CONCENTRATION Emergency and Firefighting Management Services

CLUSTER Human Services

WVEIS CODE HU2200

NATIONAL STANDARDS: National Fire Protection Association (NFPA)1001 http://www.nfpa.org/aboutthecodes/list_of_codes_and_standards.asp Department of Transportation National Standard Curriculum EMT-B http://www.nremt.org/nremt/about/reg_basic_history.asp\

ONET Codes & Occupations 33-2011.00 - Fire Fighters 33-2011.11 - Municipal Fire Fighters

Sample of job titles upon completion of the concentration: Fire Fighter

Sample of job titles upon completion of additional education: Fire Inspectors, Fire Investigators, EMT’s and Paramedics, Fire Engineer, Fire Captain

INDUSTRY CREDENTIALS NFPA 1001 Fire Fighter I, Fire Fighter II (120 hour) AHA Basic Life Support for Healthcare Providers NIMS 100, 200, 700, 800 National Registry EMT-B/WV State EMT-B Certification

REQUIRED COURSES (Sequence Required for 2203 & 2205) 2202 Fire Science Technology 2203 Firefighting I 2205 Firefighting II 0792 Emergency Medical Technician – Basic (EMT-B)

ELECTIVE COURSES 2207 Telecommunicator 2208 Auto Extrication 2209 Driver Pump Operator 1037 Homeland Security 6709 Fitness/Conditioning Activities 7321 Psychology

SKILL SETS Career Preparation Skills Safety Leadership Development Customer and Personal Service

1 Literacy and Numeracy Fire Service Orientation Skills Fire Fighter Safety Skills Fire Service Communications Incident Command Systems Fire Behavior Building Construction Fire Fighter Tools and Equipment Response Techniques Search and Rescue Ventilation Water Supply Salvage and Overhaul Fire Fighter Survival and Rehabilitation Wildland and Ground Fires Fire Suppression Preincident Planning Vehicle Rescue and Extrication Assisting Special Rescue Teams Hazardous Materials Awareness and Response Terrorism Awareness and Response Fire Prevention/Education and Cause Determination Fire Detection, Protection and Suppression Systems Fire and Emergency Medical Care

2 3 Career Preparation, Safety, Leadership Development, Customer Service and Literacy and Numeracy skill sets should be integrated throughout the concentration as remaining skill sets are delivered.

Skill Set Career Preparation Skills Knowledge Objectives Students will demonstrate knowledge of

HU.1  career paths.  goal development and achievement.  attitudes and work habits that support career retention and advancement.  personal qualities and abilities needed to be effective with children.  communication in varied contexts. Performance Objectives Students will

HU.2  relate skills and abilities to possible career pathways. HU.3  explain methods of goal development. HU.4  discuss methods of time management and task coordination. HU.5  practice professionalism in punctuality, appropriate dress, task completion, etc. HU.6  investigate methods of supervision such as giving and receiving feedback and instruction. HU.7  develop and present a statement of their personal work ethic beliefs. HU.8  prepare an application, cover letter, resume and thank you letter. HU.9  create a personal portfolio for use when applying for employment. HU.10  practice simulated job interviews. Skill Set Safety Knowledge Objectives Students will demonstrate knowledge of

HU.11  safety practices, policies, procedures and strategies related to both personal and environmental safety. Performance Objectives Students will

HU.12  define personal and environmental safety on the job. HU.13  analyze the legal responsibility to provide a safe environment. HU.14  anticipate and avoid or mitigate potential safety risks for self and client. HU.15  list health and safety tools of the trade and assemble a safety kit. HU.16  plan safe and appropriate responses to a variety of dangers and emergencies. HU.17  identify options for further preparedness training and research. HU.18  identify causes, prevention and treatments for injuries. HU.19  list responsible actions to create a safe and healthy environment. HU.20  demonstrate proficiency in first aid, CPR and AED. Skill Set Leadership Development Knowledge Objectives Students will demonstrate knowledge of

HU.21  public speaking.  parliamentary law.  leadership concepts. 4  characteristics of effective teams and organizations. Performance Objectives Students will

HU.22  develop and deliver speeches. HU.23  participate in business meetings. HU.24  attend leadership conferences and training (local, state and/or national). HU.25  volunteer in community service opportunities. HU.26  participate in career development events. Skill Set Customer and Personal Service Knowledge Objectives Students will demonstrate knowledge of

HU.27  skills and procedures in customer and guest services.  interpersonal skills to build effective working relationships.  social perceptiveness by being aware of others' reactions and understanding why they react as they do. Performance Objectives Students will

HU.28  assess customer needs. HU.29  meet quality standards for service. HU.30  evaluate customer satisfaction. HU.31  demonstrate concern for others. HU.32  use good manners and show cooperation. HU.33  work with diverse people by being flexible and open-minded. HU.34  negotiate with others to resolve conflicts and settle disputes. HU.35  maintain open communication with others. HU.36  accurately interpret the verbal and non-verbal behaviors of others; HU.37  base actions appropriately. HU.38  respect diversity by demonstrating respect for, listening to, and HU.39 considering  the opinions, perspectives, customs, and individual differences of others. Skill Set Literacy and Numeracy Knowledge objectives Students will demonstrate knowledge of HU.40  literacy and numeracy skills required to solve complex  real-world problems associated with their career/technical content area  improve their thinking and reasoning skills. Performance Objectives Students will  utilize a variety of technical sources (e.g., Internet, manuals, journals, HU.41 directions, reports, etc.) to complete career/technical assignments and projects  demonstrate writing skills required to complete career/technical assignments HU.42 and projects  demonstrate accuracy in calculating and measuring graphical work required to HU.43 complete career/technical assignments and projects  analyze tables, charts, graphs and multiple data sources to complete

5 HU.44 career/technical assignments and projects

6 Fire Science Technology WVEIS 2202 Skill Set Fire Service Orientation Knowledge Objectives Students will demonstrate knowledge of

2202.1  Fire Fighter guidelines and qualifications.  roles and responsibilities of Fire Fighter I.  roles within the fire department and fire department governance.  organization of the fire service.  history of the fire service. Performance Objectives Students will

2202.2  identify the various requirements for Fire Fighters related to age, education, physical fitness, etc. 2202.3  compare and contrast the roles and responsibilities of Fire Fighter I & II. 2202.4  examine the organization of the fire service such as chain of command, etc. 2202.5  discuss the history of American Fire Service, building codes, payment for fire service, etc. Skill Set Fire Fighter Safety Knowledge Objectives Students will demonstrate knowledge of

2202.6  injury prevention.  safety standards and procedures.  personal protective equipment.  respiratory protection.  SCBA inspection and maintenance. Performance Objectives Students will

2202.7  identify causes of fire fighter deaths and injuries. 2202.8  discuss methods of injury prevention. 2202.9  examine safety standards and procedures. 2202.10  demonstrate safety methods for various situations such as during training, emergency response, at emergency incidents, at the fire station and outside the workplace. 2202.11  examine personal protective equipment including the structural firefighting ensemble and specialized protective clothing. 2202.12  determine respiratory hazards of fires and other toxic environments. 2202.13  examine situations requiring breathing apparatus. 2202.14  analyze types of breathing apparatus. 2202.15  demonstrate inspection and maintenance of SCBA’s. Skill Set Fire Service Communications Knowledge Objectives Students will demonstrate knowledge of

2202.16  the communications center.  communications center operations.

7  radio systems.  records and reporting. Performance Objectives Students will

2202.17  examine communications facility requirements and equipment. 2202.18  discuss receiving and dispatching emergency calls. 2202.19  examine radio equipment and operations. 2202.20  demonstrate methods of obtaining, coding and recording necessary information. Skill Set Incident Command System (ICS) Knowledge Objectives Students will demonstrate knowledge of

2202.21  the history and characteristics of the Incident Command System.  the ICS organization.  implementing and working with the ICS. Performance Objectives Students will

2202.22  relate the history of the ICS. 2202.23  discuss characteristics of the ICS such as jurisdictional authority, all-risk and all-hazard system, unity of command, etc. 2202.24  define common terms relating to ICS. 2202.25  examine consolidated incident action plans. 2202.26  describe designated incident facilities. Skill Set Fire Behavior Knowledge Objectives Students will demonstrate knowledge of

2202.27  the chemistry of fire.  classes of fires.  characteristics of solid-fuel fires.  characteristics of liquid-fuel fires.  characteristics of gas-fuel fires.  smoke reading. Performance Objectives Students will

2202.28  analyze the chemistry of fire and combustion. 2202.29  describe states of matter, types of fuels and types of energy. 2202.30  describe the classification of fires. 2202.31  compare and contrast the characteristics of solid-, liquid- and gas-fuel fires. 2202.32  determine the key attributes of smoke and what is influencing them. Skill Set Building Construction Knowledge Objectives Students will demonstrate knowledge of

2202.33  building occupancy and contents assessment.  types of construction materials.

8  types of construction.  building components.  preincident planning and incident size-up. Performance Objectives Students will

2202.34  examine the interactions between building construction, occupancy and contents. 2202.35  describe occupancy classifications and associated building code requirements. 2202.36  analyze risks of various building contents. 2202.37  identify types of construction materials and the factors that affect the fire behavior of these materials. 2202.38  describe five classifications of building construction and how they are related to fire protection and fire behavior. 2202.39  examine the major components of a building including the: o foundations; o floors and ceilings; o roofs; o trusses; o walls; o doors and windows; and o interior finishes and floor coverings. 2202.40  relate the various components to safety risk. 2202.41  explain the importance of pre-incident planning .

9 Firefighting I WVEIS 2203 Skill Set Firefighting Tools and Equipment Knowledge Objectives Students will demonstrate knowledge of

2203.1  portable fire extinguishers.  general safety and operating conditions of firefighting tools and equipment.  the functions of various tools.  phases of use of tools and equipment.  tool staging.  tool maintenance.  ropes and knots.  ladders.  fire hoses and nozzles. Performance Objectives Students will

2203.2  examine the purposes and uses of portable fire extinguishers and special extinguishing agents. 2203.3  relate the classes of fires to the use of portable fire extinguishers. 2203.4  describe the classifications of fire extinguishers. 2203.5  explain the labeling and placement of fire extinguishers. 2203.6  demonstrate the methods of fire extinguishment. 2203.7  identify the types of extinguishing agents. 2203.8  describe fire extinguisher design and characteristics. 2203.9  explain the use and care of fire extinguishers. 2203.10  describe safety and other condition of operating tools and equipment. 2203.11  examine the functions of various tools. 2203.12  discuss the phases of use of tools. 2203.13  define tool staging. 2203.14  describe the cleaning and inspecting of various types of tools. 2203.15  describe types of ropes, rope materials and rope construction. 2203.16  explain how these affect rope strength. 2203.17  demonstrate rope maintenance. 2203.18  describe and demonstrate types of knots. 2203.19  examine various methods of hoisting. 2203.20  describe the functions of ladders. 2203.21  examine ladder construction and types of ladders. 2203.22  describe the inspection, maintenance and service testing of portable ladders. 2203.23  discuss ladder safety. 2203.24  describe the use of portable ladders. 2203.25  analyze procedures for a chimney check. 2203.26  examine principles of fire hydraulics such as flow and pressure. 2203.27  explain the functions and construction of fire hoses. 2203.28  demonstrate hose care, maintenance and inspection.

10 2203.29  explain hose appliances. 2203.30  discuss the methods for hose rolls. 2203.31  examine methods of fire hose evolutions. 2203.32  define types of nozzles. 2203.33  explain foam classifications, equipment and application techniques. Skill Set Response Techniques Knowledge Objectives Students will demonstrate knowledge of

2203.34  alarm receipt.  riding and dismounting an apparatus.  emergency response techniques.  controlling utilites.  personnel accountability systems.  size-up techniques.  incident action plans.  forcible entry situations and tools. Performance Objectives Students will

2203.35  describe various response techniques including riding and dismounting an apparatus. 2203.36  describe procedures for controlling utilities and other necessities for arrival at the incident scene. 2203.37  discuss size-up evaluations and incident action plans. 2203.38  examine forcible entry situations and tools for various types of entry. Skill Set Search and Rescue Knowledge Objectives Students will demonstrate knowledge of

2203.39  search and rescue operations and techniques.  search safety. Performance Objectives Students will

2203.40  examine search and rescue operations. 2203.41  demonstrate search and rescue techniques and equipment. 2203.42  discuss methods for search safety including risk management. Skill Set Ventilation Techniques Knowledge Objectives Students will demonstrate knowledge of

2203.43  the benefits of proper ventilation.  backdraft and flashover considerations.  building construction considerations.  tactical priorities.  types and techniques of ventilation.  indicators of roof collapse.

11 Performance Objectives Students will

2203.44  explain the benefits of proper ventilation. 2203.45  discuss considerations relating to backdraft and flashback. 2203.46  examine factors affecting ventilation. 2203.47  explain how building construction affects ventilation. 2203.48  discuss tactical principles for venting. 2203.49  examine types of ventilation including horizontal, mechanical and vertical. 2203.50  describe indicators of roof collapse. 2203.51  demonstrate equipment maintenance. Skill Set Water Supply Knowledge Objectives Students will demonstrate knowledge of

2203.52  sources of water supply.  types of water systems.  fire hydrants. Performance Objectives Students will

2203.53  describe sources of water. 2203.54  examine water treatment and distribution systems. 2203.55  explain types of fire hydrants. 2203.56  discuss location, operation and maintenance of fire hydrants. Skill Set Salvage and Overhaul Knowledge Objectives Students will demonstrate knowledge of

2203.57  lighting.  salvage tools.  salvage techniques to prevent damage.  overhaul techniques. Performance Objectives Students will

2203.58  examine salvage and overhaul safety principles and practices. 2203.59  describe lighting equipment. 2203.60  examine salvage tools. 2203.61  discuss salvage techniques to limit/prevent water, smoke and heat damage. 2203.62  describe overhaul techniques and tools.

12 Firefighting II WVEIS 2205 Skill Set Fire Fighter Survival and Rehabilitation Knowledge Objectives Students will demonstrate knowledge of

2205.1  risk-benefit analyses.  hazard indicators.  safe operating procedures.  fire fighter survival procedures.  air management.  rehabilitation.  critic incident stress. Performance Objectives Students will

2205.2  examine a risk-benefit analysis. 2205.3  investigate safe operating procedures including personal accountability systems and emergency communication procedures. 2205.4  discuss fire fighter survival procedures including maintaining orientation, self-rescue and safe havens. 2205.5  demonstrate the rescue of a downed fire fighter. 2205.6  describe the factors, causes and need for rehabilitation. 2205.7  analyze the incidents affecting fire fighter rehabilitation. 2205.8  describe how rehabilitation works and the role of personal responsibility in rehabilitation. 2205.9  describe examples of critical incidents. 2205.10  explain critical incident stress debriefing. Skill Set Wildland and Ground Fires Knowledge Objectives Students will demonstrate knowledge of

2205.11  the fire triangle and other factors affecting wildland fires.  extinguishing wildland fires. Performance Objectives Students will

2205.12  describe the fire triangle. 2205.13  discuss the effect of weather and topography on wildland fires. 2205.14  analyze the anatomy of wildland fire. 2205.15  explain the methods of extinguishing wildland fires including types of attacks. 2205.16  describe the fire apparatus used for wildland fires. 2205.17  discuss safety issues and the use of personal protective equipment for wildland fires. Skill Set Fire Suppression Knowledge Objectives Students will demonstrate knowledge of

2205.18  offensive vs. defensive operations  operating hose lines 13  protecting exposures.  vehicle fires.  flammable liquid fires.  flammable gas cylinders.  electrical fires. Performance Objectives Students will

2205.19  compare and contrast offensive vs. defensive operations. 2205.20  demonstrate hose line operations. 2205.21  discuss protecting various exposures. 2205.22  explain methods for attacking and overhauling vehicle fires. 2205.23  discuss the hazards and suppression of fires relating to flammable liquids and gas and electrical fires. Skill Set Preincident Planning Knowledge Objectives Students will demonstrate knowledge of

2205.24  preincident plans.  preincident surveys.  tactical information.  occupancy considerations. Performance Objectives Students will

2205.25  identify target hazards and develop a preincident plan. 2205.26  examine a preincident survey. 2205.27  discuss tactical information regarding various preincident plans including those for search and rescue, forcible entry, ladder placement and ventilation. 2205.28  examine occupancy consideration and settings. Skill Set Vehicle Rescue and Extrication Knowledge Objectives Students will demonstrate knowledge of

2205.29  types and anatomy of vehicles.  responding to the scene of a motor vehicle accident.  stabilization of the scene.  extricating a victim.  removing and transporting a victim.  securing an accident scene. Performance Objectives Students will

2205.30  identify types, parts and frames of various vehicles. 2205.31  describe techniques for responding to the scene including arrival and size-up. 2205.32  examine hazards affecting scene stabilization. 2205.33  demonstrate the tools and techniques related to vehicle 2205.34 extrication. 2205.35  examine methods for removing and transporting victims. 14  describe techniques for securing an accident scene. Skill Set Hazardous Materials Awareness and Response Knowledge Objectives Students will demonstrate knowledge of

2205.36  hazardous materials properties and effects.  response implementation.  safety and scene control.  decontamination techniques. Performance Objectives Students will

2205.37  identify characteristics of hazardous materials. 2205.38  discuss the effects of hazardous exposure and contamination. 2205.39  examine types of hazardous materials. 2205.40  analyze methods for recognizing and identifying hazards. 2205.41  develop methods for implementing a response. 2205.42  demonstrate use of personal protective equipment, scene safety and scene control. 2205.43  identify response priorities and actions. 2205.44  discuss types and methods of decontamination and the decontamination process. Skill Set Terrorism Awareness Knowledge Objectives Students will demonstrate knowledge of

2205.45  fire service response to terrorism incidents.  potential targets and tactics.  agents and devices.  operations. Performance Objectives Students will

2205.46  examine various targets and tactics such as infrastructure targets and ecoterrorism. 2205.47  describe types of agents and devices such as explosives and incendiary devices and chemical and biological and radiological agents. 2205.48  discuss operations such as initial actions, interagency coordination, decontamination, etc. Skill Set Fire Prevention/Education and Cause Determination Knowledge Objectives Students will demonstrate knowledge of

2205.49  aspects of fire prevention.  fire cause determination.  fire safety surveys. Performance Objectives Students will

2205.50  examine fire codes. 2205.51  describe public fire safety education programs. 15 2205.52  examine fire safety surveys. 2205.53  discuss fire investigations. 2205.54  explain causes of fires. 2205.55  examine how to determine the origin and cause of a fire. 2205.56  describe fire-ground operation procedures. 2205.57  explain the process for securing and transferring property regarding incendiary fires. 2205.58  discuss the characteristics of types of arsonists. Skill Set Fire Detection, Protection and Suppression Systems Knowledge Objectives Students will demonstrate knowledge of

2205.59  fire alarm and detection systems.  fire suppression systems. Performance Objectives Students will

2205.60  describe the components of fire alarm systems for various settings. 2205.61  discuss fire alarm functions. 2205.62  describe various fire suppression systems.

16 EMT-B Prep WEVIS 0792

*Foundations of Health Science (0711) and Advanced Principles of Health Science (0715) provide the introductory core for all Health Science Concentrations and require a minimum course completion score of 80% in order to advance to EMT-B Prep (0792). *Health Science Clinical Experience (0730) is to be offered in conjunction with EMT-B Prep (0792).

*The Performance for Emergency Medical Technology-EMT-B were adapted and condensed from the U S Department of Transportation 2009, National Emergency Medical Services Education: Emergency Medical Technician Instructional Guidelines. See http://www.ems.gov/education/nationalandncs.html for additional details and information. *These educational Content Skill also meet the West Virginia Office of Emergency Medical Systems requirements. See http://www.wvoems.org.

Skill Set Academic Foundation Knowledge Objectives Students will demonstrate knowledge of

0792.1  anatomy and physiology of all human body systems.  life span development. Performance Objectives Students will

0792.2  label the following topographic terms: medial, lateral, proximal, distal, superior, inferior, anterior, posterior, midline, right and left, mid-clavicular, bilateral and mid-axillary. 0792.3  describe and identify the anatomy and function of the following major body systems: respiratory, circulatory, musculoskeletal, nervous, integumentary, digestive, urinary, genital and endocrine. 0792.4  name and label the structures of the respiratory and circulatory systems. 0792.5  describe the pulmonary ventilation process to include mechanics of ventilation and alveolar ventilation (tidal volumes, dead space, etc). 0792.6  describe the oxygenation process. 0792.7  explain both external and internal respiration processes. 0792.8  chart the life support chain, aerobic metabolism and anaerobic metabolism. 0792.9  define pathophysiology. 0792.10  discuss pathophysiology of the respiratory and cardiovascular systems. 0792.11  describe the terms used to designate the following stages of life: infants, toddlers, preschoolers, school-age children, adolescents (teenagers), early adults, middle adults and late adults. 0792.12  describe the major physiologic and psychosocial characteristics of: o an infant’s life. o a toddler and preschooler’s life. o a school age child’s life. o an adolescent’s life. o an early adults life. o a middle adult’s life. o a late adult’s life.

Skill Set Client Interaction EMT-B Prep Knowledge Objectives Students will demonstrate knowledge of

0792.13  effective communication techniques for the EMT. Performance Objectives Students will

0792.14  describe principles of therapeutic and effective communication with patients/clients in a manner that achieves a positive relationship. 0792.15  discuss adjusting communication strategies to effectively communicate to differing age groups, developmental stages, patients/clients with special needs and differing cultures including language barriers. 0792.16  discuss the communication techniques that should be used to interact with the patient/client, patient/client family members, bystanders and individuals from other agencies including verbal diffusion and interview techniques. 0792.17  state the steps the EMT should take when approaching a family confronted with death and dying. Skill Set Safety, Legal and Ethical Information/EMT-B Prep Knowledge Objectives Students will demonstrate knowledge of

0792.18  history and evolution of the EMS system.  safety, legal and ethical issues for emergency service personnel.  scene assessment for safety issues.  principles of safely operating a ground ambulance.  EMS operations during a multiple casualty incident.  procedures involved in safely operating in and around an air medical operations landing zone.  correct procedures of extrication to ensure EMS personnel and patient/client safety during extrication operations.  risks and responsibilities of operating during a terrorism event or during a natural or man-made disaster. Performance Objectives Students will

0792.19  discuss and explain the roles, responsibilities and professionalism of EMS personnel. 0792.20  define Emergency Medical Services (EMS) Systems. 0792.21  discuss the historical background of the development of the EMS system. 0792.22  identify the four levels of national EMS providers (EMR, EMT, AEMT and PM), as well as the three levels in the state of West Virginia. 0792.23  state the specific statutes and regulations regarding the EMS system in West Virginia. 0792.24  characterize the EMS system’s role in prevention and public education. 0792.25  discuss the roles and responsibilities of the EMT related to personal safety of the crew, patient/client and bystanders. 0792.26  discuss the maintenance of certification and licensure for the EMT in the state of West Virginia. 0792.27  define quality improvement and discuss the EMT’s role in the process. 0792.28  discuss EMS research and evidence based decision making. 0792.29  identify the essential components of a verbal report and legal aspects that need to be considered. 0792.30  safety practices for Emergency Medical Technician. 0792.31  discuss the significance of using the correct safety precautions to ensure the safety of the patient/client, the EMT and the EMS team. 0792.32  discuss stress management techniques useful for both the EMT and the patient/client. 0792.33  discuss the procedures to safely lift and move patients/clients of various age groups and situations (emergency, urgent and non-urgent moves). 0792.34  discuss and apply knowledge of disease transmission to the overall safety and wellness of the EMS team. 0792.35  explain the need to determine scene safety. 0792.36  recognize and describe hazards/potential hazards at the scene. 0792.37  determine if the scene is safe to enter. 0792.38  describe the steps the EMT-Basic should take for personal protection from airborne and bloodborne pathogens, as well as communicable disease. 0792.39  list the personal protective equipment necessary to protect oneself in common emergency situations. 0792.40  list the minimum Precautions that should be followed and PPE that should be worn at the emergency scene. 0792.41  list possible emotional reactions that an individual (EMT and EMT family, patient/client and patient/client family) may experience when faced with trauma, illness, death and dying. 0792.42  recognize the warning signs of personal stress. 0792.43  discuss strategies of stress management for the EMT. 0792.44  demonstrate good body mechanics while using a stretcher and other patient/client moving devices. 0792.45  discuss the guidelines and safety precautions that need to be followed when lifting a patient/client. 0792.46  describe the guidelines and safety precautions for carrying patients/clients and/or equipment. 0792.47  state the guidelines for reaching and their application. 0792.48  state the guidelines for pushing and pulling. 0792.49  discuss patient/client positioning in common emergency situations. 0792.50  discuss situations that may require the use of medical restraints on the patient/client and explain guidelines and safety consideration for their use. 0792.51  define “infectious disease” and “communicable disease.” 0792.52  describe the routes of transmission for infectious disease. 0792.53  explain the mode of transmission and the steps to prevent/deal with an exposure of hepatitis, meningitis, tuberculosis and HIV. 0792.54  discuss the importance of body substance isolation (BSI). 0792.55  explain how immunity to infectious diseases is acquired. 0792.56  explain post exposure management of exposure to patient/client blood or body fluids, including completing a post exposure report. 0792.57  describe the components of physical fitness and mental wellbeing. 0792.58  discuss common mechanisms of injury/nature of illness. 0792.59  discuss the procedures for multiple-patient/client situations. 0792.60  explain why it is important for the EMT to determine the need for additional or specialized resources.  discuss the importance of performing regular vehicle and equipment 0792.61 inspections.  describe the general provisions of West Virginia laws relating to the operation 0792.62 of an ambulance.  discuss "Due Regard for Safety of All Others" while operating an emergency 0792.63 vehicle.  provide examples of some high risk situations and hazards that may affect the 0792.64 safety of the ambulance and its passengers during both pre-transport and during transport.  describe the specific condition that would define a mass-casualty incident 0792.65 (MCI) and give examples.  describe primary and secondary triage, how the four triage categories are 0792.66 assigned and how destination decisions are made.  describe how the techniques of triage are performed. 0792.67  demonstrate how to perform a triage based scenario that involves an MCI. 0792.68  discuss safe air medical operations. 0792.69  describe key scene safety considerations when preparing for a helicopter 0792.70 medivac, including establishing a landing zone and approaching the aircraft.  discuss the criteria for utilizing an air medial response. 0792.71  describe the role of the EMT in patient/client rescue and vehicle extrication. 0792.72  describe personal and patient/client safety during vehicle extrication. 0792.73  discuss the factors related to ensuring situational safety at the site of a vehicle 0792.74 extrication.  explain the difference between simple access and complex access in vehicle 0792.75 extrication.  discuss patient/client care consideration related to assisting with rapid 0792.76 extrication, providing emergency care to the trapped patient/client and removing and transferring a patient/client.  describe the role of the EMT on the scene of a natural or man-made disaster. 0792.77  define international and domestic terrorism and provide examples of incidents 0792.78 of each.  describe personal and patient/client safety during a natural or man-made 0792.79 disaster.  describe the factors related to ensuring situational safety at the site of a disaster 0792.80 and the procedures required. Skill Set Intra Team Communication/ EMT-B Prep Knowledge Objectives Students will demonstrate knowledge of

0792.81  components of the EMS communications system. Performance Objectives Students will

0792.82  discuss vehicle and equipment readiness. 0792.83  discuss the roles and responsibilities of the EMT to operate emergency vehicles, provide scene leadership, perform patient/client assessment and administer emergency care. 0792.84  understand the basic principles of the various types of communications equipment used in EMS. 0792.85  describe the use of radio communication and correct radio procedures, including the proper methods of initiating and terminating the radio call/transmission. 0792.86  state the proper procedures and sequence for delivery of patient/client information to other healthcare professionals. Skill Set Information Collection/EMT-B Prep Knowledge Objectives Students will demonstrate knowledge of

0792.87  medical terminology.  principles of medical documentation and report writing. Performance Objectives Students will

0792.88  identify the medical terminology and medical terms associated with the EMT level. 0792.89  describe the use of written communication and documentation. 0792.90  explain the legal implication of the patient/client care report. 0792.91  identify the minimum dataset reference patient/client information and administrative information on the patient/client care report. 0792.92  understand how to document refusal of care, including legal implications. Skill Set Technical Skills/EMT-B Knowledge Objectives Students will demonstrate knowledge of

0792.93  pathophysiology and medical care for respiratory failure, respiratory arrest and cardiac arrest.  airway management techniques.  proficiency in respiration techniques.  proficiency in artificial ventilation techniques.  care for patient/clients in respiratory distress.  causes, pathophysiology and management of shock and the components of resuscitation.  care for patient/client with a neurological emergency.  care for patient/client with an abdominal/gastrointestinal emergency.  care for patient/client with an immunologic emergency.  care for a patient/client experiencing an infectious disease.  care for a patient/client with an endocrine disorder.  care for a patient/client with a psychiatric emergency.  care for patient/client with a cardiovascular emergency.  care for patient/client with an allergic reaction and anaphylaxis.  toxicology and care for a patient/client with a poisoning or overdose emergency.  hematology and care for patient/client with a clotting disorder or a sickle cell disease crisis.  care for a patient/client with a genitourinary/renal emergency.  care for a patient/client with a gynecologic emergency.  care for a patient/client with a non-traumatic musculoskeletal emergency.  kinematics of trauma.  skills required for the management of a patient/client with traumatic bleeding.  skills required for the management of a patient/client with a chest trauma.  skills required for the management of a patient/client with an abdominal/genitourinary trauma.  skills required for the management of a patient/client with an orthopedic trauma.  skills required for the management of a patient/client with a soft tissue trauma.  skills required for the management of a patient/client with a head, facial or neck (non-spinal) trauma.  skills required for the management of a patient/client with a nervous system trauma.  special considerations for the management of a patient/client experiencing a trauma during pregnancy.  special considerations for the management of the pediatric patient/client experiencing a trauma.  special considerations for the management of the geriatric patient/client experiencing a trauma.  special considerations for the management of the cognitively impaired patient/client experiencing a trauma.  components and procedures of a multi-system trauma.  assessing and managing environmental trauma emergencies. Performance Objectives Students will

0792.94  state what care should be provided for a patient/client with or without adequate breathing. 0792.95  describe and demonstrate the steps in performing the head-tilt chin-lift. 0792.96  relate mechanism of injury to opening the airway. 0792.97  describe and demonstrate the steps in performing the jaw thrust. 0792.98  describe and demonstrate the techniques of suctioning and its importance. 0792.99  describe how to assess for adequate and inadequate respiration, including the use of pulse oximetry. 0792.100  list the components, purpose, indications, contraindications, complications and procedures for oxygen delivery devices. 0792.101  demonstrate oxygen administration for the pediatric and geriatric patient/client. 0792.102  describe and demonstrate the steps in assisting ventilations for the conscious patient/client in respiratory distress using a bag-valve-mask (BVM) and continuous positive airway pressure (CPAP). 0792.103  demonstrate how to insert an oropharyngeal (oral) and a nasopharyngeal (nasal) airway. 0792.104  describe and demonstrate how to artificially ventilate a patient/client with a pocket mask. 0792.105  describe and demonstrate the steps in artificially ventilating a patient/client with a BVM for one or two rescuers. 0792.106  describe and demonstrate the signs of adequate and inadequate artificial ventilation using the BVM. 0792.107  describe and demonstrate the steps in artificially ventilating a patient/client with a manually triggered ventilation device. 0792.108  demonstrate how to artificially ventilate the pediatric and geriatric patient/client. 0792.109  describe and demonstrate how to perform the Sellick Maneuver (cricoid pressure). 0792.110  recognize the differences between normal and positive pressure ventilation. 0792.111  demonstrate how to measure a blood pressure by palpation, auscultation and electronic devices while in the field. 0792.112  discuss withholding resuscitation if irreversible death is obvious or if a “DO Not Resuscitate” (DNR) is present. 0792.113  review the anatomy and physiology of the respiratory and cardiovascular systems. 0792.114  explain the system components of CPR, the four links in the AHA Chain of Survival (adult and pediatric) and how each one relates to maximizing the survival of the patient/client. 0792.115  secure Healthcare Provider (AHA or Red Cross guidelines) certification (required prior to EMT program competition). 0792.116  describe shock including the pathophysiology/causes/signs and symptoms associated with the various types of shock. 0792.117  discuss patient/client assessment and the emergency care of the patient/client with signs and symptoms of shock. 0792.118  discuss and distinguish the causes and variations between the emergency medical care of the infant, child, adult and geriatric patient/client experiencing shock. 0792.119  review the anatomy, physiology and pathophysiology of the brain and spinal cord. 0792.120  discuss and identify the causes of ischemic strokes, hemorrhagic strokes and transient ischemic attacks including similarities and differences. 0792.121  discuss and demonstrate how to use the stroke assessment tool identify a stroke patient/client rapidly. 0792.122  define and differentiate generalized seizure, partial seizure and status epilepticus and list their possible causes. 0792.123  describe and demonstrate the assessment and medical care of the infant, child, adult and geriatric patient/client with neurological emergencies. 0792.124  review the basic anatomy, physiology and pathophysiology of the gastrointestinal, genital and urinary systems. 0792.125  define the term,” acute abdomen.” 0792.126  identify the signs, symptoms and common causes of an acute abdomen. 0792.127  describe and demonstrate the assessment and medical care of the infant, child, adult and geriatric patient/client with a gastrointestinal emergency. 0792.128  describe and demonstrate the emergency medical care of the infant, child, adult and geriatric patient/client experiencing an allergic reaction. 0792.129  state the generic and trade names, medication forms, dose, administration, action, and contraindications for the epinephrine auto-injector. 0792.130  demonstrate the use of epinephrine auto-injector. 0792.131  list the causes of infectious diseases. 0792.132  describe and demonstrate the emergency medical care of the infant, child, adult and geriatric patient/client experiencing an infectious disease. 0792.133  discuss mandatory notification to state or federal agencies of various diseases. 0792.134  review the anatomy, physiology and pathophysiology of the endocrine system and its main function in the body. 0792.135  define diabetes (Type I and II), hypoglycemia, hyperglycemia and diabetic ketoacidosis. 0792.136  identify and demonstrate the steps in the emergency medical care of a patient/client taking diabetic medicine with an altered mental status and a history of diabetes. 0792.137  state the generic and trade names, medication forms, dose, administration, action and contraindications for oral glucose. 0792.138  demonstrate the steps of using a glucometer device and administering oral glucose. 0792.139  distinguish between the emergency medical care of the infant, child, adult and geriatric patient/client experiencing a diabetic emergency. 0792.140  define behavior, psychiatric disorders and behavioral emergencies. 0792.141  discuss the general factors that may cause an alteration in a patient/client's behavior. 0792.142  discuss the risk factors/signs or symptoms of various psychiatric emergencies. 0792.143  discuss special medical/legal considerations for managing behavioral emergencies in West Virginia. 0792.144  distinguish between the emergency medical care of the infant, child, adult and geriatric patient/client experiencing a behavioral or psychiatric emergency. 0792.145  demonstrate various techniques to safely restrain a patient/client with a behavioral problem. 0792.146  review the basic anatomy, physiology and pathophysiology of the cardiovascular system. 0792.147  describe the anatomy, physiology, pathophysiology and demonstrate the assessment and management of : o angina pectoris. o thromboembolism. o myocardial infarction. o hypertensive emergencies. o aortic aneurysm/dissection. o heart failure . 0792.148  demonstrate the ability to assess and treat a patient/client with signs and symptoms of cardiac issues including airway, medication administration, position of comfort and life span considerations. 0792.149  list the indications and contraindications for automated external defibrillation (AED). 0792.150  explain the impact of age and weight on defibrillation. 0792.151  discuss the position of comfort for patient/client with various cardiac emergencies. 0792.152  explain the rationale for early defibrillation. 0792.153  explain why not all patient’s/client’s chest pain results in cardiac arrest and does not need to be attached to an automated external defibrillator. 0792.154  discuss the various types of automated external defibrillators. 0792.155  differentiate between the fully automated and the semi-automated defibrillator. 0792.156  understand the importance of maintenance and operator’s check list for AEDs. 0792.157  demonstrate the ability to use an AED according to the latest American Heart Association (AHA) guidelines. 0792.158  explain the role medical direction plays in the use of automated external defibrillation. 0792.159  define toxicology, poisoning and overdose. 0792.160  list various ways that poisons enter the body. 0792.161  list signs/symptoms associated with poisoning. 0792.162  discuss and demonstrate the emergency medical care for the infant, child, adult and geriatric patient/client with poisoning or overdose. 0792.163  state the generic and trade names, indications, contraindications, medication form, dose, administration, actions, side effects and reassessment strategies for activated charcoal. 0792.164  perform the necessary steps required to provide a patient/client with activated charcoal. 0792.165  list signs of adequate air exchange. 0792.166  state the signs and symptoms of a patient/client with respiratory distress. 0792.167  describe and demonstrate the assessment and medical care of the infant, child, adult and geriatric patient/client with a respiratory emergency. 0792.168  state the generic name, medication forms, dose, administration, action, indications and contraindications for the metered-dose inhaler. 0792.169  demonstrate the steps in facilitating the use of an inhaler. 0792.170  differentiate between upper airway obstruction and lower airway disease in the pediatric and geriatric patient/client. 0792.171  list the composition, physiology and pathophysiology of blood. 0792.172  state the signs and symptoms of a patient/client with a Sickle Cell crisis or a clotting disorder. 0792.173  describe and demonstrate the emergency medical care of the patient/client with sickle cell distress or clotting disorder. 0792.174  understand the principles of kidney dialysis. 0792.175  state the signs and symptoms of a patient/client with a dialysis emergency. 0792.176  describe and demonstrate the emergency medical care of the patient/client with a dialysis emergency. 0792.177  distinguish between the emergency medical care of the infant, child, adult and geriatric patient/client experiencing a female reproductive system emergency. 0792.178  explain the general management of a gynecologic emergency in relation to patient/client privacy and communication. 0792.179  discuss the special considerations and precautions an EMT must observe when arriving at the scene of a suspected case of sexual assault or rape. 0792.180  explain special consideration related to a patient/client who has experienced an injury by sexual assault/abuse. 0792.181  describe and demonstrate the emergency medical care of a patient/client with a non-traumatic musculoskeletal emergency. 0792.182  differentiate between: o internal and external bleeding. o arterial, venous and capillary bleeding. 0792.183  explain and demonstrate emergency medical care of the patient/client with external and internal bleeding. 0792.184  list signs and symptoms of shock (hypo-perfusion). 0792.185  discuss MOI for chest injury (blunt and penetrating, energy and injury). 0792.186  differentiate between a pneumothorax (open, simple and tension) and a hemothorax. 0792.187  describe and demonstrate the assessment and management of a patient/client with a suspected chest (open and closed) injury. 0792.188  discuss MOI for abdominal injury (blunt and penetrating, energy and injury). 0792.189  describe the abdominal quadrants. 0792.190  describe the differences between hollow and solid organs. 0792.191  describe and demonstrate the assessment and management of a patient/client with a suspected abdominal (penetrating or blunt) or genitourinary injury. 0792.192  discuss MOI for orthopedic injury (blunt and penetrating, energy and injury). 0792.193  describe the different types of musculoskeletal injuries including fractures, amputations, sprains, and strains. 0792.194  differentiate between an open and a closed painful, swollen and deformed extremity. 0792.195  describe and demonstrate the assessment and management of a patient/client with a suspected orthopedic injury. 0792.196  discuss and list the types of open and closed soft tissue injury. 0792.197  define and list characteristics of superficial, partial-thickness and full-thickness burns. 0792.198  explain how the seriousness of a burn is related to its depth and extent (percent of body surface area (BSA) involved or rule of nine’s) for adult and pediatric patient/client. 0792.199  describe and demonstrate the assessment and management of a patient/client with a soft tissue injury. 0792.200  discuss MOI for head, face and neck (non-spinal) (blunt and penetrating, energy and injury). 0792.201  describe and demonstrate the assessment and management of a patient/client with an injury to the head, face and neck (non-spinal). 0792.202  explain functions of the somatic and autonomic nervous system 0792.203  discuss MOI for head (brain) and spinal (blunt and penetrating, energy and injury). 0792.204  discuss the different types of brain injuries and their corresponding signs and symptoms including increased intracranial pressure (ICP), concussion, contusion and injuries caused by medical conditions. 0792.205  describe and demonstrate the assessment and management of a patient/client with a head (brain) and spinal injury. 0792.206  discuss anatomy, physiology and pathophysiology of the pregnant trauma patient/client. 0792.207  discuss MOI and fetal considerations for the pregnant trauma patient/client. 0792.208  discuss and demonstrate unique injuries and conditions along with assessment and management for the pregnant patient/client involved in trauma. 0792.209  discuss anatomy, physiology and pathophysiology of the pediatric trauma patient/client. 0792.210  discuss and demonstrate unique assessment and management considerations for the pediatric trauma patient/client. 0792.211  discuss anatomy, physiology and pathophysiology of the elderly trauma patient/client. 0792.212  discuss and demonstrate unique assessment and management considerations for the elderly trauma patient/client. 0792.213  discuss anatomy, physiology and pathophysiology of the cognitively impaired trauma patient/client. 0792.214  discuss and demonstrate unique assessment and management considerations for the cognitively impaired trauma patient/client. 0792.215  define drowning and discuss its incidence, rick factors and prevention. 0792.216  list pathophysiologies of water related incidents. 0792.217  distinguish between submersion in salt and fresh water. 0792.218  discuss and demonstrate assessment and management considerations for a patient/client of a submersion incident. 0792.219  describe the different types of diving emergencies and how they may occur. 0792.220  describe the pathophysiology of dysbarism incidents to include high altitudes and diving incidents. 0792.221  discuss and demonstrate assessment and management considerations for a patient/client of a dysbarism incident. 0792.222  discuss and demonstrate assessment and management considerations for a patient/client of a lightning incident. 0792.223  explain the five ways a body can lose heat. 0792.224  describe the pathophysiology of temperature related incidents to include both cold and heat related illness. 0792.225  discuss and demonstrate assessment and management considerations for a patient/client of a temperature related illness. 0792.226  identify the species of insects, spiders and snakes in the US that may cause life threatening injuries. 0792.227  discuss and demonstrate assessment and management considerations for a patient/client with a bite or envenomation incident. 0792.228  explain the relationship between mechanism of injury and potential energy, kinetic energy and work. 0792.229  define blunt and penetrating trauma and provide examples of the mechanism of injury (MOI) that would cause each to occur including: o effects of high, medium and low velocity penetrating trauma. o primary, secondary, tertiary and miscellaneous blast injuries. o factors to consider of a patient/client injured in a fall. o age (pediatric and geriatrics). 0792.230  describe and provide a general overview of multisystem trauma patient/client management. 0792.231  discuss the golden principle of out-of-hospital trauma care. 0792.232  discuss and demonstrate assessment and management considerations for a patient/client of multi system injuries. Skill Set Treatment Planning and Implementation/EMT-B Prep Knowledge Objectives Students will demonstrate knowledge of

0792.233  medical, legal and ethical issues related to the provision of emergency care.  principles of pharmacology as they are related to emergency care.  scene size up and management in an emergency situation.  identification, categorization, pathophysiology and assessment of a trauma patient/client.  growth development, aging and assessment to the obstetric and neonatal, pediatric and geriatric populations.  growth development, aging and assessment to patient/clients with special challenges. Performance Objectives Students will

0792.234  differentiate between expressed, implied and involuntary consent. 0792.235  discuss the methods of obtaining consent and procedures for minors. 0792.236  discuss the issues of abandonment, negligence, false imprisonment and battery and their implications to the EMT. 0792.237  discuss the implications for the EMT in patient/client refusal of care and/or transport. 0792.238  explain the importance, necessity and legality of patient/client confidentiality. 0792.239  discuss the importance of Advance Directives. 0792.240  discuss the implications of a DNR (Do Not Resuscitate) order in regard to EMS application. 0792.241  discuss state of West Virginia and federal special reporting situations such as abuse, sexual assault, gunshots and knife wounds, communicable disease, etc. 0792.242  differentiate between civil tort and criminal actions. 0792.243  list the elements of negligence and defenses/protections from liability. 0792.244  discuss the role of the EMT at crime scenes and in preservation of evidence. 0792.245  define ethics and morality and discuss their implication for the EMT. 0792.246  explain the “Six Rights” of medication administration and describe how each one is related to EMS care. 0792.247  discuss the forms of medications and provide examples of each. 0792.248  discuss how the form of a medication dictates its route of administration. 0792.249  describe the difference between a generic medication name and trade name, and provide an example of each. 0792.250  discuss the components and elements of a drug profile including actions, contraindications, side effects, dose and route. 0792.251  describe the role of medical direction in medication administration and explain the difference between direct orders (online) and standing orders (off-line). 0792.252  give the generic and trade names, actions, indication, contraindications, routes of administration, side effects, interactions and doses of medications that may be administered by an EMT in an emergency as dictated by the state of WV. 0792.253  demonstrate how to administer medication in the following routes: oral, sublingual and auto-injector. 0792.254  discuss and define pathophysiology of the trauma patient/client 0792.255  discuss and demonstrate assessment and management of the trauma patient/client. 0792.256  discuss and describe significant and non-significant mechanism of injury (MOI) and provide examples of each. 0792.257  discuss the National Trauma Triage Protocol of injured Patient/clients (http://cdc.gov/fieldtriage/) . 0792.258  review the anatomy, physiology and pathophysiology of the female reproductive system. 0792.259  explain the normal changes that occur during pregnancy. 0792.260  differentiate between the stages of labor and delivery. 0792.261  discuss and demonstrate assessment and management considerations of a pregnancy. 0792.262  discuss assessment and management considerations of complications of pregnancy.  discuss and demonstrate assessment and management considerations of a 0792.263 neonate.  describe the anatomy, physiology and pathophysiology of the pediatric 0792.264 patient/client.  describe the differences in anatomy when compared to the adult patient/client. 0792.265  discuss and demonstrate assessment and management considerations of a 0792.266 pediatric emergency.  identify the most common causes of the following conditions in the pediatric 0792.267 patient/client: o shock. o altered mental status and seizures. o gastrointestinal emergencies . o poisonings. o drowning. o trauma.  discuss and demonstrate assessment and management considerations for 0792.268 Sudden Infant Death Syndrome (SIDS).  define and discuss the term “geriatrics.” 0792.269  discuss the anatomy, physiology and pathophysiology of the geriatric 0792.270 patient/client.  discuss and demonstrate assessment and management considerations of a 0792.271 geriatric emergency.  define and discuss child and elder abuse and neglect including possible 0792.272 indicators of each.  discuss assessment and management considerations of a patient/client with 0792.273 special needs to include child and elder abuse and neglect, homelessness/poverty, etc. Skill Set Monitoring Client Status/EMT-B Knowledge Objectives Students will demonstrate knowledge of

0792.274  primary patient/client assessment procedures for all patient/client age levels.  procedures for taking the history of a patient/client.  secondary patient/client assessment procedures for all patient/client age levels.  monitoring devices in patient/client assessment.  normal blood pressure ranges for adults, children and infants. Performance Objectives Students will

0792.275  summarize the elements of a general impression of the patient/client. 0792.276  discuss and demonstrate methods of assessing altered mental status using alert, voice, pain and unresponsive (AVPU). 0792.277  discuss and demonstrate methods of assessing the airway and providing airway care. 0792.278  describe and demonstrate methods used for assessing if a patient/client is breathing. 0792.279  differentiate between a patient/client with adequate and inadequate breathing. 0792.280  distinguish between methods of assessing breathing. 0792.281  describe and demonstrate the methods used to obtain a pulse. 0792.282  discuss and demonstrate the need for assessing the patient/client for external bleeding. 0792.283  describe and demonstrate normal and abnormal findings when assessing skin color, temperature, moisture and capillary refill in adult, child and infant. 0792.284  explain the reason for and demonstrate prioritizing a patient/client for care and transport. 0792.285  discuss the process of taking a history, its key components and its relationship to the primary assessment process. 0792.286  explain the importance of obtaining a sample and OPQRST history. 0792.287  recognize and respond to the feelings patient/clients experience during assessment. 0792.288  describe examples of different techniques the EMT may use to obtain information from patients/clients, family or bystanders during the history taking process. 0792.289  describe the unique needs and demonstrate assessing an individual with a specific chief complaint with no known prior history. 0792.290  discuss the components of the physical exam and skills involved. 0792.291  differentiate between the history and physical exam that are performed for responsive patients/clients with no known prior history, responsive patients/clients with a known prior history and unresponsive patients/clients. 0792.292  explain and demonstrate the use/interpretation of pulse oximetry device readings. Skill Set Patient/Client Status Evaluation/EMT-B Knowledge Objectives Students will demonstrate knowledge of

0792.293  reassessment and its significance in patient/client assessment. Performance Objectives Students will

0792.294  describe the components of reassessment and demonstrate the skills involved. 0792.295  discuss the reasons for repeating the initial assessment as part of the reassessment. 0792.296  explain trending assessment components and its value to other health professionals who assume care of the patient/client.