12–Lead Review (4 credit hours)

The 12-Lead review program is designed to refresh current EMS providers on the interpretation of 12-Lead EKGs. The program concentrates on the electrical anatomy and physiology, lead placement, MI recognition, and MI mimics. The course was developed in response to the Office of Emergency Medical Services mandated requirement for on-going 12-lead interpretation education. The online session is approved for three (3) credit hours and is completed by viewing a presentation and successfully completing an online quiz. The one (1) hour session is a practical skill demonstration utilizing sample EKGs. A qualified ALS instructor administers a scenario and elicits feedback from the student.

ALS / BLS Interface (3 Credit Hours)

The ALS / BLS Interface program is designed to familiarize all levels of providers of the roles and responsibilities of each level of provider while providing patient care on-scene. The program is in accordance with OEMS AR 2-260. The program is divided into two phases:  Phase One: Completion of the online portion of the program. Students will complete the online presentation / quiz materials prior to proceeding to phase 2.  Phase Two: Completion of the practical skill stations based on the information learned online. The practical scenario is presented by an ALS provider in a simulated environment. The simulated environment, at a minimum consists of an ALS ready manikin as well as the appropriate ALS equipment needed to complete the scenario.

ALS Interfacility Transport Program (11 Credit Hours)

The ALS Interfacility program is divided into four modules. The first module covers ALS Interfacility regulations / rules as outlined in AR 5-509. The second module is a comprehensive review of the medications that have been approved in the ALS Interfacility protocol and how to properly monitor and deliver the medications. The third module reviews laboratory data, blood products, respiration and ventilator functioning and chest tube monitoring. The fourth module is a review of agency specific equipment and protocol. Module 1-3 is presented online and each module requires completion of a competency quiz to proceed to the next module. The student will must pass the quiz with a score of 80% or higher in less than three attempts for each module.

ALS Interfacility Transport Refresher (2 Credit Hours)

This program reviews the regulations and protocols, medications approved, protocols and treatments, and skills involved in an ALS Interfacility Transport. This course is used to satisfy OEMS requirement for IFT refresher every 2 years (Full IFT course completion is a prerequisite to this course).

Behavioral Emergencies (2 Credit Hours)

The Behavioral Emergencies program is designed to familiarize the provider with the challenges faced when treating the behavioral emergency patient. Topics discussed include the definition of behavior, pathophysiology (medical / psychiatric), assessment, treatment, legal concerns and Massachusetts applicable laws associated with the behavioral emergency patient. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation.

Big Emergencies (2 Credit Hours)

The Big Emergencies program is designed to familiarize the provider with the challenges faced when treating the bariatric patient. Topics discussed include normal digestive metabolism, pathophysiology, secondary causes and the body system effects of obesity. Providers will learn how to properly assess and treat the bariatric patient as well as complications that can arise from bariatric surgery. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation.

Bloodborne Pathogens (2 Credit Hours)

The Bloodborne Pathogens program is designed to familiarize all levels of providers on OSHA regulations regarding blood borne pathogens, specific diseases, the use of appropriate PPE and post – exposure procedures. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation. User note: Service specific documents such as safety guidelines and policy and procedure can be added to the online classroom.

BLS Skills (Glucometer / HHN) (1.5 Credit Hours)

This training will review:

Altered mental status, Glucose metabolism, Diabetic disease processes, The characteristics of oral glucose, The proper use of a glucometer.

The mechanics of ventilation, Obstructive airway disease, The characteristics of albuterol, Administration of nebulized albuterol, MA protocol for albuterol administration.

Bronchodilators via HHN and CPAP (1.5 Credit Hours)

This program will review the disease processes of asthma, COPD and Heart Failure. The administration of Bronchodilators via Hand Held Nebulizer and the use of CPAP will be discussed.

Capnography Demystified (2 credit hours)

The capnography program is designed to educate paramedics on the indications for capnography, interpretation of readings, normal results, abnormal results associated with disease processes and use with non-breathing patients. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation.User note: Device specific information can be added to the online classroom.

Continuous Positive Airway Pressure – CPAP (2 credit hours)

The CPAP program is designed to educate ALS providers about the anatomy and physiology of the respiratory system, the recognition of CHF and COPD, the indications and contraindications of CPAP, therapeutic advantages of CPAP and the use of specific devices. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation. User note: Device specific information can be added to the online classroom.

Crime Scene Awareness (2 credit hours)

The crime scene awareness program is designed to familiarize all levels of providers on crime scene operations including scene safety, safety tactics, evidence preservation, legal aspects and EMS documentation of the crime scene.

Difficult Airway (1 Credit Hour)

The Difficult Airway / Airway Introducer program is designed to familiarize the paramedic with grading of airway structures using common scores, common disease processes that can make intubation more difficult, and the proper use of an airway introducer device. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation.

Documentation (3 Credit Hours)

The Documentation program is designed to familiarize all levels of providers on various aspects of the Patient Care Report. Included in the content are introductory materials (including PCR audiences, challenges and fallacies), EMS Finance (including the EMS billing process, Medicare / Medicaid, medical necessity, medical necessity statements and ethics), Legal responsibilities (including overview of legal principals, and documentation musts), Fundamentals of documentation (including clearness, completeness, correctness, consistency and being concise), Documentation Elements (including data elements, EMS event data, demographics, assessment, examination, treatment, affirmation, narrative construction and time management), Refusals (including legal aspects, interview process, and documentation), Incident Report Documentation, Verbal Reports (including pre-hospital radio reports and face to face reports) and Crime Scene Documentation. This program also contains a narrative writing exercise which will allow instructors to evaluate narrative writing ability by reviewing user submitted narratives.

Emergency Medical Responder (Full and Recertification)

This course is developed to meet the initial and recertification requirement of the EMR as outlined by the NREMT curriculum.

Epinephrine for EMT

This course will familiarize BLS providers with the use of Epinephrine by EMT-Basics. This course complies with the Massachusetts Check and Inject training requirement (administered twice annually).

EZIO Intraosseous Infusion System (2 credit hours)

The EZ IO Intraosseous Infusion System program is designed to familiarize ALS providers on the indications, contraindications, use of the EZ IO device, patient monitoring, and medication administration. The program is completed exclusively online by viewing manufacturer produced video and instructional materials. The provider will complete a written quiz after reviewing the course materials.

Fire Safety Prevention and Response (non-credit OSHA requirement)

This training will review the characteristics of fire, fire safety techniques, fire prevention and response to a fire emergency.

Glucagon for EMT (0.5 Credit Hours)

This course will familiarize the EMT with the administration of intramuscular glucagon for the hypoglycemic patient. Glucose homeostasis, type I diabetes, hypoglycemia, glucagon, and statewide treatment protocol will be included.

Hazardous Communications (2 Credit Hours)

The Hazardous Communications program is designed to familiarize all levels of providers on identifying, and handling hazardous materials that they may come into contact with in the workplace. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation. User note: Service specific documents such as safety guidelines and policy and procedure can be added to the online classroom.

Hazardous Materials Awareness (2 Credit Hours)

The Hazardous Materials Awareness program is designed to familiarize all levels of providers on the recognition, identification and management of hazardous materials that may be found on patient care scenes. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation. User note: Service specific documents such as safety guidelines and policy and procedure can be added to the online classroom.

HIPAA Training (2 credit hours)

The HIPAA training program is designed to review the privacy provisions of the Health Insurance Portability and Accountability Act. Company specific policy and procedure can be placed in the classroom for reference. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation. User note: Service specific documents such as privacy guidelines and policy and procedure can be added to the online classroom.

HIV / AIDS (1 credit hour)

This program includes information on HIV / AIDS. The learning is divided into 3 Sections:

Introduction, Timeline, and Statistics  
HIV / AIDS Disease Information
Healthcare Provider Prevention Strategies

This course is approved for 1 continuing education credit for all levels

Introduction to Active Shooter Incidents (2 credit hours)

This training program will familiarize EMS providers with the planning process, operational principles, safety practices ad patient care as they relate to active shooter incidents.

Kinematics of Trauma (3 credit hours)

This training reviews the kinematics of trauma which include the concepts of inertia, energy conservation, force, kinetic energy biomechanics of blunt and penetrating trauma.

Large Vessel Occlusion Stroke (1 Credit hour)

This program will review stroke definitive care, the pathophysiology of large vessel occlusion stroke, the use of the FAST-ED assessment tool, stroke mimics, appropriate treatment and transport, and the role of EMS and stroke centers.

Lifting and Moving Patients (2 Credit hours)

The Lifting and Moving program is designed to review the anatomy and physiology of the spine, explain body mechanics techniques / principles, provide guidelines for lifting and moving patients, utilization of patient moving equipment and provide and provide principles of back safety. The online portion reviews the concepts and the included optional in-service evaluation / training program is designed to evaluate for competency. The in-service practical session includes a competency check-off list for proper lifting and moving, stretcher operations, stair-chair operations and scoop stretcher operations. While the application for the program is listed as two hours, each organization can determine the appropriate length of in-service education.

Medical Orders for Life-Sustaining Treatment (2 credit hours)

The Medical Orders for Life-Sustaining Treatment program is designed to familiarize all levels of providers on the newly introduced MOLST form. The EMS provider is given tools to recognize a valid MOLST form and to make treatment decisions based on this medical order. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation.

Nasal Naloxone (1 credit hour)

This training will review opiate overdose, the drug profile for Intranasal Naloxone, assessment findings and treatment.

National Continued Competency Program – AEMT (25 credit hours)

In compliance with the National Registry curriculum, the NCCP course meets and exceeds the requirement. The course includes a practical session as per the National Registry requirements.

National Continued Competency Program – EMT (20 credit hours)

In compliance with the National Registry curriculum, the NCCP course meets and exceeds the requirement. The course includes a practical session as per the National Registry requirements.

National Continued Competency Program – Paramedic (30 credit hours)

In compliance with the National Registry curriculum, the NCCP course meets and exceeds the requirement. The course includes a practical session as per the National Registry requirements.

Obstetrics / Gynecology (3 credit hours)

The Obstetrics / Gynecology program is designed to familiarize EMS providers on with the reproductive anatomy and physiology, the process of normal child birth, pre-delivery emergencies, abnormal birthing presentation, neonatal resuscitation, and common gynecological emergencies. The program is completed exclusively online by viewing a video presentation and completing a written examination.

Prehospital Use of Ketamine (0.5 credit hours)

This in-service will review the history, pharmacology, drug profile, advantages, disadvantages, and statewide treatment protocol / uses for Ketamine.

Respiratory Emergencies (3 credit hours)

The Respiratory Emergencies program is designed to familiarize EMS providers on the mechanics of respiration, treatment modalities, pathophysiology, assessment and treatment for patients experiencing a respiratory emergency. The program is completed exclusively online by viewing a video presentation and completing a written examination.

Responding to Terrorist Acts – Chemical Weapons (3 credit hours)

The Chemical Weapons program is designed to familiarize EMS providers on the history of chemical warfare, different classifications of chemical agents, the pathophysiology, recognition and treatment of specific agents. The program is completed exclusively online by viewing a video presentation and completing a written examination.

Responding to Terrorist Acts – Explosive / Nuclear (3 credit hours)

The Explosive / Nuclear weapons program is designed to familiarize EMS providers on the history of terrorist warfare, the properties of explosive / nuclear devices, the pathophysiology, recognition and treatment of specific devices. The program is completed exclusively online by viewing a video presentation and completing a written examination.

Selective Spinal Immobilization (2 credit hours)

The SSI program is designed to familiarize EMS providers on the anatomy and physiology of the spine, assessment of traumatic spinal injury, specific spine disorders, and the use of the Massachusetts Selective Spinal Immobilization Protocol. The program is completed online by viewing a presentation and instructional materials. The provider will complete a written quiz after reviewing the course materials.

Sexual Harassment Awareness

The Sexual Harassment program defines sexual harassment, reviews company liability and policy, the consequences of harassment claims, and employee responsibilities. Scenarios are presented to make clear what constitutes sexual harassment. User note: Company specific policy on sexual harassment can be incorporated into the course materials.

SMART Triage System (2 Credit Hours)

The SMART Triage System program is designed to familiarize all levels of providers on the use of the SMART triage tags which has been adopted as the standard MCI tag in Massachusetts. The program reviews MCI criteria, patient assessment criteria to categorize patients, and the overall process on an MCI scene. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation.

Statewide Treatment Protocol Updates (1 Credit Hours)

Released after every protocol update, the SWTP Update course will familiarize EMS Providers with the most recent version of Statewide Treatment Protocol. Each course is geared towards the individual level of the provider.

Trauma Point of Entry (2 credit hours)

The Trauma Point of Entry plan is designed to present the 2011 Trauma Point of Entry Guidelines. The program includes the CDC Field Triage Decision Scheme, its adopted components and its history of change. Regional Trauma Point of Entry Plans are included in the course material. The program is completed exclusively online by completing a written quiz after viewing an on-line presentation.

TXA and Norepinephrine Review (1 credit hour)

This course will familiarize field providers with the protocols and drug profiles surrounding TXA and Norepinephrine.

Vaccinations – A training for EMS providers (2.5 credit hours)

In preparation for COVID19 mass vaccinations, this training prepares the EMS providers in all aspects of vaccinations in compliance with CDC guidelines.

Workplace Safety – COVID19

This program will familiarize employees with social distancing and hygiene protocols for COVID-19. The program includes information on staying home when you are sick, social distancing, mask wearing, hand hygiene and cleaning / disinfecting. This course meets Massachusetts OEMS Advisory 20-10-01 training requirement.

Workplace Violence

The Workplace Violence program (recognition and response) includes the definition, historical perspectives and statistics of workplace violence. Risk factors, types, prevention and response are also addressed. A template for workplace violence policy and procedure development is included with the course. User note: Company specific policy on workplace violence can be incorporated into the course materials.