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State of Rajasthan - Section

Section 09 in Rajasthan Para-medical Council Regulations, 2014

09. transducer, outline of C-arm, cineangio machine oxymetry

List of Books prescribed• Invasive Cardiology: A Manual for Cath Lab Personnel - Jones Bartlett• Invasive Cardiology: A Manual for Cath Lab Personnel -Watson• The Cardiac Catheterization Handbook- Morton J. Kern• The Interventional Cardiac Catheterization Handbook- Morton J. Kern• Complications in the Cath Lab: Risk Factors, Management and Bailout Techniques - Mauro Moscucci• Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Charles E. Mullins[Schedule-13] [Substituted by Rajasthan Notification No. G.S.R. 78, dated 25.8.2015 (w.e.f. 5.12.2014).][See Regulation 41(2)1]Syllabus of Diploma in Emergency and Trauma Care TechnologyTeaching and ExaminationScheme - 1st Year
S.No. Subject: Distribution of time Distribution of marks
Hours per week Exam
Th PR T Th PR Viva voce Total
1. Anatomy, Physiology, PathologyPharmacology 1 - 1 100 - - 100
2. Medical Emergencies I 1 - 1 100 - - 100
3. EMS Environment I 1 - 1 100 - - 100
4. Emergency in body systems I 1 - 1 100 - - 100
5. Ambulance Simulator I - 32 32   75 25 100
6. Clinical Rotations I (Sessional) - - - 100 - - 100
  Total 4 32 36       600
Teaching and ExaminationScheme - IInd year
S.No. Subject: Distribution of time Distribution of marks
Hours per week Exam
Th PR T Th PR Viva voce Total
1. EMS Environment II 1   1 100     100
2. Medical Emergencies I 1 - 1 100 - - 100
3. Management of Medical Emergencies 1 - 1 100 - - 100
4. Awareness in Medical Emergencies 1   1 100 - - 100
5. Ambulance Internship and Ambulance Simulator II - 32 32   75 25 100
6. Clinical Rotations II - - - 100 - - 100
  Total 4 32 36       600
Course Components-First Year (Cognitive and Psychomotor)Preparatory:- EMT Core Trainin- EMS Systems, Roles and Responsibilities (EMT and Paramedic)-The Well-Being of the Paramedi- Illness and Injury Prevention-Medical and Legal Issues- Ethical Issues- Pathophysiology-Pharmacology- Vascular Access and Medication Administration-Human Development- Patient Communication- Airway- Airway Management and Ventilation Patient- Assessment:- Patient History- Physical Examination-Patient Assessment- Critical Thinking and Clinical Decision making-Communications and Documentation Trauma:- Trauma Systems and Mechanism of Injury-Bleeding and Shock- Burns- Head and Face Injuries-Spine Injuries- Thoracic Injuries-Abdomen Injuries- Musculo- Skeletal- Injuries- Medical:- Respiratory Emergencies- Cardiovascular Emergencies-Neurologic Emergencies- Endocrine Emergencies- Gastrointestinal Emergencies- Renal and Urologic Emergencies-Allergic Reactions- Toxicology (Substance Abuse and Poisoning)-Hematologic Emergencies- Environmental Emergencies- Infectious and Communicable Disease-Behavioral Emergencies.- Gynecologic Emergencies - Obstetrics- Clinical Rotations 1- Ambulance Simulator 1Course Components-Second Year (Cognitive and Psychomotor)Special Considerations:- Neonatology-Pediatrics- Geriatrics- Abuse, Neglect and Assault-Patients With Special Needs- Acute Interventions for the Chronic Care PatientsOperations:- Ambulance Operations- Medical Incident Command- Terrorism and Weapons of Mass Destruction-Rescue]- Awareness and Operations- Hazardous Materials Incidents-Crime Scene AwarenessSurgical Knots and Suturing Techniques:- Basic Sterile Technique- Two-Handed Square Knot- Instrument Tie Square Knot-Suture materials- Surgical Needles- Suturing Methods-Suture Patterns- Removing SuturesSonography Ultrasound- Basic Operation and Interpretation AHA Basic Life SupportAHA Advanced Cardiac Life SupportAHA Pediatric Advanced Life SupportPre-Hospital Trauma Life Support/Combat and Tactical Medicine ConceptsCEVO-Coaching Emergency Vehicle Operator (Ambulance)Hazardous Materials AwarenessVehicle Extrication ConceptsTechnical Rescue AwarenessClinical Rotations 2- Ambulance Ride Along/Internship Part I and Part II- Ambulance Simulator 2Skills proficiency assessments:EMT/Basic Core Proficiency Skills:Baseline Vital Signs with Samplehistory radio report BVMventilation-adult, child, infantOral suctioning-adult, child, infantCPR-one rescuer with atleast 90% proficiency in ventilations/compressions Oxygen administration-NC, NRB, pulse oximetry (SpO2 monitoring), and capnography (etCO2 monitoring)Bleeding/Hemorrhage management (Quik Clot and CAT) LSB, KED, Traction SplintPatient Assessment: Medical Assessment Trauma AssessmentAirway Management Skills:ETT-adult, pediatric (child and infant) King Airway-adultLMA-adultI Gel-adult and pediatric Tracheal suctioning Surgical cricothyrotomy Transport ventilator Needle chest decompressionIV/Medication Shills:Blood draw with vaccutainerdevice Blood draw with butter flyneedle Blood draw withsyringe/OTN catheterIV start-peripheralIV medication administration-piggy back in fusion IVmedication administration-3ways to peacockMedication administration -subcutaneous, intramuscular, IVbolus, nebulizerAdvanced/Specialized Shills:Sutures UltrasoundAccident Vehicle Patient Extrication (Avet/phtls)First Year-Subjects Division
1. Human Systems Assessment P-I Anatomy, Physiology, pathologypharmacology
2. Pharmacology
3. EMT Core Training (incl. AHABLS, CEVO, andPHTLS) EMS Environment I P-II EMS Environment I
4. Shock and Fluid Therapy P-III Emergency in body systems
5. Emergency Cardiac Care
6. Emergency Respiratory Care
7. Traumatology P-IV Medical Emergencies 1
8. Medical Emergencies I
9. Ambulance Simulator I PRS  
10. Clinical Rotations I
Second Year Subjects Division:
1. EMS Environment 11 P-I EMS Environment II
2. ACLS, PALS, AMLS, EPC, and PHTLS (Review)  
3. Medical Emergencies II P-II Medical Emergencies I
4. Wilderness and Rescue Medicine  
5. Assessment Based Management P-III Management of Medical Emergencies
6. Suture Techniques  
7. Ultrasound (Basic)  
8. Hazardous Materials Awareness P-IV Awareness in medical emergencies
9. Technical Rescue Awareness  
10. Clinical Rotations II PRS  
11. Ambulance Internship  
12. Ambulance Simulator II  
Manuals/books:"Emergency Care and Transportation of the Sick and Injured", Tenth Edition, AAOS Emergency Medical Technician Transition Manual, AAOSNancy Caroline'sEmergency Care in the Streets, AAOS, Sixth Edition Hole's Human Anatomy Physiology, Thirteen EditionAhabls for the Health care Provider Wilderness and Rescue Medicine,Sixth Edition, Jones Bartlett Learning"Basic Ultrasound" by Hylton B 'Meire and Pat Farrant"Surgical Knots and Suturing Techniques", F.D. Giddings, Second EditionFirst Year-Subjects Division:EMT Core Training (including AHABLS, CEVO, and PHTLS) Basic Emergency Medical Technician Course based on "Emergency-Care and Transportation of the Sick and Injured", Tenth Edition, AAOSEMS Environment IAn overview of Emergency Medical Systems in the US and around the world; focusing on professionalism, responsibility, development, improvement and community involvement; and also emphasizing the ethical and legal aspects of Emergency Medical Systems including mal practice, consent, and contracts.Human Systems AssessmentPatient history, charting, and physical examination skills, with emphasis on directing, defining, and describing normal and pathological human body conditions.Shock and Fluid TherapyUnderstanding and management of the body system's reaction to decre as edcellularoxy generation. Body fluids, osmosis, and pathophysiology of in adequate tissue perfusion. Shock therapy and intravenous/intraoseous techniques are emphasized.Emergency Cardiac CareEtiology, pathophysiology, clinical features, cardiac disease processes, and assessment of patients with cardiac disorders (ACLS algorithms, skills, and techniques), with focus on the interpretation of cardiac dysrhythmia, clinical signs and symptoms of cardiac conditions, indications and administration of emergency cardiac therapy along with defibrillation, synchronized cardio version, and transcutaneous pacing skills.PharmacologyClinical pharmacology, classification and use of medications. Emphasis on the proper indications, precautions, dosages, and methods/routes of administration. Includes dosage calculations, metric conversions, and infusioncal culations.Emergency Respiratory CareCare of patients with respiratory disorders; the etiology and pathophysiology of the respiratory system, normal respiratory function and mechanics of respirations. Assessment, pathophysiology of respiratory disease, evaluation and management of respiratory distress due to medical and trauma-related problems, with emphasis on the uses and techniques of supra-glottic, endotracheal, and surgical airways.TraumatologyManagement and treatment of traumatic injuries including of tissues, musculo skeletal structures, neurologic and CNS (Central Nervous System). Anatomy and pathophysiology, assessment, and management of traumatic injuries involving these human systems (including principles of PHTLS).Medical Emergencies IRecognition, management, and pathophysiology of patients with medical emergencies. This module will focus main lyondiabetic emergencies, an aphylaxis and an aphylactic shock, exposure to environmental extremes, alcoholism, poisoning, acute GI problems, genit our in any problems and medical emergencies of the geriatric population.Clinical Rotations ISupervised rotations through hospital clinical areas. Emphasis on airway management, IV therapy, and patient assessment skills.Ambulance Simulator IIntroduction to Sim-Man (mannequin) and to the ambulance simulator; basic and intermediate scenarios, working with ALS (Advanced Life Support).Second Year-Subjects Division:EMS Environment IIGuided practice with emphasis on disaster management, MCI (Multi Casualty Incidents) triage, EMS telemetry and communications, stress management, and emergency rescue extrication techniques (applied concepts of Accident Victim Extrication Techniques and PHTLS).Medical Emergencies IIRecognition, pathophysiology, proper implementation of protocols and management of patients with medical emergencies. This module will include infectious disease, OB- GYN, pediatrics, and behavioral emergencies.ACLS, PALS, AMLS, EPC, and PHTLS (Review) American Heart Association and NAEMT Wilderness and Rescue Medicine "Wilderness and Rescue Medicine" Jeffrey E. Isaac, PA C and David E. Johnson, MD Sixth EditionAssessment Based ManagementIntegrates the principles of assessment- based management. This module will emphasize general approach, assessment, differentials (diagnostics), and management priorities for patients commonly encountered by the paramedic.Suture Techniques"Surgical Knots and Suturing Techniques", F.D, Giddings, Second Edition, Giddings Studio Publishing, Fort Collins Colorado, 2002Ultrasound (Basic)Suggested manual; - "Basic Ultrasound" by HyltonB' Meire and Pat FarrantClinical Rotations IISupervised rotations through clinical settings. Rotations will emphasize the Emergency Department and its correlation to the Emergency Medical Services system. Labor and Delivery, New born Nursery, and ICU/CCU.Ambulance Internship Part ISupervised experience in the pre-hospital care setting that will help the student develop and implement the concepts and principles of the Advanced Life Support system. The student will practice skills as a team member, at Basic and Advanced EMT level, under the direct supervision of a field preceptorAmbulance Internship Part IISupervised experience in the pre-hospital care (ambulance), which will allow the student to apply all principles concepts, and skills learned in the classroom, at the Paramedic level. The student will practice skills as the team leader under the direct supervision of a field preceptor.Ambulance Simulator IIScenario based training; ALS (Advanced Life Support) performance and leadership.Hazardous Materials AwarenessEight contact hours training: familiarization and identification of common chemical products/hazardous materials transported via roadway, railway, and maritimroutes; hazardous materials classification; personal protective equipment, decontamination process; Haz Mat Team; Emergency Response Guide.Technical Rescue Awareness