District Syllabus
EMS1601
Introduction To Advanced Prehospital Care


Credit Hours: 1
Contact Hours: 1 (NOTE: )
Laboratory Fee: None.
Prerequisites: There are no prerequisites for this course.
Corequisites: There are no corequisites for this course.
Catalog Description: This course focuses upon Paramedic roles and responsibilities, wellness in EMS, primary injury prevention, medical/legal considerations, emergency medical services ethics, EMS communication systems, and proper patient documentation.
Required Materials: Books:
  • Bledsoe, Bryan. Essentials of Paramedic Care, 2nd ed., Pearson Pub, 2011. ISBN: 9780132156899
  • Bledsoe, Bryan. Essentials of Paramedic Care Workbook, 2nd ed., Pearson Pub, 2011. ISBN: 9780131384422
  • Bledsoe, Porter, Cherry. Paramedic Care: Principles and Practice, Vol 1, 3rd ed., Prentice Hall, 2009. ISBN: 0135137047
  • Bledsoe, Porter, Cherry. Paramedic Care: Principles and Practice, Vol 1 - Workbook, 3rd ed., Prentice Hall, 2009. ISBN: 0135150205
Supplemental Materials:
Special Requirements: Extensive use of computers and internet-based learning
Program Learning Outcomes:
At the completion 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.
Course Learning Outcomes:
At the completion of this unit, the paramedic student will 
understand his or her roles and responsibilities within an EMS 
system, and how those roles and responsibilities differ from other 
levels of providers.  The student will be able to demonstrate 
knowledge of the Paramedic's roles and responsibilities.
Describe wellness in EMS
Describe primary injury prevention.
Describe medical/legal considerations.
Describe emergency medical services ethics.
Describe and demonstrate EMS communication systems.
Demonstrate proper patient documentation.
Given real or simulated situations, the student should be able to:
DEMONSTRATE KNOWLEDGE OF THE PARAMEDIC’S ROLES AND RESPONSIBILITIES
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. 
The student will be able to:
Define terms, including but not limited to: EMS systems, licensure, 
registration, profession, professionalism, health care professional, 
ethics, peer review, medical direction and protocols.	
Describe the attributes of a paramedic as a health care 
professional. 
Explain paramedic licensure/ certification, recertification, and 
reciprocity requirements in his or her state. 
Evaluate the importance of maintaining one’s paramedic license/ 
certification. 
Describe the benefits of paramedic continuing education. 
Discuss the role of national associations and of a national registry 
agency.
Discuss Chapter 401, Florida Statutes, and Chapter 64-E, Florida 
Administrative Code 
Discuss the roles of various EMS standard setting agencies.  
Identify the standards (components) of an EMS System as defined by 
the National Highway Traffic Safety Administration. 
Describe examples of professional behaviors in the following areas: 
integrity, empathy, self-motivation, appearance and personal 
hygiene, self-confidence, communications, timemanagement, teamwork 
and diplomacy, respect, patient advocacy, and careful delivery of 
service. 
Describe the importance of quality EMS research to the future of 
EMS. 
List the primary and additional responsibilities of paramedics. 
Describe the role of the EMS physician in providing medical 
direction.
Describe the benefits of medical direction, both on-line and off-
line. 
Provide examples of local protocols. 
Discuss prehospital and out-of-hospital care as an extension of the 
physician. 
Describe the relationship between a physician on the scene, the 
paramedic on the scene, and the EMS physician providing on-line 
medical direction. 
Define the role of the paramedic relative to the safety of the crew, 
the patient, and bystanders. 
Assess personal practices relative to the responsibility for 
personal safety, the safety of the crew, the patient, and 
bystanders. 
Advocate the need for injury prevention, including abusive 
situations. 
Exhibit professional behaviors in the following  empathy, self-
motivation, appearance and personal hygiene, self-confidence, 
communications, time management, teamwork and diplomacy, respect, 
patient advocacy, and careful delivery of service.
DESCRIBE WELLNESS IN EMS-- 
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:
Discuss the concept of wellness and its benefits. 
Discuss how cardiovascular endurance, muscle strength, and 
flexibility contribute to physical fitness. 
Describe the impact of shift work on circadian rhythms. 	
Discuss how periodic risk assessments and knowledge of warning signs 
contribute to cancer and cardiovascular disease prevention. 
Differentiate proper from improper body mechanics for lifting and 
moving patients in emergency and non-emergency situations. 
Describe the problems that a paramedic might encounter in a hostile 
situation and the techniques used to manage the situation.
Describe the equipment available for self-protection when confronted 
with a variety of adverse situations. 
Describe the three phases of the stress response. 
List factors that trigger the stress response. 
Differentiate between normal/ healthy and detrimental reactions to 
anxiety and stress. 
Identify causes of stress in EMS. 
Identify and describe the defense mechanisms and management 
techniques commonly used to deal with stress. 
Describe the components of critical incident  stress management 
(CISM).
Describe the needs of the paramedic when dealing with death and 
dying. 
Describe the unique challenges for paramedics in dealing with the 
needs of children and other special populations related to their 
understanding or experience of death and dying. 
Discuss the importance of universal precautions and body substance 
isolation practices.
Defend the need to treat each patient as an individual, with respect 
and dignity. 
Promote and practice stress management techniques. 
Defend the need to respect the emotional needs of dying patients and 
their families.  
Advocate and practice the use of personal safety precautions in all 
scene situations. 
DESCRIBE PRIMARY INJURY PREVENTION-- 
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 be able 
to:
Describe the incidence, morbidity and mortality of unintentional and 
alleged unintentional events.  
Identify the human, environmental, and socioeconomic impact of 
unintentional and alleged unintentional events. 
Identify health hazards and potential crime areas within the 
community. 
Identify the role of EMS in local municipal and community prevention 
programs.  
Value the contribution of effective documentation as one 
justification for funding of prevention programs. 
DESCRIBE MEDICAL/LEGAL CONSIDERATIONS -- 
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 be able 
to:
Differentiate between legal and ethical responsibilities. 
Differentiate between licensure and certification as they apply to 
the paramedic.
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.
Define 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.
Differentiate between the scope of practice and the standard of care 
for paramedic practice. 
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. 
Describe the four elements that must be present in order to prove 
negligence. 
Discuss the legal concept of immunity, including Good Samaritan 
statutes and governmental immunity, as it applies to the paramedic.
Explain the importance and necessity of patient confidentiality and 
the standards for maintaining patient confidentiality that apply to 
the paramedic. 
Differentiate among expressed, informed, implied, and involuntary 
consent. 
Given a scenario, demonstrate appropriate patient management and 
care techniques in a refusal of care situation. 
Describe what constitutes abandonment. 
Differentiate between assault and battery and describe how to avoid 
each. 
Describe the actions that the paramedic should take to preserve 
evidence at a crime or accident scene. 
Describe the importance of providing accurate documentation (oral 
and written) in substantiating an incident. 
Describe the characteristics of a patient care report required to 
make it an effective legal document.
DESCRIBE EMERGENCY MEDICAL SERVICES ETHICS-- 
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:
Distinguish between ethical and moral decisions. 
Identify the premise that should underlie the paramedic's ethical 
decisions in out-of hospital care. 
Analyze the relationship between the law and ethics in EMS. 
Describe the criteria necessary to honor an advance directive in 
your state. 
DESCRIBE AND DEMONSTRATE EMS COMMUNICATIONS SYSTEMS --  
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:
Identify the role of verbal, written, and electronic communications 
in the provision of EMS. 
Describe the phases of communications necessary to complete a 
typical EMS event. 
Identify the importance of proper terminology when communicating 
during an EMS event. 
List factors that impede effective verbal communications. 
List factors which enhance verbal communications. 
List factors which impede effective written communications. 
List factors which enhance written communications. 
Recognize the legal status of written communications related to an 
EMS event. 
Identify the components of the local EMS communications system and 
describe their function and use. 
Identify and differentiate among the following communications 
systems: simplex, multiplex, duplex, trunked, digital 
communications,and cellular telephone.
Describe the functions and responsibilities of the Federal 
Communications Commission. 
Describe how an EMS dispatcher functions as an integral part of the 
EMS team. 
List appropriate information to be gathered by the Emergency Medical 
Dispatcher. 
Describe information that should be included in patient assessment 
information verbally reported to medical direction. 
Organize a list of patient assessment information in the correct 
order for electronic transmission to medical direction according to 
the format used locally.
DEMONSTRATE PROPER PATIENT DOCUMENTATION -- 
At the completion of this unit, the paramedic student will be able 
to effectively document the essential elements of patient 
assessment, care and transport. 
At the completion of this unit, the paramedic student will be able 
to:
Identify the general principles regarding the importance of EMS 
documentation and ways in which documents are used. 
Identify and use medical terminology correctly. 
Record all pertinent administrative information. 
Analyze the documentation for accuracy and completeness, including 
spelling. 
Describe the differences between subjective and objective elements 
of documentation.
Describe the potential consequences of illegible, incomplete, or 
inaccurate documentation. 
Describe the special considerations concerning patient refusal of 
transport. 
Explain how to properly record direct patient or bystander comments. 
Describe the special considerations concerning mass casualty 
incident documentation. 
Identify and record the pertinent, reportable clinical data of each 
patient interaction. 
Note and record pertinent negative clinical findings. 
Demonstrate proper completion of an EMS event record used locally. 
Methods of Evaluation: Evaluation of student progress towards achieving the stated learning outcomes and performance objectives is the responsibility of the instructor, within the policies of the college and the department. Detailed explanation is included in the expanded syllabus developed by the instructor for each section being taught. Quizzes, written tests, written reports, and final exam may be required. Final grade average of "C" (80%) required for successful completion of this course.
Flexibility: It is the intention of the instructor to accomplish the objectives specified in the course syllabus. However, circumstances may arise which prohibit the fulfilling of this endeavor. Therefore, this syllabus is subject to change. When possible, students will be notified of any change in advance of its occurrence.
Student Email Accounts Pensacola State College provides an institutional email account to all credit students. Pirate Mail is the official method of communication, and students must use Pirate Mail when communicating with the College. In cases where companion software is used for a particular class, emails may be exchanged between instructor and student using the companion software.
Note: For students with a disability that falls under the Americans with Disability Act or Section 504 of the Rehabilitation Act, it is the responsibility of the student to notify Student Resource Center for ADA Services to discuss any special needs or equipment necessary to accomplish the requirements for this course. Upon completion of registration with the Student Resource Center for ADA Services office, specific arrangements can be discussed with the instructor.