Fire 112

Emergency Medical Technician-1

“Kill ‘em in class, save ‘em for real”

EMT-1 Basic Life Support


EMT-1 teaches students Basic Life Support (BLS) using a federally standardized curriculum. EMTs are vital in Emergency Medical Services (EMS) and are the first step in an Emergency Services career. EMTs work alongside paramedics, and all medics start as EMTs. Firefighters are also trained to EMT-1 at least. Essentially, EMTs are the maintenance crew that keeps the life-saving machine running.

The ubiquity of EMTs allows for a course setup that resembles the operation of a fire department or ambulance company in a 911 system. Lectures are reinforced with hands-on skill demonstrations of equipment and assessment skills students will need. In addition to PowerPoints and bi-weekly quizzes, cohort Squads, and practical scenarios simulate real working conditions. Together with lectures, the Psychomotor Skills and Squads prepare students with the necessary knowledge, technique, and mindset of a working EMT.

The course begins with a bang! For the first two months, there are weekly quizzes, followed by the first exam. We also cover CPR and run a demonstration scenario. Though the weekly quizzes and skills are not counted toward their grade, they allow a peek into each student’s initial understanding and skills proficiencies. I’m collecting data to create cohort Squads. The goal is to balance out each team with high achievers, mechanically inclined students, outgoing members, and the few students who benefit from focused attention. At Midterm, based on exam scores and skills performance, Squads are constructed with special care to pair individuals complimenting one another. It’s sometimes complicated, but like crews in EMS, students find a way to fall into place and harmonize without my help.

Squads & Scenarios

Squads rotate through scenarios. Usually, one Squad runs a scenario each class session. Before class begins, the crew inventories equipment and checks that the radio is on and tuned to the right channel. At some point during that class, the radio alerts, and the crew is dispatched to a pre-organized scenario somewhere on the campus. There’s confusion, blood and guts, screaming patients, and it all adds to the verisimilitude. It is purposefully stressful, tense, and hilarious. This is the closest I can get to recreating real-world emergencies on the job. It’s a crash course in operating while the world falls down around you, and students eat it up. One minute, they’re pulling their hair out; the next, they are hysterically laughing or crying. In the end, they pulled it all together and saved a life. Talk about a transformation…These kids have a kind of academic puberty in a matter of months! It’s equal parts ugly and beautiful, and that, too, is just like the job.

For the remainder of the semester, the Squad is the fundamental unit. Squad Captains usually keep their position as team leaders, while the others rotate through positions like Lead EMT, Communication/Documentation, Equipment Manager, Lieutenant, and Utility Operator. As a default, the Squad Leaders usually are the first in the group to run a scenario, rotating as the semester evolves.

Squads partake in contests, like splinting races and Jeopardy-style games. While some educators feel competitiveness is a negative dimension to add to a course, I think it creates a will to comprehend knowledge and perfect lifesaving skills better. Prehospital response depends on the ability to quickly and correctly decide and put a plan into action. Speed is key, and after all, students seem to love it. So, I facilitate.

By the semester's end, Squads are getting together outside class, studying, and running scenarios. They have each other’s contact information, inform me if one will be late or absent, and share notes when a student is ill or unable to attend class.

I’ve had nothing but net success since employing the Squad format in the EMT class. Much like a fire, it takes a little energy at the onset to start and then takes off on its own. Students rave about it and often return after they become EMTs to run a scenario that they had while on the job.


Future Goals for Our EMS Courses: Expand Upon Skills, Software & Scope

The current trend in EMS training programs is a shift toward scenario-based learning. After speaking with students and reviewing evaluations, students share the desire to be taught through problem-solving psycho-motor scenarios. For better or worse, the days of standing in front of the class, reading from the text, or having students read paragraph-by-paragraph are not only outdated but also ineffective. NREMT grades have steadily waned as students wax predominantly tech-savvy, and those once-inspired would-be lifesavers drop off more from disinterest than attrition. I’ve pivoted toward tech-enhanced learning, classroom activities, and topical scenario training.

As I’ve explained, the Cohort Squad incorporation has been abundantly successful in creating continual opportunities for scenarios. Students acclimate to managing life-threatening emergencies while being evaluated by instructors and fellow students, thus creating real stress in simulated situations. It’s a real game-changer to their confidence and self-image. I think students like the stress. After all, they are choosing to pursue a career in it.

Along with 4K illustrations, YouTube videos, and previous Zoom lecture recordings, I now incorporate Augmented Reality Apps into the lectures. Apps like AR Anatomy peak interest and are free to students.

Our Fire Technology Program is gaining recognition in the Bay Area, and I anticipate the need for additional teachers to support the expansion into a larger EMS program. The success of our Dual Enrollment high school EMR courses and the first EMT-1 course at a high school level has generated widespread interest in our small town. This semester, we anticipate the certification to train our COM faculty, student body, and the public in American Heart Association-approved CPR training courses, which means a massive influx of enrollment.

I have heard interested whispers from neighboring high schools—like San Marin and Terra Linda— in replicating our pilot Novato High EMT-1 program if they see certified, BLS and 911-ready EMTs graduating within this year’s senior class. In some cases, students could attain gainful employment in the community before receiving their diplomas. With the willingness of the high schools and a successful curriculum that results in immediate workforce employment, this model could roll out across Marin County. All that is needed is a dependable, admirable workforce, and I hope to be a part of that hiring process, and endeavor.

AR Anatomy is a Free Anatomy App for Students
Next
Next

Intro to Fire Science