**Terminal Objective:
At the conclusion of Advanced EMS Care, the student will show competence in field evaluation, assessment and patient care while preparing to challenge the National Registry examination for paramedic certification.

Course Outline:
I. Preparatory
II. Airway and Ventilation
III. Patient Assessment
IV. Trauma
V. Medical Emergencies
VI. Special Considerations in EMS
VII. EMS Operations
VIII. Standardized Testing Preparation**

PROGRAM BEHAVIORAL OBJECTIVES**
Behavioral attributes of the MICT student and certified MICT are very important. Because of this, we have developed behavioral objectives for the Cowley MICT student. These objectives are based on what is required of an MICT and employer expectations.
At the conclusion of the program, the MICT student must exhibit appropriate behavior in the following areas:

• Integrity
• Empathy
• Self-Motivation
• Appearance and Personal Hygiene
• Self-Confidence
• Communications
• Time Management
• Teamwork and Diplomacy
• Respect
• Patient Advocacy
• Careful Delivery of Service

Other behavioral objectives, found in specific curricular areas, have also been developed as well (these are found in the specific class objectives). We strongly believe that the entry level MICT must have the knowledge, ability to perform and have obtained appropriate professional behaviors.

KEY TO CLASSIFICATION OF OBJECTIVES
(B) - Denotes a behavioral objective
(C) - Denotes a cognitive objective
(M) - Denotes a psychomotor objective
** Denotes objectives added to curriculum by Cowley

I. Preparatory
**Unit Objective: At the conclusion of this unit, the paramedic student will understand the roles and responsibilities of a paramedic, while integrating pathophysiology, pharmacology and human development to determine an appropriate treatment plans that follows legal and ethical guidelines of pre-hospital care.
*At the completion of this unit, the paramedic student will understand his or her roles and responsibilities within an EMS system, and how these roles and responsibilities differ from other levels of providers.
*At the completion of this unit, the paramedic student will understand and value the importance of personal wellness in EMS and serve as a healthy role model for peers.
*At the completion of this unit, the paramedic student will be able to integrate the implementation of primary injury prevention activities as an effective way to reduce death, disabilities and health care costs.
*At the completion of this unit, the paramedic student will understand the legal issues that impact decisions made in the out-of-hospital environment.
*At the completion of this unit, the paramedic student will understand the role that ethics plays in decision making in the out-of-hospital environment.
*At the completion of this unit, the paramedic student will be able to apply the general concepts of pathophysiology for the assessment and management of emergency patients.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles of pharmacology and the assessment findings to formulate a field impression and implement a pharmacologic management plan.
*At the completion of this unit, the paramedic student will be able to safely and precisely access the venous circulation and administer medications.
*At the completion of this unit, the paramedic student will be able to integrate the principles of therapeutic communication to effectively communicate with any patient while providing care.
*At the completion of this unit, the paramedic student will be able to integrate the physiological, psychological, and sociological changes throughout human development with assessment and communication strategies for patients of all ages.

II. Airway and Ventilation
** Unit Objective: At the completion of this unit, the paramedic student will be able to establish and/ or maintain a patent airway, oxygenate, and ventilate a patient.
**Correctly perform manual procedures to open an airway.
**Correctly insert an OPA.
**Show proper technique when using a BVM.
**Correctly perform all steps necessary to ensure endotracheal intubation.

III. Patient Assessment
**Unit objective: At the conclusion of this unit, the paramedic student will be able to obtain patient history, explain the pathophysiology of exam findings and apply a process of clinical decision making while being able to communicate this information to necessary ancillary medical personnel in verbal and written form.
*At the completion of this unit, the paramedic student will be able to use the appropriate techniques to obtain a medical history from a patient.
*At the completion end of this unit, the paramedic student will be able to explain the pathophysiological significance of physical exam findings.
*At the end of this unit, the paramedic student will be able to integrate the principles of history taking and techniques of physical exam to perform a patient assessment.
*At the end of this unit, the paramedic student will be able to apply a process of clinical decision making to use the assessment findings to help form a field impression.
*At the completion of this unit, the paramedic student will be able to follow an accepted format for dissemination of patient information in verbal form, either in person or over the radio.
*At the completion of this unit, the paramedic student will be able to effectively document the essential elements of patient assessment, care and transport.

IV. Trauma
Unit Objective: At the completion of this module, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the trauma patient.
*At the completion of this unit, the paramedic student will be able to integrate the principles of kinematics to enhance the patient assessment and predict the likelihood of injuries based on the patient's mechanism of injury.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with shock or hemorrhage.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement the treatment plan for the patient with soft tissue trauma.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement the management plan for the patient with a burn injury.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the trauma patient with a suspected head injury.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with a suspected spinal injury.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for a patient with a thoracic injury.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement the treatment plan for the patient with suspected abdominal trauma.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement the treatment plan for the patient with a musculoskeletal injury.

V. Medical Emergencies
Unit Objective: At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the medical patient.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with respiratory problems.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with cardiovascular disease.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with a neurological problem.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with an endocrine problem.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with an allergic or anaphylactic reaction.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with a gastroenterologic problem.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with a renal or urologic problem.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with a toxic exposure.
*At the completion of this unit, the paramedic student will be able to integrate the pathophysiological principles of the hemopoietic system to formulate a field impression and implement a treatment plan.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with an environmentally induced or exacerbated medical or traumatic condition.
*At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a management plan for the patient with infectious and communicable diseases.
*At the end of this unit, the paramedic student will be able to describe and demonstrate safe, empathetic competence in caring for patients with behavioral emergencies.
*At the end of this unit, the paramedic student will be able to utilize gynecological principles and assessment findings to formulate a field impression and implement the management plan for the patient experiencing a gynecological emergency.
*At the completion of this unit, the paramedic student will be able to apply an understanding of the anatomy and physiology of the female reproductive system to the assessment and management of a patient experiencing normal or abnormal labor.

VI. Special Considerations in EMS
**Unit Objective: At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the neonatal, pediatric, geriatric, abused and psychological patients while being able to recognize, and implement a treatment plan, for acute symptoms of a chronic illness.
*At the completion of this lesson, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the neonatal patient.
*At the completion of this lesson, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the pediatric patient.
*At the completion of this unit, the paramedic student will be able to integrate the pathophysiological principles and the assessment findings to formulate and implement a treatment plan for the geriatric patient.
*At the completion of this unit, the paramedic student will be able to integrate the assessment findings to formulate a field impression and implement a treatment plan for the patient who has sustained abuse or assault.
*At the completion of this unit the paramedic student will be able to integrate pathophysiological and psychosocial principles to adapt the assessment and treatment plan for diverse patients and those who face physical, mental, social and financial challenges.
*At the completion of this unit, the paramedic student will be able to integrate the pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the acute deterioration of a chronic care patient.

VII. EMS Operations
Unit Objective: At the completion of this unit, the paramedic student will be able to safely manage the scene of an emergency.
*At the completion of this unit, the paramedic will understand standards and guidelines that help ensure safe and effective ground and air medical transport.
*At the completion of this unit, the paramedic student will be able to integrate the principles of general incident management and multiple casualty incident (MCI) management techniques in order to function effectively at major incidents.
*At the completion of this unit, the paramedic student will be able to integrate the principles of rescue awareness and operations to safely rescue a patient from water, hazardous atmospheres, trenches, highways, and hazardous terrain.
*At the completion of this unit, the paramedic student will be able to evaluate hazardous materials emergencies, call for appropriate resources, and work in the cold zone.
*At the completion of this unit, the paramedic student will have an awareness of the human hazard of crime and violence and the safe operation at crime scenes and other emergencies.

VIII. Standardized Testing Preparation**
**Unit Objective: At the completion of this unit the paramedic student will have shown mastery of skills and knowledge necessary to pass a standardized national registry test in order to attain paramedic certification.
**Display knowledge consistent with an entry-level paramedic.
**Actively participate in a guided review of cognitive material.
**Correctly perform skills specific to each national registry testing station.
**Display behaviors consistent with an entry-level paramedic.