成为紧急医疗技术员

你将学到什么

课程概况

Health care is an exciting and ever growing profession that can take you many different directions. You can apply the fundamentals you learn here about emergent patient care, stabilization, and disease processes toward becoming an EMT or further health care pursuits. In this specialization you will learn to care for stable and unstable patients before they get to a hospital, how to identify time sensitive diseases, and medical and traumatic conditions that affect both adults and pediatric patients.

Course 1 ensures you can assess a scene and prepare to provide care, understand the framework for patient assessment, history of emergency medical services, and the personal requirements to be an EMT. Course 2 addresses airway, breathing and circulation, medications and medication administration that EMTs are allowed to provide, and how to identify a patient having a stroke or diabetic emergency. Course 3 covers skills related to high performance CPR or cardiopulmonary resuscitation, toxicology, and wilderness emergency medicine. Course 4 will offer skills for trauma emergencies and Course 5 focuses pregnancy, infants and pediatrics.

Essential skills are demonstrated throughout the specialization. Finally, apply the course materials to real patient scenarios in the Capstone to help prepare you for national registry testing.

包含课程

课程1
EMT Foundations

In this course, you will get a thorough introduction to the emergency medical services system, and learn the foundation components to how it works as a whole. You will also learn the nuts and bolts of becoming a healthcare provider, and gain some basic knowledge about the human body. By the end of the course, you will be able to 1) understand the history and components of the EMS system, 2) speak the language of medicine with basic medical terminology, as well as have an understanding of basic human anatomy, 3) understand the different types of communications and how they are specific to EMS, 4) take vital signs and master the normal from the abnormal, and 5) master personal and scene safety, and begin the process of patient assessment.

课程2
Medical Emergencies: Airway, Breathing, and Circulation

In this course, you will develop the knowledge and skills to assess and stabilize certain types of patients for transport. By the end of this course, you will be able to: 1) assess a basic medical patient 2) describe general pharmacologic principles and the skills associated with medication administration, 3) explain airway physiology, the assessment of the airway and available interventions for airway management, 4) identify, assess and formulate a plan to stabilize a patient with a respiratory emergency for transport, and 5) identify, assess and formulate a plan to stabilize a patient with a cardiovascular emergency for transport. 6) describe the most common neurologic and endocrine emergencies and what you can do for them as an EMT.

课程3
Medical Emergencies: CPR, Toxicology, and Wilderness

In this course, you will develop the knowledge and skills to assess and stabilize certain types of patients for transport. By the end of this course, you will be able to: (1) Identify the signs and symptoms associated with a patient in shock, to describe the major categories of shock, to assess a patient with signs of shock and formulate a plan for treatment to stabilize the patient for transport, (2) Identify a patient in cardiac arrest and to describe the components of high performance CPR including placement of an AED, components of quality chest compressions, and options for oxygenation, (3) Identify a patient with under the influence of a drug of abuse or a toxicologic ingestion, assess a patient with a potential or known ingestion, and to formulate a plan for treatment and stabilization for transport including that of a violent patient, (4) Identify the symptoms associated with the most common environmental emergencies including hypothermia, hyperthermia, lightning strike and drowning, to assess patients with an environmental emergency and to describe initial treatment and stabilization for transportation and (5) Understanding your patient's story as well as to think critically about the complaint and symptoms associated with the gastrointestinal track, renal system, and the reproductive system.

课程4
Trauma Emergencies and Care

Welcome to Trauma Emergencies and Care. In this course, you will learn about some of the mechanics and physics of trauma on the human body, and how this can cause injury. You will continue to expand your new vocabulary with medical terminology, and learn how to describe the different injuries you may see. You will also learn about the trauma system itself- and when it is important to transport patients to a trauma center. Then we will dive into specific injuries based on what part of the body may be injured- or trauma by system. There are different considerations in the trauma patients depending on both how, and where, they are injured. And of course- you will learn your standard approach to a history and physical exam of the trauma patient. Finally, you will learn about something that you hope to never encounter: mass casualty incidents, or MCI’s. These are occurrences where you may have multiple patients, and there is an organized and specific approach as a provider in these circumstances.

课程5
Emergency Care: Pregnancy, Infants, and Children

Welcome to the final course of lectures in your quest to master EMT basics. In this course, we will cover some of the highest-stress patient populations: pregnant patients and kids, also known as pediatrics. To wrap up your EMT knowledge we will end this course with information about hazmat situations, extricating patients from tight spots and finally how you write a note about your patient care. You will learn to ensure it communicates what your assessment of the patient was, what interventions you performed and why you did them. You will build on your knowledge of anatomy, patient assessment and scene safety to develop an approach to these new patient populations. We will walk through the things that make pregnant patients and pediatric patients different but also what makes them the same as all the patients you care for. Prepare yourself for some noisy kids, some uncomfortable moms and hopefully a lot of fun learning new things.

课程6
Prepare for the EMT Certification Test

Welcome to your final course in Become and EMT! Prepare for the National Registry exam. The title for this course is a little bit misleading. We do hope that at the completion of this course that you feel more prepared to take the skills portion as well as the written portion of the national registry exam. More than anything else, however, our greatest hope is that we have given you the knowledge and tools to provide high quality patient care once you are certified as an EMT or once you achieve whatever level of patient care provider you aspire to. I think many of you have experienced in school or other training the difference between knowing the information needed to pass a test and being able to apply that information to a real life problem. We want you to be able to apply your knowledge! To accomplish this, there will be videos from prior courses to review, links to the national registry patient care checklists, and you will use these resources to complete a series of patient care scenarios that challenge you to apply what you have learned over the past 5 courses. The next couple of weeks are designed to stretch your knowledge and guide you to apply it to potentially real patient presentations. In addition, you will have the opportunity to practice peer review on the care plans that your fellow learners put together. Not only does this provide you the opportunity to see what other people would do in a similar situation but also reinforces your understanding of the material. Good luck and have fun with this last portion of the specialization!

预备知识

这个课程是为任何人设计的。要在美国成为一名急诊医生，你必须年满18岁，因此大部分课程内容都是基于高中水平的教育。对于你们中的一些人来说，你们上过的课程——例如生物学或解剖学——或者你们从其他生活经验中获得的知识将会帮助你们在这一领域的一些课程。

需要考虑两件事:

1)如果你的计划是成为一名急救员，你需要在参加技能课程之前从美国心脏协会获得基本的生命支持。(https://cpr.heart.org/AHAECC/CPRAndECC/Training/HealthcareProfessional/BasicLifeSupportBLS/UCM_473189_Basic-Life-Support-BLS.jsp)。这个专业不需要。

很多病人的护理都是物理上的。它包括抬病人，移动病人，开救护车，给病人用药。如果你有任何身体上的限制，会阻止你完成这些任务，请在决定申请EMT认证之前考虑到这一点。这些身体能力不是你参加这些在线课程或专业课程的必要条件，我们鼓励任何对该主题感兴趣的人充分参与!!

常见问题

这门课使我有资格照顾病人吗?

不。如上所述并在随后的回答中概述，本课程仅提供EMT课程的讲课部分或说教性部分。本内容适用于许多方面的病人护理-不只是那些在道路上成为一个EMT-但完成课程和内容本身并不符合资格你提供直接的病人护理作为一个EMT。作为EMT的执业认证只能通过国家EMT注册(NREMT)，并且需要在课程工作中额外的实践技能部分。

**注意:在本课程中你将学到的一些技能可能会帮助你挽救另一个人的生命。我们特别希望你们在适当的情况下掌握两种技能。一旦你学会了如何去做——CPR和出血控制是对时间敏感的，是对一般公众传授的挽救生命的干预措施(发现于医疗紧急情况:CPR，环境和毒物学和创伤紧急情况)。请密切关注课程的这些部分!实施CPR，用压力或止血带止血，当然知道如何和何时激活紧急反应系统可以挽救一个人的生命。

那么，我怎样才能成为一名EMT呢?

传统的途径:

参加认证的EMT课程。在美国各地都有很多这样的学校，包括丹佛健康护理学校和各种社区学院或大学。

通过国家EMT注册考试的两部分。这些是心理运动(技能)和认知(标准选择题测试)。有关整个过程的更多信息，请查看:https://www.nremt.org/rwd/public/document/emt

Coursera途径:

完成专精——成为EMT!获得Coursera的结业证书。

完成一个实践研讨会。在这个时候，唯一的课程是通过丹佛健康护理师部门的EMS教育，它是大约一个星期的时间，发生在丹佛科罗拉多州。请点击此链接获取关于本课程的完整信息。(https://denverhealthparamedics.org/coursera-emt-boot-camp)

通过国家注册考试的心理运动和认知部分

一旦你通过了NREMT考试，你可以向你所在州的卫生部门注册，获得在你所在州提供医疗服务的执照，成为认证的EMT!