Level 4 Certificate in Higher Education: Remote Clinical Practice (Industry Paramedic) Course Programme
Course Director Aebhric O'Kelly, MPhil, FAWM, Critical Care Paramedic Managing Director, Merit Training Associate Faculty, Middlesex University Medical Director Winston de Mello, MBBS, BSc, FRCA, FIMCRCS (Ed), Dip Pain Consultant in Anaesthesia and Senior Lecturer University Hospital of South Manchester Medical Curriculum Advisors Dr. Andrew Hodgers, DProf Faculty, Middlesex University Limerick, Ireland Dr. Csaba DIOSZEGHY MD PhD Consultant Anaesthetist, Consultant Cardiologist London, UK Course Instructors Nick Dillon, BS, PGCert Paramedic and HSE Offshore Medic Former MoD Jason Jarvis, NREMT NR-Paramedic US Army Special Forces Medic Seattle, United States Neil Coleman, M.Ed Advanced Paramedic Dublin Fire Brigade 2
Merit Training ltd 6-9 Trinity Street Dublin 2 Ireland PO Box 4 Birzebbuga Malta Remote Clinical Practice Programme Overview This paramedic programme is a 1200 hour course accredited by Middlesex University at Level 4. It is taught in Malta. Accreditation Middlesex University 120 credits at Level 4 equal to a Certificate of Higher Education equal to one year of university education College of Remote and Offshore Medicine CoROM give accreditation to the TTEMS course Malta Registry of Paramedics Graduates become registered paramedics through Malta Ministry of Health, Republic of Moldova Accreditation pending final review American Safety and Health Institute Advanced Cardiac Life Support Paediatric Advanced Life Support American College of Emergency Surgeons International Trauma Life Support Royal Society of Public Health Level 3 Food Safety for Supervisors Level 3 Health and Safety for Supervisors College of Remote and Offshore Medicine Tropical, Travel and Expedition Medicine Course 3
Programme Duration: 9-12 months Prerequisite to attend the programme: Exmed s Medicine in Remote Areas Emergency Medical Technician Basic Ambulance Assistant Ambulance Technician Requirements for certification (1200 hours): 550 hours online tutored learning 250 hours (one month) of classroom testing and training 400 hours of clinical placement Books used on the course: Nancy Caroline s Emergency Care in the Streets Hardcover: 1680 pages Publisher: Jones and Bartlett Publishers; UK edition Paramedic Interactive Online training using the textbook and web based tutorials and exams International Trauma Life Support Paperback: 432 pages Publisher: American Academy of Orthopedic Surgeons Advanced Cardiovascular Life Support (ACLS) Paperback: 141 pages Publisher: American Heart Association Options after graduation UK Paramedic Graduates can enrol into a two year online programme with the University of Cumbria that will allow them to register in the UK as a Paramedic. US Critical Care Paramedic / Flight Paramedic Graduates can take the Critical Care Course from Merit Training and become a CCP or FP. HSE Offshore Medic Graduates can take the Offshore Medic course and get work in the offshore industry. 4
Online Course Curriculum Section 1 Preparatory Chapter 1 EMS Systems Chapter 2 Workforce Safety and Wellness Chapter 3 Public Health Chapter 4 Medical, Legal, and Ethical Issues Chapter 5 Communications Chapter 6 Documentation Section 2 The Human Body and Human Systems Chapter 7 Anatomy and Physiology Chapter 8 Pathophysiology Chapter 9 Life Span Development Section 3 Pharmacology Chapter 10 Principles of Pharmacology Chapter 11 Medication Administration Chapter 12 Medication Formulary Section 4 Patient Assessment Chapter 13 Patient Assessment Chapter 14 Critical Thinking and Clinical Decision Making Section 5 Airway Management Chapter 15 Airway Management and Ventilation Section 6 Medical Chapter 16 Respiratory Emergencies Chapter 17 Cardiovascular Emergencies Chapter 18 Neurologic Emergencies Chapter 19 Diseases of the Eyes, Ears, Nose, and Throat Chapter 20 Abdominal and Gastrointestinal Emergencies Chapter 21 Genitourinary and Renal Emergencies Chapter 22 Gynaecologic Emergencies Chapter 23 Endocrine Emergencies Chapter 24 Haematologic Emergencies Chapter 25 Immunologic Emergencies Chapter 26 Infectious Diseases Chapter 27 Toxicology Chapter 28 Psychiatric Emergencies 5
Section 7 Trauma Chapter 29 Trauma Systems and Mechanism of Injury Chapter 30 Bleeding Chapter 31 Soft-Tissue Trauma Chapter 32 Burns Chapter 33 Face and Neck Trauma Chapter 34 Head and Spine Trauma Chapter 35 Chest Trauma Chapter 36 Abdominal and Genitourinary Trauma Chapter 37 Orthopaedic Trauma Chapter 38 Environmental Trauma Section 8 Shock and Resuscitation Chapter 39 Responding to the Field Code Chapter 40 Management and Resuscitation of the Critical Patient Section 9 Special Patient Populations Chapter 41 Obstetrics Chapter 42 Neonatal Care Chapter 43 Paediatric Emergencies Chapter 44 Geriatric Emergencies Chapter 45 Patients With Special Challenges Section 10 Operations Chapter 46 Transport Operations Chapter 47 Incident Management and Multiple-Casualty Incidents Chapter 48 Vehicle Extrication and Special Rescue Chapter 49 Hazardous Materials Chapter 50 Terrorism Chapter 51 Disaster Response Chapter 52 Crime Scene Awareness 6
Program Timeline Week 1: Ch.1 EMS intro/ Ch.2 Workforce Safety /Ch.3 Public Health Week 2: Ch.4 Medical-Legal/ Ch.5 Communications/ Ch.6 Documentation Week 3: Ch. 7 Anatomy and Physiology Week 4: Ch.8 Pathophysiology/ Ch.9 Life Span Development Week 5: Ch.10 Principles of Pharmacology/ Ch.11 Medication Administration Week 6: Ch.12 Medication Formulary Week 7: Ch.13 Patient Assessment/ Ch.14 Clinical Decision Making Week 8: Ch.15 Airway Management and Ventilation Week 9: Ch.16 Respiratory Emergencies Week 10: Ch.17 Cardiovascular Emergencies Week 11: Ch.18 Neurology/ Ch.19 Diseases of the Eyes, Ears, Nose, & Throat Week 12: Ch.20 Abdominal and Gastrointestinal Emergencies Week 13: Ch.21 Genitourinary and Renal/ Ch.22 Gynaecology Week 14: Ch.23 Endocrinology/ Ch.24 Haematology/ Ch.25 Immunology Week 15: Ch.26 Infectious Diseases/ Ch.27 Toxicology/ Ch.28 Psychiatry Week 16: Mid Term Break Week 17: Ch.29 Trauma Systems and Mechanism of Injury Week 18: Ch.30 Bleeding/ Ch.31 Soft-Tissue Trauma/ Ch.32 Burns Week 19: Ch.33 Face and Neck Trauma Week 20: Ch.34 Head and Spine Trauma Week 21: Ch.35 Chest Trauma Week 22: Ch.36 Abdominal and Genitourinary Trauma Week 23: Ch.37 Orthopaedic Trauma Week 24: Ch.38 Environmental Trauma Week 25: Ch.39 Field Codes/ Ch.40 Management of the Critical Patient Week 26: Ch.41 Obstetrics/ Ch.42 Neonatal Care Week 27: Ch.43 Paediatrics/ Ch.44 Geriatrics/ Ch.45 Special Needs Patients Week 28: Ch.46 Transport Operations/ Ch.47 Incident Management Week 29: Ch.48 Vehicle Extrication and Special Rescue/ Ch.49 HazMat Week 30: Ch.50 Terrorism/ Ch.51 Disaster Response/ Ch.52 Crime Scenes Week 31: Classroom training session 1 (6 days) Week 32: Classroom training session 2 (6 days) Week 33: Classroom training session 3 (6 days) Week 34: Classroom training session 4 (6 days) Weeks 35-41: Clinical placements Programme completed. 7
Classroom Schedule Morning Afternoon Monday Entrance Exam EMT Skills Exam Tuesday Anatomy and Physiology A&P Lab Wednesday Airway Course Airway Course Thursday ITLS Course ITLS Course Friday ITLS Course ITLS Course Saturday ITLS Course ITLS Exam Skills Week Monday Pharmacology Pharmacology Tuesday Pharmacology Intro to Cardiology Wednesday Medical Assessment Medical Assessment Thursday GP Skills GP Skills Friday GP Skills GP Skills Saturday Skills practice Skills practice Advanced Skills Week Monday Cardiology Cardiology Tuesday ACLS Course ACLS Course Wednesday ACLS Course ACLS Exam Thursday PALS Course PALS Exam Friday Clinical Lab Skills Clinical Lab Skills Saturday Pharmacology Exam Paramedic Practical Exams CPD Week Monday Expedition Medicine Expedition Medicine Tuesday Expedition Medicine Expedition Medicine Wednesday Prolonged Care / Suturing Expedition Medicine Thursday Tropical Medicine Tropical Medicine Friday Tropical Medicine Tropical Medicine Saturday Final Written Exam Oral Board Exam Industry Skills Week 8
Examinations Examinations All examinations have a pass rate of 80% Emergency Medical Technician written and practical exam. These exams are given on day one. Any student who does not pass either of these exams will be asked to return for the next paramedic classroom scheduled and will not be invited to continue with training in Malta. International Trauma Life Support Written and practical exams Advanced Cardiac Life Support Written and practical exams Paediatric Advanced Life Support Written and practical exams Tropical, Travel and Expedition Medicine Written exam Pharmacology Written exam Paramedic written and practical exams Quizzes Each Monday and Saturday a short quiz is given out about the weeks training. 9
Clinical Training Outline: 400 hours of A&E, ambulance and remote site clinical placements. Option 1: ER24 Ambulance Company Johannesburg, South Africa Up to 400 hours of ambulance placement. Students work with Advanced Paramedics who respond to numerous ALS calls. This placement is heavy on trauma experience. Students stay in a local B&B. Option 2: Tambo Memorial Hospital (TMH) Johannesburg, South Africa Up to 200 hours of A&E clinical placement. Students work directly with doctors and are given plenty of hands on skills. Students stay in a local B&B. Option 3: Municipal Clinical Emergency Hospital Chisinau, Moldova Up to 200 hours of hospital and ambulance placement. Students work with ambulance attendants and doctors. Students stay in a B&B 20 minutes via tram from the hospital. Option 4: Anderson Ambulance Company East London, South Africa Up to 400 hours of ambulance placement. Students work with Advanced Paramedics who respond to numerous ALS calls. This placement is heavy on trauma experience. Students stay in a local B&B that is within walking distance to the ambulance base. 10