New York City Fire Department | Evaluated Learning Experience
Paramedic Challenge Refresher Course (PRH 300R)
Version 1: 140 hours (4 weeks). Version 2: 112.5 hours (3 weeks).Version 4: 144 hours (18 days). Version 5: 37.5-75 hours. (Hours vary depending on skill level of students).
Version 1: May 1990 - December 1998.Version 2: January 1999 - October 2006. Version 3: November 2006 - November 2011. Version 4: December 2011 - May 2015. Version 5: June 2015 - Present.
Version 1, 2, 3, and 4: Upon successful completion of the course, students will be able to: appropriately assess and correctly treat a single or multiple systems trauma patient in any given situation; appropriately assess and correctly treat a patient suffering from a medical emergency including conditions involving the respiratory system, cardiovascular system, nervous system, muscular system, skeletal system, integumentary system, endocrine system, digestive system, genitourinary system, and reproductive system; discuss the principles used in treating medical emergencies involving pediatrics, obstetrics, neonates, shock, behavioral disorders, toxicology, alcoholism and drug abuse, geriatrics, anaphylaxis, and infectious diseases; perform the following skills at the appropriate time in the correct situation: airway control and ventilation, endotracheal intubation; intravenous cannulation, administration of medications by intravenous, intramuscular or subcutaneous route, defibrillation, EKG interpretation, chest decompression, emergency cricothyrotomy, application of pneumatic anti shock garment (PASG), fixation and traction splinting, bandaging, spinal immobilization and use of other devices appropriate to the care of the sick and injured; demonstrate disentanglement of a patient, packaging and removal from the scene, radio communications with medical control and use of report writing skills; discuss and demonstrate the roles and responsibilities of the paramedic in performing both the emergency and operational aspects of the job. Version 5: Includes previous outcomes covered in Version 1, 2, 3, and 4, additionally, utilize skills relearned during class; evaluate patients and diagnose life threatening or life altering illness or injury and employ the necessary skills to correct the problem; evaluate the patient’s condition, implement a care plan and communicate with a medical control physician; reconstruct a verbal picture of the patient’s condition and communicate his/her findings to the physician to obtain additional treatments which may be necessary to treat the sick or injured; and recall information that has been forgotten through participating in practical exercises and attending topical lectures.
Version 1: This course reviews the content of the Advanced Emergency Medical Technician - Paramedic Basic Course (PRH 300), updates any changes in medical techniques and practices, and addresses current trends and issues. This course covers all techniques of advanced emergency medical care presently considered within the responsibilities of the paramedic as well as all operational aspects of the job which the student is expected to perform. Emphasis is placed on recognition of symptoms of illness and injuries, and application of proper procedures of advanced emergency care. Demonstration and practice are carefully integrated with the didactic portion. The curriculum consists of six divisions: pre-hospital environment, preparatory, trauma, medical emergencies, obstetrics/gynecology, and behavioral emergencies. In addition, an expanded treatment of anatomy and physiology of the human body systems is included, as is a section on incident command. Graduates of the program are entitled to re certify as an Advanced Emergency Medical Technician (AEMT) IV by sitting for the New York State Examination and the New York City Medical Advisory Committee (MAC) Examination. Prerequisite: New York State certification as a Paramedic. Version 2 and 3: This course reviews the content of the Advanced Emergency Medical Technician - Paramedic Basic Course (PRH 300), updates any changes in medical techniques and practices, and addresses current trends and issues. This course covers all techniques of advanced emergency medical care presently considered within the responsibilities of the paramedic as well as all operational aspects of the job which the student is expected to perform. Emphasis is placed on recognition of symptoms of illness and injuries, and application of proper procedures of advanced emergency care. Demonstration and practice are carefully integrated with the didactic portion. The curriculum consists of nine divisions: preparatory, airway management, patient assessment, trauma, medical, special considerations, assessment based management, operations. Version 4: In addition, an expanded treatment of anatomy and physiology of the human body systems is included, as is a section on incident command. Graduates of the program are entitled to re certify as an Advanced Emergency Medical Technician (AEMT) IV by sitting for the New York State Examination and the New York City Medical Advisory Committee (MAC) Examination. Prerequisite: New York State certification as a Paramedic. Version 5: Students are expected to complete approximately 76 hours on out of class assignments, including 40 hours of readings and 36 hours of journal writing. Methods of instruction include: study guide, required and supplemental readings, journal entries, quizzes, and completion of New York State Department of Health practical skills examination and written examination. Prerequisite: New York State certification as a Paramedic.
Version 1: In the lower division baccalaureate/associate degree category OR in the upper division baccalaureate degree category, 6 semester hours in Paramedic Science, Allied Health Sciences, or Health Science (3/96). Version 2: In the lower division baccalaureate/associate degree category OR in the upper division baccalaureate degree category, 5 semester hours in Paramedic Science, Allied Health Sciences, or Health Science (10/01 revalidation). NOTE: The credit recommendation for this course is not considered duplicative of the Advanced Emergency Medical Technician - Paramedic Basic Course (PRH 300). Version 3: In the lower division baccalaureate/associate degree category OR in the upper division baccalaureate degree category, 5 semester hours in Paramedic Science, Allied Health Sciences, or Health Science. NOTE on Version 3 and 4: Advanced Emergency Medical Technician - Paramedic Basic Course (PRH 300), Advanced Emergency Medical Technician - Paramedic Challenge Refresher Course (PRH 300R), EMS Medical Upgrade Program (MUP) (PRH 302) and Probationary Paramedic School (PRH 303) overlap in content. The maximum total credit recommendation for any combination of these courses is 43 semester hours. (10/07 revalidation). Version 4 and 5: In the lower division baccalaureate/associate degree category OR in the upper division baccalaureate degree category, 6 semester hours in Paramedic Science, Allied Health Sciences, or Health Science (6/11 revalidation) (6/15 revalidation) (6/21 revalidation).
