EMT Traning
Overview
The training course has been designed by the Division of Emergency Medicine at Stanford University in collaboration with Patan Academy of Health Sciences (PAHS) which will grant EMT certification to those candidates who successfully complete the full 6 weeks training. The curriculum will emphasize trauma and obstetric emergencies, with a focus on treatment, communication, and rapid transport.
Launch Date
The inaugural NAS training will launch on 9 August 2010 in Kathmandu. Drs. S.V. Mahadevan and Matt Strehlow of Stanford Medical School will be on hand in Kathmandu to officially open the training. Full ambulance service will launch in Kathmandu very soon.
Duration
The duration of the training will be 10 weeks. Six weeks of lectures and skills-station workshops plus 4 weeks of clinical rotations at participating area hospitals.
A team of Stanford Medical School doctors, nurses, and EMT specialists will conduct the lectures and guide the hands-on practical trainings including actual ambulance work.
Quality Assurance and Research:
Quality assurance will be an important component of systems development, insuring that on-going training appropriately reflects the epidemiology of Nepal. Data collection methods will be used that are practical and that do not overwhelm the providers or administrators of the NAS.
The research agenda will include internal quality assurance to optimize performance, as well as provide an impact evaluation of this landmark system. Further documentation will be carried out to assist the Nepali medical community to better understand community EMS needs and support the efforts of medical leaders and educators.
Qualifications for EMT Trainees
- 18 years of age or older
- Completed CMA
- Good English skills
- Commitment to working as EMT for 1 year
- Experience with IV placement - preferred but not mandatory
- Experience in healthcare (tech/ambulance driver/nurse) – preferred
Qualifications for Advanced Clinical Educators of EMT course
- Background in Emergency Care (Casualty Ward MD, Paramedic, Nurse)
- Commitment to 1 year with program
- Fluent in English
- Currently employed with local hospital - preferred but not mandatory
- Experience teaching - preferred but not mandator
Curriculum Details and Content
Division 1 : Intro/Preparatory
- Intro to EMS (lecture 10min)
- Well-Being of the EMT (lecture 10min)
- Medico-legal and Ethical Issues (Lecture 20 min)
- Human Body (Lecture 1 hour)
- Baseline Vitals and SAMPLE history (Lecture 20 min, workshop 2 hours)
- Lifting and Moving patients (1 hour)
- Assisting the ALS provider (Lecture 30 min)
Workshop details: Intro/Preparatory
Baseline vitals/SAMPLE/Lifting and moving: each patient to take vitals ask sample history on everyone in the room (everyone is given a patient history to recount with key elements of SAMPLE), and then transport the patient.
Total: Lectures 3:30, Workshop 2 hours
Division 2 : Airway
The Airway
- Anatomy/Respiratory System /adequate vs. inadequate breathing (2 hours lecture)
- Opening airway--jaw thrust/oropharyngeal airway/bag valve mask (1 -2 hour lecture) (1 hour workshop)
- Suction/Oxygen using O2 canisters and suction if available. (30 min lecture, 30 min workshop)
- Special Airway Situations: Obstructions/Laryngectomies/Facial Injuries/Dentures (Lecture 30 min)
Workshop details: Airway
Airway maneuvers (jaw thrust/bag valve)
Use of Suction/Oxygen
Total: Lectures 4 hours, Workshop 2 hours
Division 3: Patient Assessment
- Scene Size-up (Lecture 1 hour)
- Initial Assessment (Lecture 1 hour)
- Focused H & P of trauma patients (Lecture 1 hour—workshop 1 hour)
- Focused H P for medical patients (Lecture 30min - 1 hour)
- Detailed Physical Examination (1 hour—with lots of pictures)
- Ongoing Assessment (15 minutes)
- Communications (1 hour—workshop 1 hour)
- Documentation (1 hour -- workshop 1 hour)
Workshop details: Patient Assessment
Performing detailed physical exam, H & P, then using radio frequency device, to communicate findings in a systematic manner to base physician/paramedic.
Total: Lectures 6:45 – 7:15 hours, Workshop 3 hours
Division 4: Medical/Behavioral Emergencies and ObGyn
- Pharmacology (Lecture 1 hour, workshop 1 hour)
- Respiratory Emergencies (Lecture 1 hour)
- Cardiovascular Emergencies (Lecture 2 hours, workshop 1 hour)
- Diabetes and Altered Mental Status (Lecture 1 hour)
- Allergic Reactions (Lecture 1 hour)
- Poisoning and Overdose (Lecture 1 hour)
- Environmental Emergencies (Lecture 1 hour - 2?)
- Behavioral Emergencies (30 min)
- Obstetrics and Gynecology (Lecture 2 – 3 hours)
- Geriatrics (Lecture 1 hr, maybe 1.5)
Workshop details:
Pharmacology: Become familiar with various packaging and doses. Demonstrate activated charcoal/O2/epinephrine injection/albuterol inhaler/oral glucose.
Cardiovascular: CPR, defibrillation (use of AED)
Total: Lectures 12-13 hours, Workshop 2 hours
Division 5: Trauma
- Bleeding and Shock (Lecture 3 hours, Workshop 4 hours)
- Soft Tissue Injuries (Lecture 2-3 hours, Workshop 2 hours)
- Musculoskeletal Care (Lecture 2 hours, Workshop 2 hours)
- Injuries to the Head and Spine (Lecture 2 hours, Workshop 2 hours)
Workshop details:
Bleeding and Shock: IV placement, tourniquets, direct pressure, pressure points
Soft Tissue Injuries: gauze, dressing wounds, direct pressure, pressure points
Musculoskeletal Care: Splinting-students splint each extremity given a specific inj
Head and Spine Injuries: C spine assessment, immobilization, log roll, cervical collar
Total: Lectures 9-10 hrs, Workshop 6 hours
Division 6 : Infants and Children
Infant and Child Emergency Care
- Development/Assessment: (Lecture 30 min) age appropriate exam, identifying respiratory distress
- Oxygen/Bag Valve (Lecture 30 min)
- Common Problems: Airway obstruction/Seizures/Near Drowning, etc (Lecture 1 hour)
- Trauma (Lecture 1 hour)
- Child Abuse (Lecture 15 min)
- Reactions to Injured Infants/Children (Lecture 10 min)
- Special needs kids (Lecture 10-20min)
Workshop details: Infants and Children:
Airway Obstruction in infants, abdominal thrusts, back blows/chest thrusts
Total: Lectures 3:45 hours, Workshop 1 hour
Up to this point: 40.5 hours of lecture, 16 hours of workshop
Division 7: Operations
- Ambulance Operations (Lecture 30 min)
- Gaining Access (20 min)
- Overview: Special Response Situations (30 min)
- Tactical Emergency Medical Support (Lecture 20min)
- First Responder Procedures with Weapons of Mass Destruction (Lecture 1 hour)
- Total: Lectures 2:40
Division 8: Advanced Airway
Advanced Airway Techniques (Lecture 1 hour)
Workshop details: Intubation (2 hours)
Total: Lectures 1 hour, Workshop 2 hours
Total Lectures: 44 hours, Workshop 18 hours
EMT Application Form
EMT Application Form Download Application Form.
What is EMS
EMS or Emergency Medical System is:
- Pre-hospital emergency care
- Performed in the field
- Splinting fractures
- Bracing neck + spinal cordinjuries
- Stop bleeding and clear airpassage ways
- Starting IV fluids for patients in shock
News & Events
what does it consist of ?
- Toll-free phone number
- Telephone/Dispatch Center to take calls and track response,and direct ambulances to appropriate hospitals
- Radio dispatched and coordinated ambulances.
- A professional EMT in each ambulance
- Initial coverage area: municipal Kathmandu and Patan
- Initial coverage area: municipal Kathmandu and Patan »
