Degree Program Content


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MCC's Paramedic Program follows the DOT Paramedic Curriculum. In addition to this, the Medical Director has approved the following topics, key words, and skills to be covered in detail. The following list is an addition to the DOT Paramedic Curriculum and is considered mandatory knowledge and skills for the program.

ABBREVIATIONS TO MEMORIZE AND KNOW: AAA, ACLS, AMI, ASHD, ACE, AED, Af, AICD, AIDS, AIVR, AP, APCOR, APE, ARDS, ASA, AVPU, AZT, CABG, CAD, CFR, CME, CNS, COPD, CP, CSM, CVA, DEA, DKA, DMI, DOA, DOE, DOH, DTMF, DTR, DWAI, DWI, D5W, ECG, EKG, EEG, EOA, EGTA, EMD, ETA, ETOH, FCC, GCS, GI, GSW, GTTS, GYN, HCTZ, HIV, HPI, HTN, ICD, ICP, ICU, IDDM, IPPV, IVR, JVD, KED, LBBB, LGL, LPM, LR, LVH, MAST, ME, MR, MVA, MVO2, MVP, NPO, NS, NSAID, NTG, O2, OB, OBS, OC, OPA, PAC, PALS, PAT, PCD, PCN, PCP, PE, PEA, PEARL, PEEP, pH, PID, PJC, PMD, PMH, PMI, PND, PO, PQRST, PSI, PSVT, PTT, PVC, QID, RBBB, RBC, RIND, ROPD, RSI, RSR, SIDS, STD, TB, TCA, TIA, TID, UHF, URI, UTI, VD, VEB, Vf, VT, WBC, WNL, WPW, WS, c, s, a, p.

CARDIAC/EKG RELATED: Compensatory Pause, Absolute-Relative & Non Refractory Periods, MCL1, PR Interval, QRS Interval, QT Interval, QTc, TP Segment, PR Segment, ST Segment, International Pacemaker Codes, P Waves, Delta Waves, AED's, AICD, PCD's, Burst Pacemaker (anti-tachycardia pacemaker), Lown's Criteria, J Point, Monophasic, Biphasic, Diphasic, Equiphasic, Triphasic, Prinzmetal or Variant Angina, Reperfusion arrhythmia, Situs Inversus, Cor Pulmonale, Killip's Class, Overdrive Pacing, Inherent Rate, Dextrocardia, Prophylactic Lidocaine, Osborne Wave, Ejection Fraction, RV Infarct, Pericarditis, Reciprocal changes, Quicklook, Holiday Heart Syndrome, R2 system, Prehospital ASA, Prehospital Lytic Therapy, EKG findings in Dig tox., Gain of 1 is 1 mV = 1 cm., Standard Chart Speed 25 mm/sec., Accessory Pathway, Antegrade, Retrograde, Augment, Attenuate, Inotropic, Chronotropic, Dromotropic, Orthodromic, Antidromic, Caliper, Monitor Quality 1-40 Hz, Diagnostic Quality 0.05-100 Hz, Pediatric Quality 0.05-150 Hz, Unipolar-Bipolar wire, Myopotentials, Lead placement, Use of a Pacemaker magnet. 12 LEAD INTERPRETATION: Axis, Ischemia, Acute injury, Infarct, Pathological Q's, Physiological q's, Location i.e. IWMI, AWMI, PWMI, LWMI, Evolving MI, Bundle Branch Block, Reciprocal Changes, Subendocardial Infarction, Early Repolarization, Pericarditis, LVH, Ventricular aneurysm, Wolf-Parkinson-White and LGL, Right sided chest leads, Posterior wall leads.

CHEST/SPINE: Barrelled, Pectus Excavatum, Pectus Carinatum, Kyphosis, Scoliosis, Lordosis, Manubrium, Angle of Louis, Xiphoid Process, Intercostal Spaces.

CLASSES OF OTC AND PRESCRIBED MEDICATIONS: EXAMPLES:

Absorbants - Activated Charcoal, Charco-G, Kayexalate.

ACE Inhibitors - Captopril, Enalapril, Quinapril, Benazepril, Lisinopril

Alpha Blockers - Hytrin

Antacids - Tums, Maalox, Mylanta, Rolaids, NaHCO3, Gaviscon.

Antiarrhythmics - Mexiletine, Amiodarone, Quinaglute, Norpace.

Antibiotics - Penicillin, Pen VK, EES, Bactrim (Septra) (TMP-SMZ), Isoniazide (INH), Rifampin, Cipro, Amoxicillin, Dicloxicillin, Keflex, Ceclor, Ceftin, Suprax, Vantin, Tetracycline (-mycins)

Anticonvulsants - Dilantin, Phenobarbital, Tegretol, Valproic Acid, Depakote.

Antidepressants - (SSRI) - Zoloft, Prozac (Salts) - Lithium (MAO Inhibitors) - Nardil, Parnate, Marplan, Eldepryl, Eutonyl (Tricyclics) - Elavil, Endep, Norpramin, Pamelor, Sinequan, Tofranil.

Antifungals - Lamisil (terbinafine), Diflucan (fluconazole), Nizoral (ketoconazole), Monistat (miconazole), Sporanox (itraconazole)

Antituberculosis - Rifampin, Isoniazid, Streptomycin.

Antivirals - Zovirax, AZT, DDI, 3TC, Quinivere.

Anxiolytics - Valium, Xanax, Wellbutrin.

Benzodiazepines - Valium, Versed, Halcion.

Beta Blockers - Inderal (Propranolol)

Beta 1 specific Blockers - Lopressor, Tenormin, Corgard, Blocadren

Bronchodilators - Aminophylline, Atrovent, Albuterol (Airet/Volmax/Proventil/Ventolin), Metaproterenol

Ca++ Ch Blocker - Nifedipine, Cardizem, Isoptin, Calan, Plendil, Dynacirc

Cardiac Glycosides - Lanoxin, Digoxin, Digitalis, Digitoxin

Cathartics - (Bulk) Metamucil, Citricil (Salts) Mag Sulfate, (Emollients) Colace, (Lubricants) Mineral oil, (Peristaltic) Dulcolax, Exlax

Cholesterol Lowering - Lopid, Zocor, Lozol, Mevacor.

Cox 2 Inhibitor - Cerebrex, Mobic

Diuretic's (Loop, Osmotic) - HCTZ, Lasix, Triamterene, Bumex, Mannitol

Emetics - Apomorphine, Ipecac, Liquid Dish detergent, mustard or salt water

Erectile Disfunction - Viagara (Sildenafil Citrate), Yocon (Yohimbine Hydrochloride)

Expectorants - Guifenisen

Hematopoietics - Fe, Folic Acid, B Vits., Epogen, Neupogen.

Histamine 2 blockers - Tagamet, Ranitidine, Pepcid, Zantac, Axid.

Histamine blockers - Benadryl, Chlorpheniramine, Clariton, Zyrtec.

Methylxanthines - Caffeine, Theophylline, theobromine

Migraine Rx - Inderal, Fiorinal, Ergotamine, Sumatriptan

Mucolytics - Mucomyst

Narcotics - Morphine, Demerol, Dilaudid, Heroin, Fentanyl, Codeine, Opium.

Nitrates - NTG, Isosorbide Dinitrate/Mononitrate, Ismo, Nitropaste.

Non-narcotic analgesic - APAP (tylenol)

NSAIDS - ASA, Ibuprofen, Indomethacin, Toradol, Voltaren, Relafen, Alleve

Phenothiazines - Haldol, Compazine, Melaril, Stellazine.

Steroids - Prednisone, Methylprednisolone.

Sulfonylureas - Glyburide, Tolinase, DiaBeta, Diabinese, Glipizide.

Sympathomimetics - Anakit, Epipen, Bronchaid mist.

COMMUNICATIONS: Telemetry, Biotelemetry, Simplex, Duplex, Multiplex, Hertz, Encoder, Decoder, Repeater, Voting, Ruthless preemption, Carrier, Modulator, Demodulator, Millivolt, Watt, UHF, VHF, Cellular phone, Landline, PL (Private Line), Physician Interrupt, 1400 Hz carrier, PTT (Push to talk), Online, Offline, Standing Orders, Protocols, Analog, Digital, Frequency, Med 1-10 channels, 800 Mhz trunking systems, Telemedicine.

DISEASES AND CONDITIONS: Pickwickian syndrome, Mallory Weiss syndrome, Supine Hypotensive Syndrome, Marfan's, Multiple Sclerosis, Amyotrophic Lateral Sclerosis, Cerebral Palsy, Guillain Barre, Steven-Johnsons Syndrome, Adams-Stokes syndrome, Ashman's phenomenon, Wolf-Parkinson-White syndrome, Lown-Ganong-Levine syndrome, Erythroblastosis fetalis, Parkinsons disease, Wernicke's Encephalopathy, Korsakoff's Psycosis, Hiatal Hernia, Cholecystitis, Gastritis, GERD, Peptic ulcer, Diabetes Mellitus Type I and II, Diabetes Insipidus, Leukemia, Pelvic Inflammatory Disease, Endometriosis, Carpal Pedal Spasm, Carpal Tunnel, Acromegaly, Thrush, Candidiasis, Angioneurotic Edema, Leukoplakia, Paralytic Ileus, Consolidation, Uremia, Hypothermia, Cancer, AIDS, Meningitis, Postpericardiotomy Syndrome, Raynauds, Reyes Syndrome, Metastatic Disease, Diverticulitis, Diverticulosis, Esophageal Bolus (esophageal achalasia), Pathologic Fracture, Hyperventilation Syndrome, Air Embolism, Hemolytic Reaction, Kidney Stone, Anaphylaxis, Allergic Reaction, Cardiac Asthma, Pulmonary Edema (cardiogenic and noncardiogenic), Acute Myocardial Infarction, Hyperkalemia, Cardiac Tamponade, Aortic Aneurism, Pulmonary Embolus, Deep Vein thrombosis, Meniere's Disease, Compartment syndrome, Rhabdomyolysis.

EAR: Anatomy- Auricle, Helix, Antihelix, Tragus, Lobule, Mastoid process, Auditory Canal, Malleus, Incus, Stapes, Cochlear Nerve, Cochlea, Eustachian tube, Middle ear, Tympanic membrane, Cone of Light, umbo, pars tensa, pars flaccida. Exam-Rinne AC>BC, Weber, Tragus push, Ticking watch, Finger Rub, Basic use of an Otoscope - Otitis Media, Hemotympanum, Foreign body, Cockroach and other insect removal techniques, Tinnitus.

EKG RHYTHMS: Sinus Rhythm, Sinus Bradycardia, Sinus Tachycardia, Respiratory Arrhythmia, Sinus Arrhythmia, High-Mid-Low Junctional rhythms, AV Nodal Reentrant Tachycardia, Atrial-Junctional-Ventricular Premature and Postmature Beats, Nonconducted PAC's, Sinus Exit Block, Sinus Arrest, Multifocal Atrial Tachycardia, Wandering Atrial Pacemaker, Junctional Rhythms, Ventricular Tachycardia, Idioventricular escape, Ventricular Flutter, Ventricular Fibrillation, Ventricular Standstill, Asystole, Torsade De Points, Atrioventricular Heart Blocks 1-2-3 Degree, Right and Left Bundle Branch Blocks, Atrial Fibrillation, Atrial Flutter, Ashmans Phenomenon, Capture and Fusion Beats, Interpolated beats, Pairs, Salvos, Runs, R on T, Sick Sinus Syndrome, Pacemakers-AAI-VOO-VVI-VAT-DDD, Loss of Capture, Loss of Sense, Run away Pacemaker, Twiddlers syndrome, P-MELT.

ENDOCRINOLOGY: Pheochromocytoma, Thyroid Storm, Thyrotoxicosis, Myxedema, Adrenocortico insufficiency, Hypothyroidism, Goiter, Synthroid, ADH, Diabetes Melitis, Diabetes Insipidus, Cushings, Dwarfism, Cretinism, Addison's Disease, Autocrine, Paracrine, Endocrine, Exocrine, Master Gland, Rickets, Osteomalacia, Pineal Gland, Adrenals.

EYES: Anatomy and Terms-upper and lower Eyelid, medial and lateral Canthus, Pupil, Limbus, Iris, Choroid, Lens, Sclera, Conjunctiva, Cornea, Lacrimal Gland, Punctum, Lacrimal Sac, Nasolacrimal Duct, Optic Disc, Physiologic Cup, Macula, Fovea Centralis, Optic Nerve, Central Artery and Vein, Physiologic Cup, Retina, Anterior and Posterior Chamber, Canal of Schlemm, Ciliary Body, Aqueous humor, Vitreous humor, Optic Chiasm, Optic Tract. EXAM-Direct response, Consensual Reaction, Convergence, Accommodation, Extraocular movements, Pale Palpebral Conjunctivas, Miosis, Mydriasis, Nystagmus, Diplopia, Cataract, Dysconjugate Gaze, Papilledema, sector and laser Iridectomies, Corneal Abrasions, Fluorescein dye, pH strips, Basic use of an ophthalmoscope, Detached Retina, Papilledema, Morgan lens, Eye Magnet and Loop, Snellen eye chart, Ishihara's eye chart, Myopia, Presbyopia, Glaucoma, Central Retinal Artery Occlusion, Ptosis, Periorbital Edema, Sty, Chalazion, Xanthelasma, Conjunctivitis, Subconjunctival Hemorrhage, Corneal Arcus, Benign Anisocoria, Oculomotor Nerve Paralysis, Tonic (Adie's) pupil, Argyll Robertson pupils, Strabismus, Hyphema, Prosthetic eye, scotoma.

FACIES: Acromegaly, Myxedema, Cushing's Syndrome, Parkinson.

FINGERS and TOES: Exam-Clubbing, Spoon Nails, Beau's lines, Cyanosis, Splinter Hemorrhages, Subungual Hematoma, Capillary Refill.

FORMULAS: Pulse pressure product = (HR * SBP roughly = MVO2), MAP = ([2 * DBP]+SBP)/ 3, Pulse pressure = (SBP - DBP), Anion Gap = (Na - [Cl + HCO3]), Buffer equation = H + HCO3 - H2CO3 - H2O + CO2, SV * HR = CO, TV * RR = MV, Kg = lbs / 2.2, Golden Rule # 1, CO * PVR = BP, Ratio of Bicarb to Carbonic acid 20:1, Vent settings TV 7-10 cc/kg, anatomic dead space = 1cc/lb, CPP = MAP - ICP

HEART: Anatomy and theory - Apex, Base, PMI, Systole, Diastole, Chambers, Valves-mitral/tricuspid/aortic/pulmonic, Chordae Tendineae, Papillary muscles, Trabeculae carnea, Pectinate muscles, Coronary sinus, LAD, Circumflex, RCA, Depolarization, Repolarization, Circus Reentry, Sinoatrial Node, Atrioventricular Node, Bundle of His, Bundle Branches, Purkinje Fibers, Myofibrils, Pericardium, Endocardium, Epicardium, Myocardium, Intercalated Disc, Kent and Bachmans Bundle, Erb's Point, Bell, Bowels, Binaurals, Stroke Volume. EXAM: PMI, Murmurs - Systolic and Diastolic, Murmurs of: AS, AR, MS, MR, PS, PR, TS, TR, Rubs, Clicks, Gallops S3 and S4, Summation Gallop, Quadruple Gallop, Thrill, Bruits.

HEMATOLOGY: Oxyhemoglobin Dissociation Curve, Polycythemia, Hematology, Cell names and function, Hemoglobin, Leukemia, Sickle Cell anemia, Anemias, DIC, Erythroblastosis Fetalis, Typing and Cross Matching of Blood, Serum, Plasma, Antiplatelet, Erythropoietin, RH Factor, Methemoglobinemia, Carboxyhemoglobin.

INFECTIOUS DISEASES: Virus, Bacteria, Fungus, Prion, Slow Virus, Protozoa, Hepatitis ABCDE, Tuberculosis, Herpes Simplex, Herpes Zoster, Varicella, Herpetic Whitlow, AIDS, HIV, CD4 receptors, Beta-chemokine co-receptor, Integrase, Protease, Reverse transcriptase, Virus load, Triple therapy, PEP - Post Exposure Prophylaxis, MRSA, Meningitis, Hantavirus, Ebola virus, Scabies, Lice, Fleas, Ticks, Lyme Disease, Vector, Fomite, Inoculation, Sanitize, Disinfection, Sterilization, Modes of Transmission, Protective Equipment, STD's, CJ's Disease, Rotavirus, Respiratory Synchal Virus, Meningococcemia, Haemophilus Influenzae, Viral Meningitis, Enteropathic E. Coli., Helicobacter pylori, chlamydia pneumonae.

LAB VALUES AND RANGES: ABG's including Bicarb and B.E., SpO2, CBC, HCT, ESR, Blood Glucose, Blood sodium and potassium, A-a Gradient, Anion Gap, Total cholesterol, Blood typing and cross compatibility. Values

LEGAL: Assault, Battery, Tort Law, Civil Law, Criminal Law, Res Ipsa Loquitur, Respondeat Superior, Reasonable man theory, Negligence, Duty, Proximal cause, JD, Mouse and Train, Guide Dog, Police Dog or Horse, Treating animals, Dying Declaration, Emancipated minor, Court order, Health Care Proxy, DNR, "Axelrods Criteria", Intervener Physician, Certification, Licensure, Reciprocity, Malfeasance, Litigation, Abandonment, Malpractice, Libel, Slander, Held to a Higher Standard.

MANEUVERS: Valsalva, Carotid Sinus Massage, Sellick, Leopolds, Inversion, Mammalian diving reflex, Tilt Test (orthostatics), Dolls Eyes, Heimlich.

MEDICATIONS COMMONLY ADMINISTERED BY PARAMEDICS: Know the class name, generic and trade name, indications, contraindications, relative contraindications, dose for adults and pediatric patients, side effects, adverse effects, drug interactions, rate and routes of administration and the usual method of packaging for each of the following medications: Adenosine, Albuterol, Amiodarone, Anectine, Aspirin, Atropine Sulfate, Bretylium Tosylate, Calcium Chloride, Cardizem, Dexamethasone Sodium Phosphate, Diazepam, Diphenhydramine HCL, Dobutamine, Dopamine, Dextrose 5%, 25%, 50%, Epinephrine HCL 1:1000 & 1:10000, Furosemide, Glucagon, Heparin Lock Flush, Heparin Drips, Hydrocortisone Sodium Succinate, Solu-Medrol, Ipratropium Bromide, Isoproterenol HCL, Lactated Ringer's, Lidocaine HCL, Magnesium Sulfate, Meperidine HCL, Metaproterenol, Morphine Sulfate, Naloxone HCL, Nifedipine, Nitroglycerin Intravenous (Drip), Nitroglycerin Ointment, Nitroglycerin Spray, Nitroglycerin Sublingual Tablets, Nitrous Oxide, Oxytocin, Procainamide, Racemic Epinephrine, Sodium Chloride 0.9%, Sodium Bicarbonate, Terbutaline, Tetnus and Diphtheria Toxoids, Vasopressin, Verapamil.

MOUTH: Anatomy-Teeth, Hard palate, Soft palate, Uvula, Posterior Pillar, Tonsil, Tongue, Buccal Mucosa, Sublingual area, Exam- Angioneurotic edema, Candidiasis, Smooth Tongue, Leukoplakia, Peritonsillar abscess, Tonsillar hypertrophy, Trismus, Ludwig's angina.

MOVIES RECOMMENDED TO SEE: The Doctor, Awakenings, Silence of the Lambs, Lorenzo's Oil, Patch Adams.

NECK: Anatomy- Sternocleidomastoid muscle, Manubrium, Clavicle, Trapezius muscle, Hyoid bone, Sternal notch, Thyroid cartilage, Cricoid cartilage, Crico-thyroid Membrane, Thyroid gland lobe and isthmus, Trachea, External Jugular vein, Carotid Sinus, Carotid artery, Internal jugular vein, Exam- Palpation, Bruits, Lymph Nodes, Brudzinski reflex, Nuchal pain or Rigidity, Torticollis, Jugular Venous Distention, Cannon A waves.

NEUROLOGY: Axolemma, Myelin Sheath, Nodes of Ranvier, Schwann Cells Terminal Knobs, Neurotransmitter, Synaptic Cleft, Action Potential, Pontine hemorrhage, Subarachnoid hemorrhage, Focal, Epidural and Subdural Bleed, Circle of Willis, Berry's Aneurysm, Hutchinsons Pupil, Broca's area, Tetany, Opisthotonus, Intracranial bleed, Pons, Substantia Nigra, Neuropathy, Dendrite, Axon, Hangmans Fracture, Pontine Hemorrhage, Post Ictal Period, Concussion, Penumbra, lacunar. Classifications of seizures: Jacksonian, Clonic, Tonic, Tonic-clonic, Atonic, Absence, Myoclonic, Complex, Partial.

NOSE: Anatomy-Tip, Bridge, Ala Nasi, Naris, Septal Cartilage, Vestibule, Superior Middle and Inferior Turbinate.

OBSTETRICS/GYN: Multigravida, Multiparity, Neonate, Nullipara, Primip, Para, Gravida, TPAL, Abruption, Previa, Accreta, Increta, Percreta, Effacement, Leopolds Maneuver, Perineum, Menorrhagia, McRoberts Position, Menarche, Endometriosis, Ectopic Pregnancy, Eclampsia, Preeclampsia, Nuchal cord, Dystocia, Episiotomy, Cesarean Section Postmortem, Breech, Vertex Presentation, Prolapse Cord, Vernix caseosa, Pelvic Inflammatory Disease, Intrauterine Device, Meconium, Pessary, Toxic Shock Syndrome, Uterine Inversion, Catamenia, Term, Preterm, Contraception, Menopause, Ruptured Cyst, Ovarian torsion, Mittleschmertz, Adhesions, Dysmenorrhea, Hydatiform Mole, Abortion: Therapeutic, Spontaneous, Threatened, Inevitable, Septic. APGAR Scoring

PEDIATRICS: Croup, Epiglottitis, SIDS, Tetralogy of Fallot, ASD, VSD, Tet Spell, Asthma, Trauma, Febrile Seizures, Pediatric Drug Doses, Child Abuse, Ingestions, Patent Ductus Arteriosus, Broselow's Tape, Cystic Fibrosis, Muscular Dystrophy, Bronchiolitis, Coarctation of the aorta, Tricuspid Atresia, Tracheo-esophageal Fistula, Differences between adult/peds (anatomy/physiology/pharmacology), Pierre Robin Syndrome.

PHARMACOLOGY: pH, Placebo, Circadian Rhythm, Extrapyramidal Reaction, Torticollis, Oculogyric Crisis, Drug Action, Drug Mechanism of Action, Na+ K ATPase Pump, Tachyphylaxis, Potentiation, Synergism, Agonist, Antagonism, Pharmacokinetics, Biotransformation, Therapeutic index, Bioavailability, First pass effect, Half life, Teratogen, LD50, Protein binding, Toxic, Subtherapeutic, Adverse effect, Side effect, Blood Brain Barrier, Vagolytic, Sympathomimetic, Alpha, Beta, Dopaminergic, Reuptake, Active transport, Osmosis, Concentration gradient, Na+ K+ ATPase pump, Ca++ cotransport, Ca++ slow channel, Na+ fast channel, Polar drugs, Nonpolar, Monovalent, Bivalent, Phospholipid bilayer, Phosphate heads, Fatty acid tails, Hydrophilic, Hydrophobic, Amino Acids, Proteins, Enzymes, Receptor sites, Agonist, Antagonist, Denature, Somatic, Presynaptic, Postsynaptic, Monoamine Oxidase, Monoamine Oxidase Inhibitor, Catechol-o- methyltransferase, Vesicle, Tyrosine, Tyramine, Tryptophan,Sumatriptan, Resting membrane potential, Action potential, Threshold potential, Rapid Sequence Induction / Intubation (RSI), FDA Pregnancy Classifications.

PHYSICAL EXAM: Pulse, Blood Pressure (by oscillation/auscultation/palpation/ultrasound doppler), Respirations, Pulsus Paradoxus, Auscultatory Gap, Taylor Percussion Hammer, Percussion, Bucks Hammer, Pronator Drift, Tongue Depressors, Romberg, Electronic Thermometers, Tympanic Thermometry, Auscultatory percussion, Taking an emergency history (use of open ended questions), Taking a comprehensive history, 12 Cranial Nerves, Otoscopy, Ophthalmoscopy, Deep Tendon Reflexes, Primitive reflexes, Orthostatics, Fluid Wave, Psoas Test, Babinski, Brudzinski, Kernigs, Photophobia, Nuchal Rigidity, Bruit, Thrill, Tactile Fremitus, Waterhammer Pulse, Pulsus Alternans, Chvosteks, Trousseaus, The 6 P's of Arterial Obstruction, CVA Thump.

PHYSICAL SIGNS: Cullen's sign, Grey-Turners sign, Murphy's sign, Battles sign, Kehrs sign, Coons Eyes, Waddells Triad, Becks Triad, Levines Sign, Psoas Sign, Universal Sign.

PROCEDURES: OPA, NPA, EOA, EGTA, PTL LMA Airways, Combitube airway, External Cardiac Pacing, Intraosseous infusion, External Jugular Vein cannulation, Needle and Open Cricothyrodectomy, Nu-trake, Melkel Seldinger Technique, Thoracic Decompression (Thoracentesis), Digital and lighted stylet endotracheal intubation, BG Chemstrip, Pulse Oxymetry, Performing a 12 Lead EKG, End Tidal CO2 Detector, Tube Check device, Automatic External Defibrillator, ET administration of Medications, Operation of a Lifepak 10, 11, & 12 Operation of a Hewlett Packard CodeMaster 100, Operation of a semi-automatic defibrillator, Relocating a nontraumatic jaw and shoulder dislocation, Opening a wired jaw, Vacutainer Blood Drawing, Heplock IV's, Autovent 2000, Operation of IV and Med Controlers, Taking a Dying declaration, Baptizing the newborn, Procedures for ICD patients, Pacemaker Magnet application, wound care, evulsed tooth replacement, evulsed tooth care, techniques for complicated deliveries, fracture management, Emergency cannulation of A/V Fistulas, Hickman, PIC, and Portacath devices.

PSYCH: Psychosis, Neurosis, Depression, Mania, Schizophrenia, Anger, Withdrawal, Homicidal, Suicidal, MHA, Police Assisted Suicide, Major Depression, Dysthymic Disorder, Bipolar Affective Disorder, Anxiety State, Compulsive Personality Disorder, Internal and External Stimuli, Restraints, methods of takedown, Monologue, Dialogue, Appropriate EMS management of each pathology.

RENAL: Bowmans capsule, Afferent and Efferent arteries, Glomerulus, GFR, Ureter, Urethra, Bladder, Pelvis, Nephron, Loop of Henle, Proximal Tubule, Distal Tubule, Collecting duct, Nephrolithiasis, Hydronephrosis, UTI, CVA Thump, Hematuria occult/gross, Glycosuria, Proteinuria, Specific Gravity, Urinalysis, Dipstix.

REQUIRED ARTICLES TO READ: The Mouse and the Train, Prehospital Care of a Man in SVT, John Doe's Secret Message.

RESCUE: Triage, Kinematics, Extrication, Disentanglement, START Method of Triage, Vehicle Airbags, Window punch, Pressurized bumper canisters, Rescue Airbags, Hydraulic fluid, Gasoline, Electricity, other hazards.

RESEARCH: placebo, bias, n=, p value, Anecdotal, Scientific Method, Data, Coincidence, Mean, Median, Mode, Standard Deviation, Confounders, Meta analysis, Cohort Study, Controls, Histogram, Pseudoscience, hypothesis, null hypothesis, funding bias, blinded, double blinded.

RESPIRATORY: Empyema, Lung abscess, Pulmonary effusion, Pleurisy, Pink puffer, Blue Bloater, COPD, ROPD, Bleb, Spontaneous pneumothorax, Chronic bronchitis, Emphysema, Epiglottitis, Asthma, Pulmonary edema, Pulmonary embolus, Hilus, Pneumonia, Pneumosepsis, Consolidation, Atelectasis, Mucus Plugs, Ciliary Mucus Elevator System, Gridlock, Partial Pressure, Shunt, Miller, Macintosh, Magill Forceps, Vital Capacity, Minute Volume, Dead Space, Bibasilar, Vallecula, Pneumotaxic, Apneustic, Pyriform Fossa, Arytenoid Cartilage, Vortex, Cribriform Plate, Surfactant, Cilia, Uvula, Hilum, Visceral and Parietal pleura, Carina, Visceral and Parietal Pleura, Positive End Expiratory Pressure, Track Breathing, Eupnea, Bradypnea, Tachypnea, Hypopnea, Hyperpnea, Dyspnea, Apnea, Alpha 1 Antitrypson. EXAM: Wheeze, Rales, Rhonchi, Stridor, Egophony, Whispered pectoriloquy, Percussion, Bronchophony, Sputum color, Sneeze, hiccup, Sigh, Compliance, Biots, Kussmauls, Cheyne Stokes, Ataxic, Agonal, Stridor, Pursed Lip Breathing, Tripoding, Airhunger, Peak Flow.

SINUSES: Anatomy-Sphenoid, Frontal, Maxillary. Exam-Palpation, transillumination.

SKIN: Integumentary System, Anatomy - Hair, Sebaceous Gland, Horny Layer, Epidermis, Dermis, Subq Fat, Sweat Gland, Sweat Duct, function. Exam-Color- Bronze, Blue Cyanotic, Red, Yellow Icterus, Pale. Lesions- Papule, Plaque, Nodule, Tumor, Wheal, Erosion, Ulcer, Fissure, Scale, Excoriation, Scar, Keloid, Cherry Angioma, Spider Angioma, Petechia, Ecchymosis, Diaphoresis, Pitting Edema, Track marks.

TERMINOLOGY: Cachexia, Melena, Hemoptysis, Hematochezia, Hematemesis, Subluxation, Pinocytosis, Phagocytosis, Afferent Efferent, Anasarca, Ascites, Orthopnea, Humoral, recalcitrant Percussion, Urticaria, Erythema, Pruritus, Hyperlipidemia, Atheroma, Thrombus, Embolus, Cytotoxic, Isoenzymes, Leukopenia, Thrombocytopenia, Saddle embolus, Adhesion, Omentum, Eschar, Phosphodiesterase, Ooh ah, Epidural, Subdural, Lucid Period, Concussion, Contusion, Hemiparesis, Ipsilateral, Contralateral, Pathogmonic, Ethics, Professional, Degranulation, Diapedesis, Benign, Pseudopodia, Chemotaxis, Globus, Malignancy, Borborygmy, Prodrome, Proprioception, Korotkoff, Exocytosis, Enzyme, Catalyst, Buffer, Permeability, Brownian movement, Diffusion, Consolidation, Trauma, Atelectasis, Decerebrate, Decorticate, Coup-Contrecoup, Paradoxical movement, Crepitus, Guarding, Referred pain, Radiated pain, Anastomosis, Hygroscopic, Parenchyma, Stroma, Trocar, Sphincter, Crenation, Tonicity, Colloid, Crystalloid, Polarized, Equilibrium, Concentration, Tact, Rustout, Burnout, Detachment, Clysis, Contiguous, Empathy, Dollop, Titrate, Aliquot, Intrinsic, Extrinsic, Homeostasis, Cardiomyopathy, Phonation, Glycogenesis, Sarcomere, Sarcolemma, Actin, Myosin, Troponin, Poikelothermia, Gradient, Erythropoietin, Organelles, Mitochondria, Lysozyme, Anaerobic, Aerobic, Coagulopathy, Rouleaux's formation, Prostaglandins, Endorphins, Stylet, Syncope, Bolus, Fluid Challenge, Claudication, Parallax, Retrograde, Antegrade, Obturate, Cardiospecific, Caveat, Pearl of Wisdom, Extravasate, Aphasia, Osmolality, Infiltrate, Hematoma, Hydrotoma, Incontinence, Anabolism Catabolism, Pyrogen, Antigen, Prophylaxis, Metabolism, Priapism, Artifact, Static, Transthoracic Resistance, AP & AA Defibrillation, Hypertrophy, Atrophy, Calibration, Standardize, Hemodynamics, Hyperplasia, Iatrogenic, Nosocomial, Malingerer, Exacerbate, Attenuate, Augment, Lapine, Lupine, Equine, Bovine, Porcine, Feline, Canine, Serpentine.

TOXICOLOGY: Toxidromes, antidotes, nerve agents, asphyxiants, Tylenol, Aspirin, Carbon monoxide, Cyanide, Tricyclic Antidepressant, Alcohol, Inhalents, huffing, puffing, THC, Marijuana, Phencycledine, Methyl Alcohol, Isopropol Alcohol, Gasoline

VASOACTIVE SUBSTANCES: Cold, Heat, Epi, Alcohol, Caffeine, Nitro, Angiotensin II, Pure Alpha, Histamine, Oxygen, Carbon dioxide, Niacin, Neo-synephrine, Oxymetazoline Hcl (Afrin), Cocaine, Lasix, B & Ca+ blockers

VITAMINS AND THEIR ACTIONS: B1-thiamine, C-Ascorbic acid, D-calciferal, E-tocopherol, Folic acid, B3-Niacin-Nicotinic acid.

COURSE CONTENT EMBEDDED WITHIN THE PROGRAM: CPR, BTLS, ACLS, 12 LEAD EKG.

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