1	Medical Terminal Review (excluding Cardiology, OB, and Pediatrics) Mark Branon, BS, NREMT-P
2	Pulmonary Structure and Function of Upper and lower airway Ventilation vs. Respiration Abnormal assessment findings Ventilation techniques Know meds commonly prescribed for home use for the respiratory patient Understand application of airway devices, PEEP, intubation, CPAP, BiPAP, BID
3	Pulmonary Identify (epidemiology, S/S, pathophysiology, assessment findings, pharmacology, and treatment) Adult Respiratory Distress Syndrome (ARDS) Bronchial asthma Chronic bronchitis Emphysema Pneumonia Pulmonary Edema Pulmonary thromboembolism Neoplasms of the lungs Upper Respiratory infection (URI) Spontaneous pneumothorax Hyperventilation syndrome
4	Neurology Risk Factors Assessment findings Management of nontraumatic head injuries Need for rapid transport A&P of the nervous system Hierarchy of nervous system Central NS vs Peripheral NS Somatic vs autonomic Sympathetic vs parasympathetic “fight or flight” vs “feed or breed”
5	Neurology Identify (epidemiology, S/S, pathophysiology, assessment findings, pharmacology, and treatment) Coma/altered mental status Seizures Neoplasms of the brain Neural abscesses Stroke & intracranial hemorrhage TIA Degenerative neurological diseases Muscular dystrophy, Multiple sclerosis, Dystonia, Parkinson’s Disease, Trigeminal neuralgia, Bell’s Palsey Amyotrophic Lateral Sclerosis (ALS), Peripheral neuropahthy, Myoclonus, Spina bifida, Poliomyelitis
6	Endocrinology Risk factors A & P of endocrine system Assessment findings of the endocrine system Major hormones released by the endocrine system Endocrine vs. exocrine system
7	Diabetes Mellitus Osmotic Diuresis Type I vs Type II diabetes Pathology of type I and type II Function of insulin Management of emergencies Glucose metabolism Hypoglycemia vs hyperglycemia Ketone body formation Diabetic ketoacidosis (DKA) vs. Nonketonic hyperosmolar com(NKHO)
8	Endocrinology Identify (epidemiology, S/S, pathophysiology, assessment findings, pharmacology, and treatment) Thyrotoxicosis Myxedema Cushing’s syndrome Adrenal insufficiency
9	Allergies & Anaphylaxis Allergic reaction vs anaphylaxis Common routs of entry A & P of anaphylaxis Exagerated IgE release Exagerated histamine release by Mast cells Natural vs acquired immunity Common assessment findings Anaphylaxis treatment Define Antigen Antibody
10	Gastroenterology Risk factors and epidemiology A & P of the GI system Somatic vs viceral pain Hemorrhagic vs. nonhemorrhagic ABD pain Assessment findings of ABD pain Techniques for evaluating ABD pain
11	Gastroenterology Identify (epidemiology, S/S, pathophysiology, assessment findings, pharmacology, and treatment) Upper GI Bleeding Lower GI bleeding Gastroenteritis Colitis Appendicitis Diverticulitis Peptic Ulcer Crohn’s Disease Pancreatitis Esophageal varices Hemorrhoids Cholecystitis Hepatitis
12	Renal/Urology Risk factors and epidemiology A & P of the urogenital/renal system Assessment findings and technique Identify (epidemiology, S/S, pathophysiology, assessment findings, pharmacology, and treatment) Renal Failure Chronic renal failure Renal dialysis Renal calculi Urinary Tract Infection (UTI)
13	Toxicology Epidemiology of toxic exposure Routes of entry Poison Control Center Common sources of absorbed, inhaled, injected, and ingested poisons. Management of absorbed, inhaled, injected, and ingested poisons. Assessment findings of overdoses Know common poisonings by overdose and treatment Common street drugs Common Bites and Stings Define Abuse Dependence Tolerance Withdrawal Addiction
14	Toxicology (1 of 2) Identify clinical uses, street names, pharmacology, S/S and management for the following drugs and overdoses: Cocaine Marijuana Amphetamines Barbiturates Sedative-hypnotics Cyanide Narcotics/opiates Cardiac medications Caustics Household substances
15	Toxicology (2 of 2) Identify clinical uses, street names, pharmacology, S/S and management for the following drugs and overdoses: Drugs of sexual gratification CO Alcohols Hydrocarbons Psychiatric medications SSRI Lithium NSAIDS, Acetaminophen ASA Theophylline Metals – Fe, Pb, Hg Plants and Mushrooms
16	Hematology Identify the anatomy of the hematopoietic system Identify the blood forming organs Identify the components of blood Types of leukocytes and average lifespan of each. Blood types (ABO and Rh factor) Define fibrinolysis Coagulation cascade Intrinsic vs. extrinsic clotting system Define and now normal values WBC count RBC count Hematocrit Hemoglobin
17	Hematology Identify the pathology, clinical manifestations, treatment and prognosis. Anemia Leukemia Lymphomas Polycythemia Disseminated intravascular coagulopathy (DIC) Hemophilia Sickle Cell disease Multiple myeloma
18	Environmental Conditions Risk factors and epidemiology Body respones to heat and cold Assessment findings Critical body temperatures (high and low) The bodies thermoregulatory mechanism Body’s compensatory mechanism for overheating and overcooling
19	Environmental Conditions Identify (epidemiology, S/S, pathophysiology, assessment findings, pharmacology, and treatment) Heat illness Heat cramps, heat exhaustion, heat stroke Hypothermia Dry vs. wet Frost Bite Dear drowning Fresh water vs. salt water Decompression illness (DCI) Diving accidents Acute mountain sickness (AMS) High altitude pulmonary edema (HAPE) High altitude cerebral edema (HACE)
20	Infectious and Communicable Diseases Describe the immune and inflammation system. Identify means of prevention and management of disease outbrakes Discuss the risk factors of infection Humoral vs. cell-mediated immunity Discuss various types of PPE including handwashing List and describe infectious agents including: Bacteria Viruses Fungi Protozoans Helminths (worms) Prions
21	Infectious and Communicable Diseases Identify (epidemiology, S/S, pathophysiology, assessment findings, pharmacology, and treatment) HIV/AIDS Hepatitis A, B, C, D, E Tuberculosis Meningococcal meningitis Tetanus Rabies Hantavirus Influenza Mononucleosis Herpes simplex I and II Scabies, Lice, and Lyme disease Infectious gastroenteritis Sexually transmitted diseases Syphilis, gonorrhea, chlamydia, herpes simplex II Pediatric viral disease chickenpox, mumps, rubella, pertussis