Advanced Life Support - City of Middleton Paramedics

Advanced Life Support (ALS)

Emergency Medical Technician- Paramedic (EMT-P)
A paramedic is the highest level of pre-hospital care provider. Paramedics have the most extensive education, training and provide all aspects of basic and advanced life support relevant to pre-hospital care.

Hours of training: 1,200+

Certification requirements: Training must be equivalent to National Standard DOT Paramedic course with clinical, didactic and field experience. Documentation by service medical director that applicant is proficient in clinical skills.

Licensure examination: National Registry exam. Licensure must be renewed biennially.

Continuing education: 48 hours based on DOT curriculum, additional 24 hours for NREMT-P renewal, and current ACLS and CPR. Local medical director must provide and certify continuing education for recertification.

Current Wisconsin law dictates that any ambulance provider that is authorized to provide paramedic level services must ensure that at least one licensed paramedic be on board the primary ambulance that will respond to emergency calls. Middleton EMS exceeds this standard and staffs two licensed paramedics on a rotational platoon schedule of 24-hour shifts.

Diagram of Educational Model
Pre- &/or co-requisite BLS-Healthcare Provider CPR EMT-Basic BLS Field experience
Preparatory Clinical/Field EMS systems/roles & responsibilities of the paramedic The well-being of the paramedic Illness- & injury-prevention Medical/legal issues Ethics Medical terminology Human anatomy & physiology Principles of pathophysiology Pharmacology Venous access & medication administration Therapeutic communications Life-span development
Core curriculum
Medical Pulmonary Cardiology Neurology Endocrinology Allergies & anaphylaxis Gastroenterology Renal/urology Toxicology Hematology Environmental conditions Infectious & communicable diseases Behavioral & psychiatric disorders Neonatology Pediatrics Geriatrics Abuse & assault Patients with special challenges Gynecology Obstetrics	Patient Assessment History taking Techniques of physical examination Assessment Clinical decision making Advanced paramedic skills Communications Documentation		Trauma Trauma systems/ Mechanism of injury Hemorrhage & shock Soft tissue trauma Burns Head & facial trauma Spinal trauma Thoracic trauma Abdominal trauma Musculoskeletal trauma
Standard certifications Advanced cardiac life support - ACLS Pediatric advanced life support - PALS Advanced prehospital trauma life support - PHTLS
Clinical experience Emergency OB/GYN Medical ICU CCU OR Pediatrics Outpatient surgery		Field experience Paramedic internship with preceptors from multiple 911 fire-based EMS or 3rd service agencies. Interfacility critical care transport.
Field Management Operations Ambulance operations Incident command - NIMS Rescue operations Triage Hazardous materials incidents Nuclear/Biological/Chemical Terrorism preparedness Crime scene awareness
Lifelong learning Continuing education