Course Overview from the DOT Curriculum

 

Appendix B


 

EMT-INTERMEDIATE:  NATIONAL STANDARD CURRICULUM

DIAGRAM OF EDUCATIONAL MODEL

 

 

 

 

PREREQUISITE

 

 

 

 

 

EMT or EMT-Basic

 

 

 

 

 

 

 

 

 

 

 

 

PREPARATORY

 

 

 

 

Clinical/Field

 

Foundations of the EMT-Intermediate

Overview of Human Systems

Emergency Pharmacology

Venous Access and Medication Administration

 

 

Clinical/Field

 

 

 

AIRWAY MANAGEMENT AND VENTILATION

 

 

 

MEDICAL

 

PATIENT ASSESSMENT

 

TRAUMA

 

Respiratory Emergencies

Cardiovascular Emergencies

Diabetic Emergencies

Allergic Reactions

Poisoning/Overdose Emergencies

Neurological Emergencies

Non-Traumatic Abdominal Emergencies Environmental Emergencies

Behavioral Emergencies

Gynecological Emergencies

 

History Taking

Techniques of Physical Examination

Patient Assessment

Clinical Decision Making

Communications

Documentation

 

 

Trauma Systems/Mechanism of Injury

Hemorrhage and Shock

Burns

Thoracic Trauma

Trauma Practical Laboratory

 

 

 

SPECIAL CONSIDERATIONS

 

 

 

 

Clinical/Field

 

Obstetric Emergencies

Neonatal Resuscitation

Pediatrics

Geriatrics

 

 

Clinical/Field

 

 

 

ASSESSMENT BASED MANAGEMENT

 

 

 

 

 

 

 

 

 

 

 

LIFE LONG LEARNING

 

 

 

 

 

Continuing Education

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RECOMMENDED COURSE HOURS

 

This project included a pilot and field testing of developmental drafts of the curriculum. Based on input from the pilot test, the field tests, national and peer review, there were significant changes to the curriculum after pilot and field testing.  A panel of experts in EMS education used the pilot and field test data to develop recommended time frames for the EMT-Intermediate course.  These time frames are meant only as a guide to help in program planing.  Training institutes MUST adjust these times based on their individual needs, goals and objectives.  These times are only recommendations, and should NOT be interpreted as minimums or maximums.  Those agencies responsible for program oversight are cautioned against using these hours as a measure of program quality or having satisfied minimum standards.  Competence of the graduate, not adherence to arbitrary time frames, is the only measure of program quality.

 

Based on these recommendations, it is suggested that the course be planned for approximately 300-400 total hours of instruction (175-225 classroom/practical laboratory, 50-75 clinical, 75-100 field internship.)

Note for this class: Total clinical hours are not utilized to determine successful course completion, this is accomplished by completion of required patient contacts regardless of the time required.

 

 

 

 

 

Recommended didactic time (hours)

 

 

Recommended practical laboratory time (hours)

 

Preparatory

 

Found. of the EMT-I Paramedic

 

3

 

 

 

 

Overview of Human System/Roles & Responsibilities

 

6

 

 

 

Emergency Pharmacology

 

12

 

 

 

Medication Administration

 

3

 

6

 

Module Totals

 

24

 

6

 

Airway Management & Ventilation

 

Airway and Ventilation

 

9

 

9

 

Module Totals

 

9

 

9

 

Patient Assessment

 

History Taking

 

1

 

 

 

Technique of Physical Examination

 

3

 

3

 

Patient Assessment

 

2

 

6

 

Clinical Decision Making

 

1

 

 

 

Communications

 

1

 

1

 

Documentation

 

1

 

1

 

Module Totals

 

9

 

11

 

Trauma

 

Trauma Systems/ Mechanism of Injury

 

2

 

 

 

Hemorrhage and Shock

 

2

 

 

 

Burns

 

1

 

 

 

Thoracic Trauma

 

3

 

 

 

Practical Laboratory

 

 

 

8

 

Module Totals

 

8

 

8

 

Medical

 

Respiratory Emergencies

 

9

 

3

 

Cardiac Emergencies

 

27

 

24

 

Diabetic Emergencies

 

2

 

 

 

Allergic Reaction

 

1

 

 

 

Poisoning/OD Emergencies

 

1

 

 

 

Neurological Emergencies

 

2

 

 

 

Abdominal Emergencies

 

1

 

 

 

Environmental Emergencies

 

2

 

 

 

Behavioral Emergencies

 

1

 

 

 

Gynecological Emergencies

 

2

 

 

 

Module Totals

 

48

 

27

 

Special Considerations

 

Obstetric Emergencies

 

2

 

1

 

Neonatology

 

2

 

2

 

Pediatrics

 

8

 

4

 

Geriatrics

 

2

 

 

 

Module Total

 

14

 

7

 

Assessment Based Management

 

Assessment Based Management

 

 

 

12

 

Module Totals

 

 

 

12

 

 

 

Clinical and Field                                

 

Clinical

 

 

 

50

 

Field

 

 

 

75

 

Note: These recommendations do not consider any miscellaneous classroom tine (i.e. exams, review, program administrative time, breaks, etc.) 

 

 

For the complete curriculum go to NHTSA’s web site at http://www.nhtsa.dot.gov/people/injury/ems/nsc.htm