This is a 4 hour course which meets WVOEMS Approved Paramedic Refresher (NCCP Standards)

Required Objectives:

1.  Differentiate between adequate and inadequate breathing
2.  Differentiate between respiratory distress and failure
3.  Explain when to oxygenate and when to ventilate a patient
4.  Identify the use of automated transport ventilators when managing  patients
5.  Demonstrate effective BVM ventilation at a proper rate and depth
6.  Discuss advantages and disadvantages of various advanced airway adjuncts
7.  Define altered mental status
8.  State common causes of altered mental status
9.  Define status epilepticus/seizures
10.  Explain complications associated with seizures

Non-Discrimination Statement

West Virginia Northern Community College (WVNCC) is an Equal Opportunity/Affirmative Action Institution and does not discriminate based on race, sex (e.g., sex, sex stereotypes, gender identity, gender expression, sexual orientation, and pregnancy or parenting status), disability, religion, color, national origin, or age in admission, employment, educational programs, or activities; nor does it discriminate based on genetic information in employment or employee health benefits. Further, faculty, staff, students, and applicants are protected from retaliation for making complaints or assisting in investigations of discrimination. WVNCC will take steps to assure that a lack of English language skills will not be a barrier to admission and participation in the college’s CTE offerings. Auxiliary aids and services are available upon request to individuals with disabilities.

Full Non-discrimination notice and associated policies, procedures and forms

This is a 4 hour course which meets WVOEMS Approved Paramedic Refresher (NCCP Standards)

Required Objectives:

1. Identify the options for out-of-hospital stroke assessment tools
2. Explain oxygen administration during a stroke emergency
3. Discuss the importance of knowing a timeline of stroke events
4. Identify patients needing rapid transport to the most appropriate stroke hospital
5. Discuss the importance of starting the fibrinolytics check sheet
6. Consider causes of pediatric cardiac arrests
7. Demonstrate ALS management skills during a pediatric cardiac arrest for:
   1. Airway management
   2. Vascular access
   3. Pharmacology

Non-Discrimination Statement

West Virginia Northern Community College (WVNCC) is an Equal Opportunity/Affirmative Action Institution and does not discriminate based on race, sex (e.g., sex, sex stereotypes, gender identity, gender expression, sexual orientation, and pregnancy or parenting status), disability, religion, color, national origin, or age in admission, employment, educational programs, or activities; nor does it discriminate based on genetic information in employment or employee health benefits. Further, faculty, staff, students, and applicants are protected from retaliation for making complaints or assisting in investigations of discrimination. WVNCC will take steps to assure that a lack of English language skills will not be a barrier to admission and participation in the college’s CTE offerings. Auxiliary aids and services are available upon request to individuals with disabilities.

Full Non-discrimination notice and associated policies, procedures and forms

This is a 4.5 hour course which meets WVOEMS Approved Paramedic Refresher (NCCP Standards)

Required Objectives:

1. Understand the function of Ventricular Assist Devices
2. Describe assessment/management of patients with VAD’s
3. Discuss pathophysiology of congestive heart failure
4. Discuss s/s and treatment of congestive heart failure
5. Discuss the assessment and management of coronary disease and angina
6. List the s/s of acute MI
7. Identify injury patterns on a 12-lead ECG
8. Differentiate STEMI from STEMI imposters
9. Explain the procedure for managing an acute MI including STEMI and non-STEMI presentations
10. Understand the benefits of reperfusion techniques in patients with AMI or suspected AMI
11. Demonstrate the current techniques of cardiac arrest management
12. Discuss airway issues in cardiac arrest management
13. Determine criteria for terminating cardiac arrest in the out-of-hospital setting
14. Identify signs associated with Return of Spontaneous Circulation
15. Describe how to effectively manage hemodynamic instability
16. List possible causes of cardiac arrest
17. Make appropriate treatment choices
18. Make appropriate destination decision

Non-Discrimination Statement

West Virginia Northern Community College (WVNCC) is an Equal Opportunity/Affirmative Action Institution and does not discriminate based on race, sex (e.g., sex, sex stereotypes, gender identity, gender expression, sexual orientation, and pregnancy or parenting status), disability, religion, color, national origin, or age in admission, employment, educational programs, or activities; nor does it discriminate based on genetic information in employment or employee health benefits. Further, faculty, staff, students, and applicants are protected from retaliation for making complaints or assisting in investigations of discrimination. WVNCC will take steps to assure that a lack of English language skills will not be a barrier to admission and participation in the college’s CTE offerings. Auxiliary aids and services are available upon request to individuals with disabilities.

Full Non-discrimination notice and associated policies, procedures and forms

This is a 3.5 hour course which meets WVOEMS Approved Paramedic Refresher (NCCP Standards)

Required Objectives:

1. Identify the triage criteria in the CDC’s Field Triage Decision Scheme
2. State the four steps of the CDC’s Field Triage Decision Scheme
3. Review local protocols
4. Identify s/s of a patient with a traumatic brain injury
5. Explain the use of ETCO2 as a guide for ventilating head injury patients
6. Define primary and secondary spinal cord injury.
7. Discuss various cord syndromes and their s/s
8. Discuss s/s of neurogenic shock and spinal shock
9. Describe how to investigate the chief complaint of a patient with a gastrointestinal disorder, including how to take the patient’s history.
10. Discuss the management and treatment of various gastrointestinal disorders
11. Identify and treat severe hemorrhage
12. Differentiate among indications, effects, and contraindications for the use of:
    1. Tourniquets
    2. Junctional Tourniquets
    3. Hemostatic agents
    4. TXA
13. Explain the concept of permissive hypotension
14. Discuss the dangers of excessive fluid administration
15. Describe Mean Arterial Pressure (MAP) as a tool to better evaluate perfusion

Non-Discrimination Statement

West Virginia Northern Community College (WVNCC) is an Equal Opportunity/Affirmative Action Institution and does not discriminate based on race, sex (e.g., sex, sex stereotypes, gender identity, gender expression, sexual orientation, and pregnancy or parenting status), disability, religion, color, national origin, or age in admission, employment, educational programs, or activities; nor does it discriminate based on genetic information in employment or employee health benefits. Further, faculty, staff, students, and applicants are protected from retaliation for making complaints or assisting in investigations of discrimination. WVNCC will take steps to assure that a lack of English language skills will not be a barrier to admission and participation in the college’s CTE offerings. Auxiliary aids and services are available upon request to individuals with disabilities.

Full Non-discrimination notice and associated policies, procedures and forms

This is a 4 hour course which meets WVOEMS Approved Paramedic Refresher (NCCP Standards)

Required Objectives:

1. Explain the role glucose plays on the cells
2. Explain the role of insulin
3. Discuss s/s commonly associated with hypo/hyperglycemia
4. Identify commonly prescribed medications used to treat diabetes
5. Explain the management of hypo/hyperglycemia
6. Discuss metabolic syndrome
7. Discuss the functions of different insulin pumps
8. Discuss common synthetic stimulants and natural or synthetic THC
   1. Recognize the effects 
   2. Synthetic stimulants 
   3. Natural and synthetic THC
9. Discuss common opioids
10. Explain common treatment options for a person experiencing opioid overdose
11. Discuss the causes of an allergic reaction/anaphylaxis
12. Differentiate between a mild/localized allergic reaction and anaphylaxis
13. Explain the actions of medications used to treat anaphylaxis
    1. Benadryl 
    2. Epinephrine
14. Discuss the different routes of delivery of medications and the rates of absorption for those routes 
    1. IM
    2. SQ
    3. IN
    4. IV
15. Discuss pharmacological and non-pharmacological pain management options
16. Determine the differences between acute and chronic pain management
17. Discuss the role of QA/QI, medical direction involvement and the importance of documentation of pain management.
18. Discuss reassessment/re-evaluation of pain and management

Non-Discrimination Statement

West Virginia Northern Community College (WVNCC) is an Equal Opportunity/Affirmative Action Institution and does not discriminate based on race, sex (e.g., sex, sex stereotypes, gender identity, gender expression, sexual orientation, and pregnancy or parenting status), disability, religion, color, national origin, or age in admission, employment, educational programs, or activities; nor does it discriminate based on genetic information in employment or employee health benefits. Further, faculty, staff, students, and applicants are protected from retaliation for making complaints or assisting in investigations of discrimination. WVNCC will take steps to assure that a lack of English language skills will not be a barrier to admission and participation in the college’s CTE offerings. Auxiliary aids and services are available upon request to individuals with disabilities.

Full Non-discrimination notice and associated policies, procedures and forms

This is a 4 hour course which meets WVOEMS Approved Paramedic Refresher (NCCP Standards)

Required Objectives:

1. Discuss the potential causes of behavioral emergencies
2. Define normal, abnormal, overt, and covert behavior.
3. Describe the assessment process for patients with psychiatric emergencies, including safety guidelines
4. Discuss the general management of a patient with a psychiatric emergency
5. Describe restraint methods, both chemical and physical forms and when to apply each
6. Describe care for the psychotic patient
7. State risk factors for suicide
8. Describe drug resistant infections
9. Compare epidemic to pandemic
10. Describe the role of the EMS provider in disease reporting
11. State the differences between sepsis and septic shock
12. Identify common special needs patients seen in EMS
13. Describe the relationship between the caregiver and the EMS provider in caring for the special needs patient.
14. Describe patient assessment of a special needs patient
15. Discuss abnormal presentations present during childbirth
16. Describe nuchal cord presentation
17. Recognize the need for and discuss the management of the principals of neonatal resuscitation
18. Describe the routine care of the newborn not requiring resuscitation
19. Discuss management of a patient with an abnormal presentation during delivery

Non-Discrimination Statement

West Virginia Northern Community College (WVNCC) is an Equal Opportunity/Affirmative Action Institution and does not discriminate based on race, sex (e.g., sex, sex stereotypes, gender identity, gender expression, sexual orientation, and pregnancy or parenting status), disability, religion, color, national origin, or age in admission, employment, educational programs, or activities; nor does it discriminate based on genetic information in employment or employee health benefits. Further, faculty, staff, students, and applicants are protected from retaliation for making complaints or assisting in investigations of discrimination. WVNCC will take steps to assure that a lack of English language skills will not be a barrier to admission and participation in the college’s CTE offerings. Auxiliary aids and services are available upon request to individuals with disabilities.

Full Non-discrimination notice and associated policies, procedures and forms