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Course Information
Health Careers Education
HL00009
EMR Emergency Medical Responder
66.00
This course prepares students for testing and registration through the Oklahoma State Department of Health or NREMI as an EMR. The primary focus of the Emergency Medical Responder is to initiate immediate lifesaving care to critical patients who access the emergency medical system. This course provides basic knowledge and skills necessary to perform lifesaving interventions while awaiting additional EMS response ans to assist higher level personnel at the scene and during transport. The course is designed for fire fighters, law enforcement personnel, industry and first response providers within the community. This course follows the new guidelines set by the Oklahoma State Department of Health, that has increased from 44 hours to 66 hours. This course includes classroom and lab work. Clinical is not required for this course.
Lara Skaggs
405.743.5106
lskag@okcareertech.org
Preparatory 12 hours total (10.5 hours classroom, 1.5 hours lab)
Uses simple knowledge of the EMS system, safety/well-being of the EMR, medical/legal issues at the scene of an emergency while awaiting a higher level of care.

EMS Systems Objectives 1.5 hours
Simple depth, simple breadth of EMS systems

Research 0.5 hours
Simple depth, simple breadth • Impact of research on EMR care • Data collection

Workforce Wellness and Safety 3 hours
Simple depth, simple breadth:
Standard safety precautions
Personal protective equipment
Stress management
Dealing with death and dying
Prevention of response-related injuries
Lifting and moving patients

Documentation 0.5 hours
Simple depth, simple breadth:
Recording patient findings

EMS System Communications 1 hour
Communication needed to:
Call for Resources
Transfer care of the patient
Interact within the team structure

Therapeutic Communication 0.5 hour

Medical/Legal and Ethics 3.5 hours
Simple depth, simple breadth
Consent/refusal of care
Confidentiality
Advanced directives
Tort and criminal actions
Evidence preservation
Statutory responsibilities
Mandatory reporting
Ethical principles/moral obligations
End-of-life issues

Anatomy and Physiology 2 hours classroom
Uses simple knowledge of the anatomy and function of the upper airway, heart, vessels, blood, lungs, skin, muscles, and bones as the foundation of emergency care.

Medical Terminology 0 hours
Uses simple medical and anatomical terms.

Pathophysiology 0 hours
Uses simple knowledge of shock and respiratory compromise to respond to life threats.

Life Span Development 0 hours
Uses simple knowledge of age-related differences to assess and care for patients.

Public Health 0 hours
Have an awareness of local public health resources and the role EMS personnel play in public health emergencies.

Pharmacology 1 hour (0.5 classroom 0.5 lab)
Uses simple knowledge of the medications that the EMR may self-administer or administer to a peer in an emergency.

Medication Administration 0.25 hour
Within the scope of practice of the EMR, how to
Self-administer medication
Peer-administer medication

Emergency Medications 0.25 hours
Simple depth, simple breadth within the scope of practice of the EMR:
Names
Effects
Indications
Routes of administration
Dosages for the medications administered

Airway Management, Respiration and Artificial Ventilation
10 hours (7 hours classroom, 3 hours lab)
Applies knowledge (fundamental depth, foundational breadth) of general anatomy and physiology to assure a patent airway, adequate mechanical ventilation, and respiration while awaiting additional EMS response for patients of all ages.

Airway management 2.5 hours
Fundamental depth, simple breadth within the scope of practice of the EMR:
Airway anatomy
Airway assessment
Techniques of assuring a patent airway

Respiration 2.5 hours
Fundamental depth, simple breadth:
Anatomy of the respiratory system
Physiology and pathophysiology of respiration:
Pulmonary ventilation
Oxygenation
Respiration
External
Internal
Cellular
Assessment and management of adequate and inadequate respiration
Supplemental oxygen therapy

Artificial Ventilation 2 hours
Fundamental depth, simple breadth of assessment and management of adequate and inadequate ventilation:
Artificial ventilation
Minute ventilation
Alveolar ventilation
Effect of artificial ventilation on cardiac output

Assessment 12 hours or 13 hours (10 hours classroom, 3 lab)
Use scene information and simple patient assessment findings to identify and manage immediate life threats and injuries within the scope of practice of the EMR.

Scene Size-up 2 hours
Complex depth, comprehensive breadth
Scene safety
Fundamental depth, foundational breadth
Scene management
Impact of the environment on patient care
Addressing hazards of Violence
Need for additional or specialized resources
Standard precautions

Primary Assessment 2 hours
Simple depth, simple breadth:
Primary assessment for all patient situations
Level of consciousness
ABCs of Identifying life threats
Assessment of vital functions
Begin interventions needed to preserve life

History taking 2 hours
Simple depth, simple breadth:
Determining the chief complaint
Mechanism of injury/nature of illness
Associated signs and symptoms

Secondary Assessment 2 hours
Simple depth, simple breadth:
Performing a rapid full body scan
Focused assessment of pain
Assessment of vital signs

Reassessment 2 hours
Simple depth, simple breadth:
How and when to reassess patients

Medicine 7 hours total (6 hours classroom, 1 hours lab)
Recognizes and manages life threats based on assessment findings of a patient with a medical emergency while awaiting additional emergency response.

Medical Overview 0.5 hour
Simple depth, simple breadth of assessment and management of a:
Medical complaint

Neurology 0.5 hour
Simple depth, simple breadth of anatomy, presentations and management of:
Decreased level of responsiveness
Seizure
Stroke

Abdominal and Intestinal Disorders 0.25 hour
Simple depth, simple breadth of anatomy, presentations and management of shock associated with abdominal emergencies:
Gastrointestinal bleeding

Immunology 0.25 hour
Simple depth, simple breadt in the recognition and management of shock and difficulty breathing related to:
Anaphylactic reactions

Infectious Diseases 0.5 hour
Simple depth, simple breadth in the awareness of:
A patient who may have an infectious disease
How to decontaminate equipment after treating a patient

Endocrine disorders 0.25 hour
Simple depth, simple breadth in the awareness that
Diabetic emergencies cause altered mental status

Psychiatric 0.5 hour
Simple depth, simple breadth of the recognition of
Behaviors that pose a risk to the EMR, patient or others

Cardiovascular 1 hour
Simple depth, simple breadth of anatomy, signs, symptoms and management of:
Chest pain
Cardiac arrest

Toxicology 0.25 hour
Simple depth, simple breadth
Recognition and management of:
Carbon monoxide poisoning
Nerve agent poisoning
How and when to contact a poison control center

Respiratory 0.5 hour
Simple depth, simple breadth of anatomy, signs, symptoms and management of respiratory emergencies including those that affect the:
Upper airway
Lower airway

Genitourinary/Renal 0.15 hours
Simple depth, simple breadth:
Blood pressure assessment in hemodialysis patients

Gynecology 1 hour
Simple depth, simple breadth in the recognition and management of shock associated with:
Vaginal bleeding

Diseases of the eyes, Ears, Nose and Throat 0.15 hours
Simple depth, simple breadth in the recognition and management of nose bleed

Shock and Resuscitation 8 hours (6 hours classroom, 2 hours lab)
Uses simple knowledge to recognize and manage life threats based on assessment findings for an acutely injured patient while awaiting additional emergency medical response.

Trauma 0.5 hour
No knowledge related to this competency is applicable at this level.

Bleeding 0.75 hour
Simple depth, simple breadth in recognition and management of:
Bleeding

Chest Trauma 0.5 hour
Simple depth, simple breadth in the recognition and management of:
Blunt versus penetrating mechanisms
Open chest wound
Impaled object

Abdominal and Genitourinary Trauma 0.5 hours
Simple depth, simple breadth in the recognition and management of:
Blunt versus penetrating mechanisms
Evisceration
Impaled object

Orthopedic Trauma 1 hour
Simple depth, simple breadth in the recognition and management of:
Open fractures
Closed fractures
Dislocations
Amputations

Soft Tissue Trauma 0.5 hours
Simple depth, simple breadth in the recognition and management of:
Wounds
Burns
Electrical
Chemical
Thermal
Chemicals in the eye and on the skin

Head, Facial, Neck and Spine Trauma 1.5 hours
Simple depth, simple breadth in the recognition and management of:
Life threats
Spine trauma

Special Considerations in Trauma 0.15 hour
Simple depth, simple breadth in the recognition and management of trauma in:
Pregnant patient, Pediatric patient, Geriatric patient

Environmental Emergencies 0.5 hours
Simple depth, simple breadth in the recognition and management of:
Submersion incidents
Temperature-related illness

Multi-System Trauma 0.5 hours
Simple depth, simple breadth in the recognition and management of:Multi-system trauma

Incident Management 0 hours, Co or Prerequisite
Simple depth, simple breadth:
Establish and work within the incident management system




Multiple Casualty Incidents 0.10 hour
Simple depth, simple breadth:
Triage principles
Resource management

Air Medical 0.10 hour
Simple depth, simple breadth:
Safe air medical operations
Criteria for utilizing air medical response

Vehicle Extrication 0.10 hour
Simple depth, simple breadth:
Safe vehicle extrication
Use of simple hand tools

Hazardous Materials Awareness 0 hours, Co or Prerequisite
Simple depth, simple breadth:
Risks and responsibilities of operating in a cold zone at a hazardous material or other special incident

Mass Casualty Incidents due to Terrorism and Disaster 0.20 hours

With Optional Immobilization and splinting 6 hours (3 hours classroom, 3 hours lab)

Oklahoma EMS Consensus group 10/17/2011

http://www.ok.gov/health/Protective_Health/Emergency_Medical_Services/
http://www.ok.gov/health/Protective_Health/Emergency_Medical_Services/Education_
/index.html
http://www.ok.gov/health/documents/New%20EMT%20Standard.pdf








EMR: Emergency Medical Responder - CTTC

http://www.okcareertech.org/testing/Skills_Standards/Health_Career_Cluster.htm



EMR--Emergency Medical Responder - NREMT

http://www.vue.com/nremt/

NREMT

Oklahoma State Department of Health, 2011



Oklahoma EMS Consensus group 10/17/2011

http://www.ok.gov/health/Protective_Health/Emergency_Medical_Services/
http://www.ok.gov/health/Protective_Health/Emergency_Medical_Services/Education_
/index.html
http://www.ok.gov/health/documents/New%20EMT%20Standard.pdf



N.H.T.S.A. - Department of Transportation National Standard Curriculum

OSDH-EMS Protocol
No
Yes
Yes
No
Career Majors That Sequence This Course
Career Cluster Pathway Career Major
Health Science Therapeutic Services EMR Emergency Medical Responder