Exam Structure

• Final Exam Composition:
  • Total questions: 119
  • Part Two: 40 questions focused on ISO code

Topics Covered in Exam

• Focus areas include:
  • Administration of Narcan in various situations
  • Knowledge of drugs used in emergency situations
• Requires familiarity with drug information, similar to previous psychology quizzes

Care Provider Levels in New Mexico

• Four Recognized Levels:
  • First Responder
  • EMT Basic
  • EMT Intermediate
  • EMT Paramedic
• Note: Different states may have different categorizations; some states may not recognize first responders or basic EMTs

Licensing Information

• License Expiry:
  • All licenses expire in March
  • Renewal requirements due by December 31 each year
• Duration of license:
  • Valid for 27 months (2 years + 3 months)
• Continuing Education (CE) Requirements:
  • Total of 40 hours of CE required
  • 4 hours specifically must focus on pediatrics

Legal Considerations for EMTs

• Felony/Misdemeanor Charges:
  • EMTs with felonies or misdemeanors may still be eligible for licensure, depending on the nature of the charge (consult state office)

Trauma Centers in New Mexico

• Level One Trauma Center:
  • Only recognized center: UNM Hospital

Response Protocols

• Emergency Codes:
  • Code 1: No lights, no sirens
  • Code 3: Lights and sirens
  • Legal Parameters: No other code (e.g., lights only)
• School Bus Protocol:
  • Required to stop for a school bus with its stop sign extended
• Response to Multiple Incidents:
  • EMT must stop at any scene of a visible incident and have dispatch send another unit if responding to another call

Medical Orders and Authority

• MSEP vs. Medical Director:
  • MSEP (Medical Supervisory Emergency Physician): Can provide immediate orders in critical situations
  • Medical Director: Responsible for agency guidelines and protocols
  • Example: Different protocols may apply for administering medications like Zofran (specific to intermediate EMT level)

Helicopter Rendezvous

• Landing Area Requirements:
  • Required space: 100 feet x 100 feet
  • Approach from the front to maintain visibility with the pilot, who will guide the approach
• Decision Making Considerations:
  • Evaluate whether to transport patient to the hospital or wait for helicopter team based on proximity and urgency

Pediatric Medication Guidelines

• Tylenol Dosing:
  • Administer every 6 to 8 hours for children with seizures; consider previous dosing to avoid overdose
• Activated Charcoal:
  • Still within the EMT scope, despite decreased use (dosing: 1 gram per kg)

Mark One Kit Content

• Components:
  • Atropine and Pralidoxime are included for nerve agent exposure
• SLUG Acronym:
  • Salivation, Lacrimation, Urination, Defecation, GI upset, Emisis; indicative of parasympathetic overstimulation

Public Health Emergency Protocols

• State Emergency Protocol:
  • EMTs allowed to administer vaccines and TB tests in public health emergencies (not typical in pre-hospital scenarios)

Overdose Protocols

• Caustic Substance Dosing Protocol:
  • Do not administer advanced airways for patients who have ingested corrosive substances
• Narcan Administration:
  • Administer for opioid overdoses, prioritize ventilation first before medicine administration

Mass Casualty Incident (MCI) Guidelines

• Definition of MCI:
  • No fixed patient number; anything overwhelming system resources constitutes an MCI (e.g., severe multiple patient situations vary by service)

- Start Triage is predominantly used in New Mexico, with some locations adopting SALT Triage

Incident Command:

• First EMT on scene becomes Incident Commander until relieved by higher authority
• Initial actions: Provide a size-up report to meet resource needs

Management of Hazardous Materials Incidents

• Homeland Security Role:
  • Responsible for overseeing hazardous materials incidents; initial incident commander present but will transition command to Homeland Security

Conclusion

• Ensure familiarity with scope of practice and legal obligations as defined in New Mexico's regulations in preparation for the final exam.