Overview of the examination contents

Board for Critical Care Transport Paramedic Certification

1. Trauma Management (9 FP-C, 12 CCP-C)

  • Perform a triage of patients
  • Differ injury patterns in relation to their specific injury mechanism
  • Identify the patient with „Trauma Center“ criteria
  • Perform a target-oriented examination of a trauma patient
  • Initiate life-saving measures during the trauma management
  • Perform treatment, transport and monitoring of the patient with life-     threatening thoracic injuries (for example pneumothorax, „flail chest“, pericardial tamponade, rupture of the myocard,….)
  • Treatment, transport and monitoring of patients with abdominal injuries (for example diaphragm, liver, spleen,…)
  • Treatment, transport and monitoring of patients with orthopedical injuries                  (for example pelvis, femur, spinal column,…)
  • Knowledge of the pharmacology of the Trauma Management
  • PHTLS /ATLS

2. Aircraft basics, transport on ground basics, security and survival (12 FP-C, 9 CCP-C)

FPC: 

  • Check security of your operational environment
  • Create und use preflight checks in order to assure the operational capability of your aircraft
  • Create und use preflight checks in order to assure availability, function and secure emplacement of the equipment
  • Correct observation of dangers during the flight
  • Correct use of security equipment during the flight
  • Cockpit Basics
  • Secure approaching and leaving of an aircraft
  • Keeping a secure environment for the aircraft
  • Secure patient transport and fixing
  • Basics of the Crew Ressource Management
  • Evaluation of weather minima and conditions
  • „In-flight decisions“ (Flight <> no flight, interruption of the mission)
  • Behaviour in case of emergencies during the flight (fire, emergency landing, subsequent weather factors, emergency exit/evacuation)
  • Behaviour after a crash
  • Survival Basics

CCP-C:

  • Transport on ground basics and security (CCP-C)

3. Flight physiology (10 FP-C, 0 CCP-C)

  • Causes and effects of hypoxia
  • Measures against altitude-related hypoxia during patient transport
  • Causes and effects of barometric traumas
  • Stressors of flight (for example thermal, humidity, noise, vibration, tiredness)
  • Gas laws and their effects on the transport and on the patient
  • Changes of the patient`s condition due to flight altitude
  • Influences of the flight altitude on the work of the Medical Crew
  • Side effects of the altitude changements and their effects on the transport

4. Advanced Airway Management Techniques (5 FP-C, 12 CCP-C)

  • Indications and performance of Basic & Advanced Airway Management
  • Indications and contra-indications for special measures of the airway management
  • Pharmacology in the scope of the airway management
  • Use of „failed airway algorithm“
  • Detection of false positions of the tube
  • Dealing with complications during endotracheal intubation
  • Knowledge and performance of alternative airway management methods (for example tracheotomy by needle, cricothyrotomy, retrograde intubation (laryngeal mask)
  • Monitoring and evaluation of the ventilation during the transport
  • Performance and basics of the ventilation

5. Neurological emergency and intensive care medicine (10 FP-C, 11 CCP-C)

  • Differential diagnosis of comatose patients
  • Monitoring and therapy in case of convulsions
  • Monitoring and therapy of patients with apoplectic stroke
  • Performance of life-saving measures for neurological emergency patients
  • General therapy and monitoring of neurological diseases
  • Performance of a neurological examination and continuous monitoring during the transport
  • Detection of alterations of the intracranial pressure in combination with the patient`s state of consciousness
  • Use of the Glasgow-Coma-Scale and evaluation of muscle strength and motor function
  • Neurological examination of the trauma patient
  • Management of craniocerebral trauma patients
  • Management of patients with spinal injuries 
  • Pharmacology in the scope of neurological emergency and intensive care medicine 

6. Cardiological emergency and intensive care medicine (20 FP-C, 12 CCP-C)

  • Performance of a cardiovascular examination
  • Management of patients with acute cardiopathy (for example acute myocardial infarction AMI, cardiac insufficiency, cardiogenic shock, arrhythmia, hemodynamic instabilities)
  • Knowledge of the use and the monitoring of mechanical supports (ventricle assist devices, transvenous pacer, IABP)
  • ACLS

7. Pulmonary emergency and intensive care medicine (10 FP-C, 12 CCP-C)

  • Performance of a target-oriented respiratory examination
  • Management of patients with respiratory disorders (for example acute respiratory distress, spontaneous pneumothorax, pneumonia….)
  • Monitoring of the respiratory status by using different diagnostic devices (for example pulse oxymetry, capnography, blood gases, x-ray of the thorax…)
  • Pharmacology in the scope of the pulmonary emergency and intensive care medicine

8. Intoxications (6 FP-C, 12 CCP-C)

  • Performance of a target-oriented examination in case of suspected intoxication
  • Knowledge of decontamination processes
  • Use of antidotes
  • Management of patients with bites (for example snakes, spiders…)
  • Pharmacology in the scope of intoxication-related emergency cases (for example medication over-doses, chemical, biological, radiological influences)
  • Heat, coldness, chemistry (CCP-C)

9. Pregnancy-related emergencies (4 FP-C, 9 CCP-C)

  • Performing a target-oriented examination of a pregnant woman
  • Performing an analysing examination of the fetus
  • Knowledge of certain influences concerning the transport of pregnant women
  • Evaluation of the labor contractions
  • Management of high-risk pregnancies
  • Management of pregnancy-related emergency cases (for example pregnancy-induced hypertension PIH, prolapse of the umbilical cord, placental abruption)
  • Indication for transport or induction of labor in the clinic of origin
  • Pharmacology in the scope of pregnancy-related emergencies
  • Obstetrics 

10. Neonatological emergency and intensive care medicine (4 FP-C, 15 CCP-C)

  • Performance of a target-oriented neonatological examination
  • Re-evaluation of the clinical examinations and measures in case of unsatisfactory reaction to initial therapy measures
  • Pharmacology in neonatology
  • Management of neonatal emergencies
  • Management of a incubator transportation
  • Neonatal reanimation according to valid recommendations
  • PALS/PEPP/APLS

11. Pediatric emergency and intensive care medicine (10 FP-C, 15 CCP-C)

  • Performance of a target-oriented pediatric examination
  • Acute respiratory emergencies in pediatrics (for example epiglottitis, bronchiolitis, asthma)
  • Acute medical emergencies in pediatrics (for example meningitis, convulsions, intoxications…)
  • Acute cardiological emergencies in pediatrics (for example shock, cardiac anomalies, arrhythmia,…)
  • Acute trauma emergencies in pediatrics (for example traffic accident, falls, abuse,…)
  • Pharmacology in pediatrics
  • General aspects concerning the management of pediatric emergencies 

12. Burn-related emergency cases (5 FP-C, 9 CCP-C)

  • Performance of a target-oriented examination in burn-related emergency cases
  • Evaluation of the burned body surface
  • Volume therapy in the scope of burn-related emergency cases
  • Diagnostics of injuries caused by inhalation in case of a burn patient
  • Management of burn-related emergencies

13. General internal emergency and intensive care medicine (16 FP-C, 12 CCP-C)

  • Performance of a target-oriented examination
  • Detection of medical emergency cases (for example abdominal aortic aneurism, gastrointestinal bleeding, intestinal obstructions…)
  • use of invasive monitoring during the transport, depending on the indication
  • general management of medical emergency cases
  • evaluation of the patient`s condition by means of laboratory values (for example glucose, blood analysis, clinical chemistry…)
  • pharmacology of the internal emergency and intensive care medicine
  • hygiene and infection prevention
  • evaluation of the pain and pain therapy 

14. Environment-related emergency cases (4 FP-C, 0 CCP-C)

  • Performance of a target-oriented examination
  • Management of patients with cold-related emergencies (for example hypothermia, frostbites, …)
  • Management of patients with heat-related emergencies (for example heat exhaustion, heat cramps, heat stroke..)
  • Management of patients with diving emergencies (for example decompression sickness, near-drowning, arterial gas embolism…)
  • Management of height-conditioned emergencies (for example HAPE, cerebral oedema, …)
  • Pharmacology of environment-related emergencies
  • General management of environment-related emergencies

Other

10 test questions to control the plausability (is not part of the evaluation)

The FP-C candidate should have and maintain a certification of the following fields:

  • Basic and Advanced Cardiac Life Support Provider
  • Basic Trauma Life Support Provider
  • Prehospital Trauma Life Support Provider or Advanced Trauma Life Support Auditor
  • Pediatric Advanced Life Support Provider (including management of new-borns)

Practical skills

The FP-C candidate should have the possibility to learn the following skills on anatomical models and/or during practical training: 

  • Rapid Sequence Intubation (intubation by means of analgesics, sedatives and relaxans)
  • Pericardiocentesis
  • Escharotomy
  • Central vascular access via subclavian vein, internal jugular vein, femoral vein
  • Thoracic drainage
  • Cricothyrotomy

Clinical internship

The FP-C candidate should have the possibility to accomplish annual internships in the following fields in order to gain fundamental knowledge: 

  • Obstetrics and delivery room 8 hours
  • Neo-natal intensive care unit (NICU) 8 hours
  • Pediatric intensive care unit (PICU) 16 hours
  • Internal medicine/intensive care (adults) 16 hours
  • Surgical/anaesthesiological intensive care (adults) 16 hours

Seminar consulting and booking

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