approved NAEMT training center. If you are not currently an EMS instructor with an approved NAEMT training center, please contact our office. Our staff can provide you with information about the approved training centers in your area. Step 4. Complete the NAEMT Instructor Application. Step 5. Upon receiving NAEMT verification that the application is complete, take and pass the NAEMT Instructor Preparation Course (offered in English and Spanish online, and in other languages as a classroom course). Note: This course is only required to be taken one time. Step 6. Meet any other instructor requirements for your NAEMT training center. Step 7. Be monitored by an NAEMT Affiliate Faculty at your NAEMT training center as you teach your initial course. *Specific programs may have different requirements. Find details on naemt.org. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 9 Prehospital Trauma Life Support (PHTLS) Eighth Edition When treating trauma patients in the field, seconds count. Recognized as the global leader in education for the prehospital care of trauma patients, Prehospital Trauma Life Support (PHTLS) offers a unique approach, promoting critical thinking and addressing multisystem trauma to give patients the greatest chance of survival. PHTLS, developed in cooperation with the American College of Surgeons’ Committee on Trauma, picks up where other education programs leave off. PHTLS empowers EMS practitioners by focusing on the principles that strengthen their knowledge base and ability to make rapid and appropriate patient care 10 decisions. PHTLS teaches why a certain procedure is performed, as opposed to simply how a procedure should be performed. The program emphasizes a quick assessment of patients with traumatic injuries to improve survival. Topics covered include the principles of trauma care, scene and patient assessment, airway management, circulation, hemorrhage control and detection/ treatment of shock. Each year, PHTLS is taught to over 40,000 students at some 3,500 training centers in over 50 countries. Students who take this course will leave better prepared to save the NAEMT Education 1-800-346-2368 | [email protected] | naemt.org lives of patients with the most serious, time-sensitive injuries. PHTLS, Eighth Edition, also features: Baseline Assessments: Baseline assessments allow instructors to evaluate students before the course begins. The tool enables instructors to identify opportunities for improvement. Patient simulations: Interactive patient simulations allow participants to strengthen their patient assessment, teamwork, and critical thinking skills. At the conclusion of each patient simulation, instructors collaborate with participants to discuss the team’s performance. We pride ourselves on being able to offer the most up-to-date programs that will empower our students to act in the most proficient and professional manner when responding to trauma patients. NAEMT trauma courses make that possible. PHTLS for First Responders Seriously injured trauma patients may not have time to wait until EMS arrives. PHTLS for First Responders is an 8-hour course for first responders, including police officers, firefighters, rescue personnel and safety officers, to prepare them to render care to trauma patients until EMS personnel arrive. — Erica Paredes, Noblesville, IN Prehospital Trauma Life Support (PHTLS) Hours: 16 Course format: Classroom or hybrid (online/classroom) Who is this class for? EMTs, paramedics, emergency medical responders, nurses, physician assistants and physicians. The course can be offered at the basic, advanced or combined levels. The course offers rich, interactive content online. A military version is also available. PHTLS Refresher: Trauma care is continually evolving. To keep skills and knowledge as current as possible, the 8-hour PHTLS Refresher course is for students who have taken PHTLS within the last four years. This course is offered at basic, advanced or combined levels. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 11 Advanced Medical Life Support (AMLS) Second Edition When you arrive on scene and a patient says, “I can’t breathe,” or, “My stomach hurts bad,” what do you do next? Advanced Medical Life Support (AMLS) is the gold standard for EMS assessment training. Endorsed by the National Association of EMS Physicians, AMLS emphasizes the use of the AMLS Assessment Pathway, a systematic tool for assessing and managing common medical conditions with urgent accuracy. Students learn to recognize and manage common medical crises, including: respiratory disorders, cardiovascular disorders, shock, neurologic disorders, abdominal disorders, endocrine disorders, infectious diseases, environmentalrelated disorders, and toxicologic emergencies. Realistic case-based scenarios challenge students to apply their knowledge to highly critical patients. COMING IN 2017! New Medical Life Support Course for EMTs Although AMLS is appropriate for all levels of EMS practitioner, NAEMT received feedback that EMTs were in need of high quality assessment training tailored to their specific skill set. NAEMT is pleased to announce we will be offering a medical life support course for EMTs, designed to empower BLS providers with the essential skills and knowledge needed for the rapid and accurate assessment and management of medical patients using the AMLS Assessment Pathway. Advanced Medical Life Support (AMLS) Hours: 16 Course format: Classroom or hybrid (online/classroom) Who is this class for? EMTs, paramedics, nurses, nurse practitioners, physician assistants, nurse anesthetists and physicians. AMLS can be offered at the advanced or combined levels. AMLS Refresher: Prehospital care is continually evolving. To keep skills and knowledge as current as possible, the 8-hour AMLS Refresher course is for students who have taken AMLS within the last four years. 12 NAEMT Education 1-800-346-2368 | [email protected] | naemt.org ARE G EMER CC D CY PE IATRI EN Emergency Pediatric Care (EPC) Third Edition “Children are not small adults” has long been the battle cry of pediatric emergency medicine specialists advocating for better training and resources for all providers of urgent and emergent pediatric medical care. While there are many differences between adult and pediatric physiology, illnesses, injuries and interventions, only some are critical. EPC focuses on those critical situations, enabling EMS practitioners to provide the best treatment for sick and injured children in the field. Topics covered include: ❚ T he pathophysiology of the most common critical pediatric emergency issues, and critical thinking skills to help practitioners make the best decisions for their patients. ❚A pplication of the Pediatric Assessment Triangle (PAT), a tool to help EMS practitioners rapidly and accurately assess pediatric patients. ❚ T he importance of family-centered care. ❚ Understanding and communicating with children. ❚A irway management, breathing and oxygenation. ❚C ardiac emergencies. ❚R ecognizing child abuse and neglect. ❚H ypoperfusion and shock. ❚N ewborn resuscitation. ❚P ediatric trauma. ❚ Treating children with special needs. The course encompasses lectures, interactive skills stations, small group critical thinking discussions and patient simulations/resuscitation scenarios. Emergency Pediatric Care (EPC) Hours: 16 Course format: Classroom or hybrid (online/classroom) Who is this class for? EMTs, paramedics, emergency medical responders, nurses, physician assistants and physicians. This course can be offered at the basic, advanced or combined levels. EPC Refresher: No patients are more precious than children! To enable EMS practitioners to stay as up-to-date as possible on the latest in pre-hospital pediatric care, the 8-hour EPC Refresher course is for students who have taken EPC within the last four years. This course is offered at basic, advanced or combined levels. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 13 Geriatric Education for EMS (GEMS) Second Edition The United States is home to 46 million adults ages 65 and older, representing about 15% of the population, according to the U.S. Department of Health and Human Services. Over the next 25 years, that number is projected to rise to nearly 80 million, with older adults making up nearly 27% of the population. The number of adults over 80 is expected to grow from about 12 million today to 27 million. Geriatric Education for EMS (GEMS) provides EMS practitioners the skills and knowledge to handle the unique medical, social, environmental and communications challenges of older adults. Developed by NAEMT in partnership with the American Geriatrics Society, GEMS empowers EMS practitioners to help improve medical outcomes and quality of life for geriatric patients. This course enhances the competence, confidence and compassion of EMS practitioners in responding to geriatric patients. Features of the course include: Geriatric Education for EMS (GEMS) Hours: 8 Course format: Classroom Who is this class for? EMTs, paramedics, emergency medical responders, nurses, physician assistants and physicians. This course is appropriate for all levels of EMS practitioner. 14 NAEMT Education 1-800-346-2368 | [email protected] | naemt.org ❚ Geriatric specific content on fall prevention, epidemiology, polypharmacy, end-of-life issues and do-not-resuscitate orders. ❚ Trauma care and disaster care for older patients. ❚ Case scenarios to encourage student interaction and discussion. ❚ An exploration of mobile integrated healthcare-community paramedicine (MIH-CP) and the EMS role in patient advocacy. ❚ Videos on MIH-CP, elder abuse and trauma care for the elderly, featuring real-world scenarios that demonstrate assessing, treating and communicating with older patients. ❚ Small group discussion and simulations including a station that allows students to experience vision, sensory and movement disorders, deepening their understanding of and compassion for geriatric patients. NEW! Geriatric Education for EMS (GEMS) Advanced Course NAEMT’s groundbreaking Geriatric Education for Emergency Medical Services (GEMS) Advanced course builds on the GEMS core course, delving into more complex, realistic scenarios and the unique technology EMS practitioners are likely to encounter when assessing, treating, and transporting older adults. ❚ Highly interactive, immersive educational format focuses on integrating critical thinking into real world application. ❚ Topics covered include caring for and transporting patients on home ventilators, LVADs (left ventricular assist devices), tracheostomies, PICC lines/invasive lines, and feeding tubes. ❚ Prepares EMS practitioners for the array of medical, mobility, psychosocial and communications issues found in older patients. ❚ Students are guided through a series of scenarios involving increasingly complex symptoms and situations. GEMS is without a doubt one of my favorite NAEMT programs. Students receive so little geriatric education during their initial training, even though it is so much a part of what they will see as EMS providers. As we continue to see our aging population increase, it will become even more important to understand their special challenges and to function as their healthcare advocates. — Elsa Tuttle, Kansas City, MO Geriatric Education for EMS (GEMS) Advanced Hours: 8 Course format: Classroom Who is this class for? EMTs, paramedics, emergency medical responders, nurses, physician assistants and physicians. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 15 EMS Safety Second Edition EMS practitioners are 2.5 times more likely to die on the job and 3 times more likely than the average worker to miss work as a result of injury. To combat this epidemic, NAEMT created the EMS Safety course to promote a culture of safety and to help reduce the number of on-the-job fatalities and injuries. The EMS Safety course trains EMS practitioners to be active participants in their own safety. Participants are taught to identify and remove the hazards that can appear during daily tasks, from offensive drivers to violent encounters to chronic stress. Participants are given practical strategies that they can apply in the field, from situational awareness to defensive driving to verbal deflection. Finally, participants are taught how to strengthen their resiliency skills in order to combat both chronic and critical incident stress. EMS Safety is the first national and most comprehensive safety-focused education course. Its interactive format features real-life case studies, compelling discussions on current safety issues, and provides participants with a forum to share their own experiences. Critical thinking skill stations help to build participants’ risk assessment and decision-making skills. Topics covered include: ❚ Applying crew resource management in EMS. Safety has to be an integral part of our culture. We provide the NAEMT Safety Course as a mandatory part of our academy and offer it regularly to staff. It has value for everyone from the rookie to the seasoned veteran. — Jerry Johnston, Alameda County, CA EMS Safety Hours: 8 Course format: Classroom Who is this class for? All EMS practitioners, other medical professionals providing prehospital patient care, EMS supervisors and administrators. This course is appropriate for all levels of EMS practitioner. 16 NAEMT Education 1-800-346-2368 | [email protected] | naemt.org ❚U tilizing situational awareness and defensive driving for safe emergency vehicle operations. ❚ E mploying multi-agency preplanning, vehicle and practitioner visibility techniques, and defensive staging practices at roadside incidents. ❚ U tilizing lift assist teams, lifting and moving equipment, and behavioral controls to protect both EMS practitioners and patients from injury. ❚ E mploying situational awareness to continually assess for the potential of violence on the scene and verbal and physical techniques to deescalate potential threats. ❚P racticing infection and contagion control to protect both EMS practitioners and patients from emerging threats. ❚ Strengthening resiliency skills to help EMS practitioners cope with daily and critical incident stress. ❚ E nsuring personal readiness for the daily challenges and hazards of working in the field through optimal personal health. COMING IN 2017! EMS Vehicle Operator Safety (EVOS) Every year, an average of 33 people die and 2,600 are injured nationwide as a result of ambulance crashes, according to statistics from NHTSA’s Fatality Analysis Reporting System. EMS Vehicle Operator Safety (EVOS) addresses the knowledge gap that leads to injuries and deaths, focusing on the specific behaviors that need to be changed to create a culture of safe driving. Drawing on the most current research about the behaviors and other hazards that lead to crashes, EVOS features case studies and analyses of both common and catastrophic collisions. While other vehicle operator courses tend to focus primarily on driving and technical skills, EVOS challenges EMS providers to reconsider their preconceptions about safe vehicle operations. driving habits into a culture of safety. Additional topics covered include: ❚ D aily vehicle inspection and proper vehicle maintenance ❚ E MS vehicle operation and the law ❚ M ental, emotional and physical preparedness ❚ S patial awareness ❚ D riving under various road and weather conditions ❚ T echnological safe-driving aids Interactive features of the course include crash footage from driver behavior monitoring systems and hazardous driving scenarios depicted through graphics from a driving simulator. Capturing multiple views and perspectives, these dynamic features vividly bring concepts to life, allowing for critical—and thorough— analysis. The course’s flexible format allows instructors to easily incorporate local laws, rules and policies into the curriculum and to discuss crashes that have occurred in their local area. With its emphasis on real-life scenarios and practical safety pointers, EVOS drives home the critical safety principles that are needed to transform a culture of bad EMS Vehicle Operator Safety (EVOS) Hours: EVOS can be offered as a one day, 8-hour classroom course or as a 16-hour course with an 8-hour hands-on driving component. Who is this class for? All levels of EMS practitioner. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 17 All Hazards Disaster Response (AHDR) Floods, tornadoes, earthquakes, bus wrecks, active shooters, terror attacks. When you look around your city or region, are you truly ready for the many types of disaster scenarios that could come your way? assisted living homes or hospitals, that need special consideration during such an event. Instructors can customize the course to fit the specific needs of participants, including geographic area and availability of resources. Content is presented in the context of realistic scenarios, culminating with a large-scale mass casualty activity. Get prepared to respond with All Hazards Disaster Response (AHDR), NAEMT’s new course that teaches participants how to analyze potential threats in their area, assess available resources, and create a response plan that will save lives. Features of a response plan covered in the course include: ❚C ommunicating effectively during disasters. ❚M utual aid and interoperability. ❚M anaging resources such as supplies, medications and equipment. ❚ T riage and transportation strategies and challenges. ❚P atient tracking and evacuation. At the start of the course, participants conduct a “hazards vulnerability analysis” to assess features of their environment, both natural and manmade, that pose risk, along with assessing the needs of vulnerable populations, such as 18 All-Hazards Disaster Response Hours: 8 Course format: Classroom Who is this class for? All levels of EMS practitioner. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org Durham EMS PEPL course in action. Principles of Ethics and Personal Leadership (PEPL) Changes in our nation’s healthcare system are requiring EMS practitioners to explore new ways to deliver medical care, improve patient outcomes and reduce costs. Principles of Ethics and Personal Leadership (PEPL) provides EMS and mobile healthcare practitioners with the knowledge and skills to effectively interact with patients and their families, other medical personnel, co-workers, supervisors and members of their community. Through facilitated group discussions and case studies depicting some of the challenging scenarios that EMS practitioners may be faced with, the course explores: ❚P ersonal and professional core values. ❚ E thical decision-making and the exercise of ethical leadership. ❚D uty to serve, and the concept of service beyond self. ❚ S trategies for conflict resolution. ❚A mbassadorship for the profession, the agency, and the community at large. Students also consider the importance of ethics and personal leadership, identify their leadership role as individuals, professionals, and in civic life, and practice the skills important to the exercise of leadership. A truly interactive learning process, the curriculum is designed to promote dialogue. It uses a variety of instructional methodologies, including small and large group discussion, experiential activities, individual reflection, video case reviews, classic and contemporary readings, and shared analysis. I have not enjoyed teaching or facilitating a class quite as much as the PEPL course. Our chief took the course and now he wants to make this course a requirement of orientation for all of our members. That is just how effective this course is. — Chad Burkhart, New Paltz, NY Principles of Ethics and Personal Leadership (PEPL) Hours: 16 Course format: Classroom, with an emphasis on facilitated discussion or classroom/online hybrid. Who is this class for? Emergency medical technicians, paramedics, mobile healthcare or community paramedics. This course is appropriate for all levels of EMS practitioner. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 19 Tactical Combat Casualty Care (TCCC) Tactical Combat Casualty Care (TCCC), developed by the U.S. Department of Defense (DoD), is a system of providing evidence-based, life-saving techniques and strategies for best-practice trauma care on the battlefield. TCCC has been documented to produce dramatic improvements in casualty survival in Iraq and Afghanistan. TCCC is the only set of battlefield trauma care guidelines endorsed by the American College of Surgeons. NAEMT’s TCCC course is fully compliant with the DoD’s Committee on Tactical Combat Casualty Care (CoTCCC) guidelines. CoTCCC is comprised of representatives from all branches of the U.S. Armed Services, and includes trauma surgeons, emergency medicine physicians, combatant unit physicians, combat medics, corpsmen, and pararescuemen, all of whom have combat experience. TCCC teaches the principles of providing care in three types of situations military personnel may face when deployed to combat zones. ❚C are Under Fire: Care rendered at the scene of the injury while both the medic and the casualty are under hostile fire. Available medical equipment is limited to what is carried by the medic and other military personnel. This stage focuses on a quick assessment, and applying tourniquets to stop major bleeds and buy time. ❚ T actical Field Care: Rendered once the casualty is no longer under hostile fire. Medical equipment is Tactical Combat Casualty Care for All Combatants (TCCC-AC) The wars in Iraq and Afghanistan demonstrated that quick action by non-medical military personnel to stop bleeding saves lives. TCCC for All Combatants (TCCC-AC) teaches basic airway management, drags and carries, and applying hemostatic dressing and tourniquets – basic skills that reduce preventable deaths on the battlefield. Hours: 16 Tactical Combat Casualty Care for All Combatants (TCCC-AC) Course format: Classroom Hours: 8 Who is this class for? Military medics, corpsmen and pararescuemen who are preparing to deploy in support of combat operations, and other medical military personnel. This course is appropriate for medical military personnel at all training levels. Course format: Classroom Tactical Combat Casualty Care (TCCC) 20 still limited. This stage focuses on saving a life until evacuation to more definitive care. Care may include advanced airway management or IV therapy, depending on the skill level of the provider and supplies available. ❚ T actical Evacuation Care: Rendered while the casualty is evacuated to a higher echelon of care. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org Who is this class for? Non-medical military personnel Tactical Emergency Casualty Care (TECC) Developed by NAEMT’s Prehospital Trauma Life Support (PHTLS) Committee, the TECC program is based on the guidelines from the Committee on Tactical Emergency Casualty Care (CoTECC) and the Tactical Combat Casualty Care (TCCC) program. TECC uses lessons learned from the military and applies them to tactical situations in the civilian world, such as active shooters or other mass casualty situations. With a goal of decreasing preventable deaths in tactical situations, topics include: ❚H emorrhage control. ❚ S urgical airway control and needle decompression. ❚ S trategies for treating wounded responders in threatening environments. ❚C aring for pediatric patients. ❚ Techniques for dragging and carrying victims to safety. At the core of the TECC program is the care provided during three distinct phases of care. ❚D irect Threat Care: Care provided while under attack or facing another direct threat. ❚ Indirect Threat Care: Rendered while the threat has been suppressed, but may resurface. ❚ E vacuation Care: Rendered while the casualty is being evacuated from the incident site. TECC takes an all-hazards approach to teach skills necessary for providing care outside the normal operating conditions of most EMS agencies. TECC takes the TCCC program that has saved countless lives in the military and adapts it to the civilian world. If you read the front page of the newspaper, it’s clear that this type of training is important for our crews in our current world. — Tim Ogan, St. Louis, MO Tactical Emergency Casualty Care (TECC) Hours: 16 Course format: Classroom Who is this class for? Emergency medical technicians and paramedics who could be called upon to respond to a mass casualty or active shooter event. This course can be offered at the basic, advanced or combined levels. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 21 Law Enforcement and First Response Tactical Casualty Care (LEFR-TCC) In an active shooter, mass casualty or other trauma situation, law enforcement officers may be first on scene and have first contact with the wounded. To arm law enforcement officers with the knowledge to save lives, Law Enforcement and First Response Tactical Casualty Care (LEFR-TCC) is an 8-hour course that teaches basic, lifesaving interventions that law enforcement officers can safely provide to buy time until EMS practitioners arrive or can safely enter a tactical scene. Topics covered include: ❚H emorrhage control with tourniquets. ❚U sing combat gauze. ❚B asic airway management techniques. ❚R ecognizing shock. LEFR-TCC was developed by NAEMT’s PHTLS Committee in collaboration with the Denver Health Department of EMS Education and the Denver Police Department Metro/SWAT. The curriculum is based on the principals of trauma care taught in PHTLS and TCCC. The course uses active shooter scenarios during which students practice the skills. 22 The LEFR program is by far the most cutting edge and up to date trauma care intervention specific for law enforcement. It allows law enforcement, whether through buddy aid or self aid, to remain in the fight. The program also reminds law enforcement to be prepared, both on and off duty, to better protect ourselves, family and friends. — Bill Justice, Oklahoma City, OK Law Enforcement and First Response Tactical Casualty Care (LEFR-TCC) Hours: 8 Course format: Classroom Who is this class for? Law enforcement officers, firefighters and other first responders NAEMT Education 1-800-346-2368 | [email protected] | naemt.org Bleeding Control for the Injured (B-Con) EMS, firefighters and law enforcement officers are all key players in the chain of survival for the victims of active shooters or other trauma. So are bystanders. In this 2.5-hour course designed for those with little to no medical background, Bleeding Control for the Injured (B-Con) teaches members of the public to take action to save a life. Students are taught basic life-saving medical interventions, including: ❚ T he rationale for early use of a tourniquet for life-threatening extremity bleeding. ❚ T he appropriate application of a tourniquet to the arm and leg. ❚ T he progressive strategy for controlling hemorrhage. ❚A irway control techniques and devices. ❚ The correct application of a topical hemostatic dressing (combat gauze). The course was developed by NAEMT’s PHTLS Committee. NAEMT has partnered with the American College of Surgeons’ Committee on Trauma to disseminate B-Con course materials nationwide.* Bleeding Control for the Injured (B-Con) Hours: 2.5 Course format: Classroom Who is this class for? Any member of the public, including teachers or security personnel. Also non-tactical law enforcement officers and firefighters. NAEMT Education 1-800-346-2368 | [email protected] | naemt.org 23 National Association of Emergency Medical Technicians (NAEMT) Formed in 1975 and more than 55,000 members strong, the National Association of Emergency Medical Technicians (NAEMT) is the only national association representing the professional interests of all emergency and mobile healthcare practitioners, including emergency medical technicians, advanced emergency medical technicians, emergency medical responders, paramedics, advanced practice paramedics, critical care paramedics, flight paramedics, community paramedics, and mobile integrated healthcare practitioners. NAEMT members work in all sectors of EMS, including government agencies, fire departments, hospital-based ambulance services, private companies, industrial and special operations settings, and in the military. For more information visit: www.naemt.org. Serving our nation’s EMS practitioners National Association of Emergency Medical Technicians PO Box 1400 | Clinton, MS 39060-1400 www.naemt.org | www.facebook.com/NAEMTfriends | www.twitter.com/NAEMT_