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