Published

Estimated Publish Date

Emergency Medical Responder

Coming Soon
Overview

Prepare for EMS careers with training on patient assessment, airway management, and exam readiness.

What phase is this textbook in?
Phase
5
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
Estimated Dates
Digital Textbook: March 2027
Print Textbook: June 2027
Audiobook: TBD
Next Edition: 2030
Annual Student Impact

1,664 students | 186 high school students | $282,958 student savings

Emergency Medical Responder is a comprehensive textbook designed to prepare students for careers in emergency medical services (EMS). It aligns with the Wisconsin Department of Health Services EMS Section standards and covers essential topics such as the EMS system, legal and ethical responsibilities, patient assessment, airway management, shock and resuscitation, and medication administration. The book also provides foundational knowledge and practical skills for both Emergency Medical Responders (EMRs) and Emergency Medical Technicians (EMTs), including age-specific care and special medical considerations. With a focus on real-world application, this resource equips students with the tools needed to succeed in the field and prepares them for the National Registry EMR written examination.

Course Competency 1: Analyze the Emergency Medical Services (EMS) system

Learning Objectives:

  • Explain the EMS System's structure(s)
  • Explain the role the National Highway Traffic Safety Administration (NHTSA) plays in the system
  • Explain access to the Emergency Medical Services
  • Detail the education required for EMR credentialing
  • Detail the education required for EMT licensing*
  • Analyze Authorization to Practice requirements
  • Differentiate between quality improvement and quality assurance in the EMS system
  • Analyze the roles of medical oversight in the EMS system
  • Explain culture of safety in the EMS system

Course Competency 2: Evaluate EMR/EMT responsibilities

Learning Objectives:

  • Categorize EMS professional roles
  • Explain EMR/EMT role responsibilities
  • Characterize professional EMR/EMT behavior
  • Explain EMR/EMT role in quality improvement
  • Analyze the impact of Research on emergency medical care
  • Explain the EMR scope of practice
  • Analyze the emotional aspects of Emergency Care
  • Explain the importance of EMR/EMT physical wellness
  • Explain the importance of EMR/EMT psychological wellness
  • Analyze safety precautions used while working on and near roadways
  • Analyze disease transmission safety protocols
  • Analyze EMR responsibilities related to public health
  • Select appropriate PPE for a variety of responses
  • Demonstrate correct use of chosen PPE
  • Identify common immunizations
  • Identify immunizations that should be obtained by the EMR/EMT

Course Competency 3: Apply EMR operational procedures

Learning Objectives:

  • Analyze field operations
  • Analyze ambulance operations
  • Analyze patient extrication operations
  • Analyze hazardous materials operations
  • Analyze multiple casualty incident operations
  • Analyze air medical operations
  • Analyze incident management
  • Analyze EMS response to terrorism
  • Apply decontamination procedures
  • Meet WI weapons of mass destruction training requirement

Course Competency 4: Apply EMR legal requirements and ethical standards

Learning Objectives:

  • Explain legal aspect of EMS scope of practice
  • Characterize advance directives
  • Explain the ethical issues related to starting and stopping resuscitation
  • Explain legal aspects of consent for various populations
  • Explain legal aspects of right of refusal requirements
  • Identify other legal considerations for the EMS professions
  • Apply confidentiality laws
  • Explain mandatory reporting laws
  • Explain the legal aspects of patient restraint
  • Document minimum data set
  • Complete pre-hospital care report
  • Document patient refusal

Course Competency 5: Apply EMR communication principles

Learning Objectives:

  • Apply therapeutic communication techniques
  • Apply positive relationship building techniques
  • Use interviewing techniques
  • Apply verbal diffusing techniques
  • Apply special situation interview techniques
  • Identify communication technology components
  • Use technology-specific communication techniques
  • Apply accepted principles of documentation
  • Apply Diversity Equity and Inclusion communication principles
  • Use foundational medical terminology

Course Competency 6: Apply correct patient movement techniques

Learning Objectives:

  • Define body mechanics
  • Distinguish between urgent and non-urgent patient movement techniques
  • Apply patient positioning guidelines
  • Apply correct restraint techniques*
  • Apply patient movement guidelines
  • Use patient movement equipment safely

Course Competency 7: Analyze pathophysiology principles

Learning Objectives:

  • Explain components of ambient air
  • Explain airway patency
  • Explain obstructions at various anatomic levels
  • Characterize respiratory changes associated with respiratory compromise
  • Explain minute ventilation
  • Explain alveolar ventilation
  • Discuss alterations in regulation of respiration due to medical or traumatic conditions
  • Characterize perfusion and shock
  • Identify the composition of blood
  • Convert imperial measurements to metric measurements

Course Competency 8: Identify body system functions

Learning Objectives: 

  • Explain the different anatomical positions
  • Identify components of the musculoskeletal system
  • Explain the purpose of the musculoskeletal system
  • Identify components of the respiratory system
  • Explain the purpose of the respiratory system
  • Identify components of the circulatory system
  • Explain the purpose of the circulatory system
  • Identify components of the nervous system
  • Explain the purpose of the nervous system
  • Explain the different anatomical positions
  • Identify components of the endocrine system
  • Explain the purpose of the endocrine system
  • Identify components of the reproductive system
  • Explain the purpose of the reproductive system
  • Identify components of the integumentary system
  • Explain the purpose of the integumentary system
  • Identify components of the digestive system
  • Explain the purpose of the digestive system
  • Identify components of the lymphatic system
  • Explain the purpose of the lymphatic system

Course Competency 9: Characterize human development stages

Learning Objectives:

  • Analyze infant development
  • Analyze toddler development
  • Analyze pre-school aged child development
  • Analyze school-aged child development
  • Analyze adolescent development
  • Analyze early-adulthood development
  • Analyze middle adulthood development
  • Analyze late adulthood development

Course Competency 10: Analyze EMR medication profiles

Learning Objectives:

  • Identify drug trade and generic names
  • Identify drug indications
  • Identify drug actions
  • Identify drug classifications
  • Identify drug contraindications
  • Identify drug side effects
  • Identify drug dosages
  • Identify drug routes

Course Competency 11: Administer medications safely

Learning Objectives: 

  • Apply safe medication administration practices
  • Integrate medication safety
  • Use universal precautions during medication delivery
  • Identify the six rights of drug administration
  • Reassess patient after medication administration
  • Apply medication cross-check safety principles
  • Use resources for safe administration of weight-based dosing

Course Competency 12: Relate the anatomy of the airway to airway management

Learning Objectives:

  • Explain patency of the airway
  • Analyze respiratory compromise
  • Explain age-related variations in pediatric patients
  • Differentiate between an adequate and inadequate airway
  • Compare/contrast the signs and symptoms of a patient with an adequate and inadequate airway
  • Identify the anatomical structures of the airway

Course Competency 13: Relate the anatomy of the airway to the process of respiration

Learning Objectives: 

  • Identify reasons for inadequate respiration
  • Examine vascular structures that support respiration
  • Analyze how the diaphragm and accessory muscles aid in ventilation
  • Explain tidal volumes related to the ventilation process
  • Explain dead space volumes related to the ventilation process
  • Explain the physiology and pathophysiology of oxygenation
  • Differentiate between adequate and inadequate respiration and ventilation
  • Describe management of a patient with adequate vs inadequate ventilation

Course Competency 14: Apply airway management techniques

Learning Objectives:

  • Identify oxygen concentration for oxygen delivery devices
  • Identify reasons for interruption of ventilation
  • Examine the physiology and pathophysiology of ventilation
  • Demonstrate techniques of a tracheobronchial suctioning
  • Demonstrate techniques of upper airway suctioning
  • Explain anatomy as it relates to the use of non-visualized airways
  • Identify components of non-visualized airways
  • Outline indications and contraindications for use of non-visualized airways
  • Demonstrate insertion and use of non-visualized airways
  • Demonstrate the removal of a non-visualized airway
  • Identify gastric distention
  • Demonstrate gastric decompression with the usage of an advanced airway
  • Demonstrate head tilt-chin lift method
  • Demonstrate modified jaw thrust method
  • Demonstrate the need for either nasopharyngeal or oropharyngeal airway devices
  • Demonstrate the use of nasopharyngeal or oropharyngeal airway devices
  • Identify techniques of upper airway suctioning
  • Explain oxygen safety considerations
  • Demonstrate safe oxygen cylinder handling
  • Use an oxygen cylinder
  • Demonstrate the ventilation of a patient
  • Demonstrate use of oxygen delivery devices

Course Competency 15: Apply patient assessment process

Learning Objectives:

  • Identify common scene hazards
  • Obtain patient history
  • Identify chief complaint
  • Determine if critical life-saving interventions are needed
  • Apply components of a primary assessment/survey
  • Perform a primary assessment
  • Determine if age-related assessment considerations apply
  • Modify assessment based on patient age
  • Obtain vital signs
  • Perform reassessment
  • Perform secondary assessment
  • Apply ECG monitoring patches
  • Apply ECG monitoring patches for obtaining acquisition and transmission of 12, 15, and 18-lead ECGs
  • Apply end-tidal (ETCO2) CO2 monitoring equipment if used for a non-visualized or advanced airway

Course Competency 16: Apply fundamental medical care within the scope of EMR practice

Learning Objectives: 

  • Administer age-appropriate treatment
  • Address any altered mental status
  • Address Abdominal and Gastrointestinal emergencies
  • Address infectious disease emergencies
  • Address endocrine disorder emergencies
  • Address psychiatric disorder emergencies
  • Address cardiovascular emergencies
  • Address toxicological emergencies
  • Address respiratory emergencies
  • Address Immunology Emergencies
  • Address Non-Traumatic Musculoskeletal emergencies
  • Address emergencies related to Eyes, Ears, Nose, and Throat
  • Administer appropriate medications (scope specific)

Course Competency 17: Apply fundamental trauma care within the EMR scope of practice

Learning Objectives:

  • Modify assessment as needed for trauma patient(s)
  • Provide age-appropriate treatment for trauma patient(s)
  • Address bleeding
  • Address chest trauma
  • Address Abdominal and Genitourinary Trauma
  • Address Orthopedic Trauma
  • Address Soft Tissue Trauma
  • Address Head, Facial, Neck and Spine Trauma
  • Address Special Considerations in Trauma
  • Address Environmental Emergencies
  • Address Multi-System Trauma
  • Address burn trauma
  • Analyze the spinal stabilization assessment
  • Apply pharmacological treatments based on trauma emergencies

Course Competency 18: Address special considerations in patient treatment

Learning Objectives:

  • Modify assessment for patients with special challenges
  • Modify treatment for patients with special challenges
  • Identify home healthcare equipment that informs of patient status and care
  • Address gynecological emergencies
  • Address obstetric emergencies
  • Address labor and delivery emergencies
  • Address newborn emergencies
  • Apply pharmacological treatments

Course Competency 19: Address Shock

Learning Objectives:

  • Identify shock signs and symptoms
  • Identify patient in shock
  • Characterize stages of shock
  • Identify types of shock
  • Apply treatment(s) based on the shock type
  • Apply pharmacological treatments based upon type of shock

Course Competency 20: Resuscitate patient

Learning Objectives:

  • Treat cardiac arrest through use of external defibrillation devices
  • Perform appropriate BLS by current AHA guidelines
  • Perform appropriate age-related CPR to current AHA guidelines
  • Apply CCR techniques

This video walks you through our online textbook hosted on the Pressbooks website and not this website. To access this book online, click below.

View Online Textbook
View Online Textbook
visibility
This textbook is part of the WisTech Open collection and is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

You are free to:
– Share — copy and redistribute the material in any medium or format
– Adapt — remix, transform, and build upon the material for any purpose, even commercially

Under the following terms:
– Attribution — You must give appropriate credit to WisTech Open, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests WisTech Open endorses you or your use.

License: https://creativecommons.org/licenses/by/4.0/
Funded by State of Wisconsin, Wisconsin Technical College System funding for Open Educational Resources

WisTech Open, including the Open RN and Bright Beginnings series, does not provide ancillary or instructor materials. You can instead create free, customized supplementary resources—slides, quizzes, worksheets, study guides, and more - on demand, through our generative AI platform, WisTech Fusion: https://www.wistechopen.org/wistech-fusion. Fusion only uses content from WisTech Open, Open RN, and Bright Beginnings resources. 

To help keep print textbook costs low for our students, please consider using the electronic version, or purchasing a personal print copy, rather than requesting a publisher/desktop version from our printing partner. Orders can be placed through Kendall Hunt: https://he.kendallhunt.com/catalog.