1. Sustaining the Health Care Specialist (91W) may involve the utilization of Distance Learning products in an integrated approach to training the force. Video Teletraining (VTT), WEB Based Training, Correspondence Courses, and other Distributed Learning (DL) initiatives may be used to provide a portion of the continuing education required to satisfy the National Registry of Emergency Medical Technicians (NREMT) reregistration requirements. See Enclosure 1 for complete information on the NREMT reregistration requirements for Emergency Medical Technician - Basic.
2. The AMEDDC&S conducts approved NREMT-B Refresher, and NREMT continuing education programs via Video Teletraining. Course information, schedules, and participation guidelines are updated regularly on the AMEDDC&S Distributed Learning and Technology Web Site http://www.cs.amedd.army.mil/ddl. For more information regarding EMT Refresher and continuing education via Video Teletraining contact Mr. Steve Van Gilder at 210-221-8510, DSN 471-8510 or at teleTNG.firstname.lastname@example.org.
3. The US Army EMT Program Manager has approved a wide variety of Army Correspondence Courses for NREMT continuing education. See Enclosure 2 for a complete listing of approved correspondence courses and associated continuing education hours. A total of 24 hours can be applied to the additional 48 hour continuing education requirement for NREMT reregistration from correspondence courses. Information and enrollment guidelines for Army correspondence courses are available at: http://www.atsc.army.mil/accp/
4. For more information on 91W and updates on approved DL NREMT continuing education visit the AMEDD Center and School, 91W web page at http://www.cs.amedd.army.mil/91W.
The National Registry of Emergency Medical Technicians awards NREMT-Basic Reregistration on a biennial basis (once every two years) upon completion and verification of required education and submission of the reregistration form and fee. All NREMT-Basics reregistering will have to meet the following requirements:
To renew registration:
1. Refresher Training - Soldiers must complete a resident or distance learning U.S. Army or State approved National Standard EMT-Basic refresher training course. The course must consist of a minimum of 24 hours of didactic work. Of the 24 hours, 16 hours must be delineated with the six (6) modules as outlined below. The remaining eight (8) hours must reflect subject matter included in the 1994 EMT-Basic National Standard Curriculum.
Preparatory 1 hour
Airway 2 hours
Patient Assessment 3 hours
Medical/Behavioral 4 hours
Trauma 4 hours
Obstetrics, Infants, and Children 2 hours
Elective 8 hours from EMT Basic
In lieu of an approved refresher course the refresher-training requirement may be completed through equivalent continuing education.
The refresher-training may not be completed via distributed learning mediums unless an instructor is present to answer questions.
Soldiers must have verification of refresher training such as a copy of Certificate of completion, indicating successful completion, issued by a recognized training agency. A memorandum for record from a Platoon Sergeant/NCOIC, Physician Assistant, Training Officer or Medical Director will suffice in place of certificate. The letter should include a by-name roster of soldiers attending, outlining dates, times and approved continuing education course title.
2. CPR - Soldiers must maintain continuous, current CPR certification at the healthcare provider level or higher during the reregistration period.
Regardless of teaching agency all CPR training must adhere to the AHA guidelines and cover the content listed below:
* Adult 1 and 2 Rescuer CPR * Child Obstructed Airway
* Adult Obstructed Airway * Infant CPR
* Child CPR * Infant Obstructed Airway
Examples of appropriate levels by these agencies:
AHA: Basic Life Support for Healthcare Providers
ARC: CPR for Professional Rescuers
Soldiers must have a copy of card or certificate, indicating successful completion, issued by the recognized teaching agency.
3. Additional 48 Hours of Continuing Education - The required 48 hours of additional continuing education can be satisfied using subject matter covered in any National Standard EMT-Basic Course or higher. The U.S. Army EMT Program Manager has approved tasks from STP 8-91W-SM-TG, STP 21-24-SMCT for 91W and Army Correspondence Courses that will be accepted for continuing education credit by the National Registry of Emergency Medical Technicians. These approved continuing education programs may be presented during in-service training. Additional continuing education may include critiques, didactic sessions, practical drills, workshops, seminars, or other approved training. Topics not contained within the National Standard EMT curricula will require prior approval by the U.S. Army EMT-B Program Manager. Units desiring to develop approved continuing education programs to fit current mission and operational tempo can contact the US Army EMT Program Manager for guidance and approval.
Examples of existing National Standard Curricula Courses with specified maximum hours that may be applied towards the additional continuing education requirement:
PHTLS or BTLS... up to...16 Hours
Emergency Driving... up to...12 Hours
PALS... up to...16 Hours
Dispatcher Training up to...12 Hours
Auto Extrication up to...16 Hours
Teaching CPR up to...12 Hours
Video/Magazine Courses/Correspondence Courses up to...24 Hours
ACLS up to...16 Hours
NOTE: A maximum of 24 hours may be applied toward Section II in any one topic.
Medical Education and Demonstration of Individual Competence (TC 8-800)
1.The focus of this training circular is continued education and validation of skills. This is the reason for the new name: MEDIC-Medical Education and Demonstration of Individual Competence. The previous name, SACMS-VT, focused on testing rather than training. Testing does not earn soldier medics Continuing Education (CE) hours towards NREMT-B reregistration.
2. Overall philosophy: TC 8-800, dated June 2002 was largely based on the National Registry of Emergency Medical Technicians – Basic (NREMT-B) skill set. This version is based on Tactical Combat Casualty Care (TC-3) principles as elucidated in chapter 16 of the Pre-Hospital Trauma Life Support (PHTLS) Manual, 5th edition.
3. Soldier medics have to obtain a minimum of 72 hours of CE training every 2 years for renewal of NREMT certification. This Training Circular (TC) specifies 48 hours of training each year. In a two-year cycle, following this TC will earn the soldier medic the 24 hours of required refresher training and the 48 hours of elective credits.
4. The new transition from 91WY2 to 91W is a 30 hour course. This Combat Medic Advanced Skills Training (CMAST) course, 300-91W1/2/3/4(91WY2)(T) 91W Transition Course, is comprised of the tenets of Tactical Combat Casualty Care (TC-3) and elements of the Pre-Hospital Trauma Life Support (PHTLS) course. The 30-hour CMAST course is included as the Trauma portion of this TC. This will enable the transition of soldier medics, as well as a refocusing on the skills that are critical to saving lives on the battlefield.
5. The remaining 24 hours of training reviews medical skills, triage and evacuation, pediatric, OB/GYN evaluation, and treatment of chemical casualties. Chemical, Biological, Radiological and Nuclear (CBRN) casualty evaluation and treatment are deemphasized in this TC.
6. A TC 8-800 Supplemental has been included with this document which has the individual tasks that will be utilized throughout the training tables and ACMS-VT (Table VIII). This is provided in lieu of the Soldiers Training Publication, STP 91W15-SM-TG, dated 1 Oct 2005 (DRAFT), which will be finalized by the end of this calendar year. This publication will have all individual tasks from the 91W Critical Task List (CTL), including the 56 soldier tasks to be trained in TC 8-800.
1. PATIENT ASSESSMENT/MANAGEMENT:
Medical & Trauma
2. VENTILATORY MANAGEMENT SKILLS/KNOWLEDGE:
Simple adjuncts, Supplemental Oxygen Delivery,
Bag-Valve-Mask; One-rescuer and Two-rescuer
3. CARDIAC ARREST MANAGEMENT
4. HEMORRHAGE CONTROL & SPLINTING PROCEDURES
5. SPINAL IMMOBILIZATION:
Seated & lying patients
7. OTHER RELATED SKILLS/KNOWLEDGE:
Report writing & documentation
The signature of the Training Program Director/Training Officer or the Physician Medical Director is required to demonstrate successful completion of the ACMS-VT. Note: Verification must be on the form provided by National Registry in re-registration packet.
5. Renewal Application and Fee - To renew registration, the applicant must complete all continuing education requirements outlined above prior to the March expiration date. Complete the official reregistration report with appropriate signatures, requested verification and the fee.
US ARMY CORRESPONDENCE COURSES
Approved for NREMT Continuing Education
Army Correspondence Course - Commandant Approved Training
|Number and Title||Prep||Airway||Trauma||Medical||Patient Assessment||Misc||Total Hours|
|MD 001 Evacuation in the Field||-||-||-||-||-||12||12|
|MD 006 Basic Human Anatomy||13||-||-||13||-||-||*24|
|MD 0006 Web Basic Human Anatomy||13||-||-||13||-||-||*24|
|MD 007 Basic Human Physiology||13||-||-||13||-||-||*24|
|MD 0007 Web Basic Human Physiology||13||-||-||13||-||-||*24|
|MD 008 Intro to Military Preventive Medicine||-||-||-||-||-||14||14|
|MD 010 Basic Medical Terminology||5||-||-||-||-||-||5|
|MD 0010 Web Basic Medical Terminology||5||-||-||-||-||-||5|
|MD 055 Sexually Transmitted Diseases||10||-||-||-||-||-||10|
|MD 0055 Web Sexually Transmitted Diseases||10||-||-||-||-||-||10|
|MD 151 Principles of Epidemiology & Microbiology||-||-||-||-||-||5||5|
|MD 152 Diseases of Military Importance||-||-||-||10||-||10||10|
|MD 160 Military Water Supply||-||-||-||-||-||14||14|
|MD 165 Occupational Health and Industrial Hygiene||-||-||-||-||-||19||19|
|MD 170 Anthropod Identification and Surveys||-||-||-||-||-||12||12|
|MD 171 Arthropod Control||-||-||-||-||-||10||10|
|MD 172 Rodent Biology, Survey, and Control||-||-||-||-||-||5||5|
|MD 173 Pesticides in the Military||-||-||-||-||-||8||8|
|MD 180 Radiological Health||-||-||-||-||-||6||6|
|MD 181 Food Services Sanitation & Inspections I||-||-||-||-||-||4||4|
|MD 501 Dental Anatomy and Physiology||-||-||-||-||-||15||15|
|MD 511 Oral and Maxillofacial Pathology||-||-||-||-||-||7||7|
|MD 520 Patient Relations||4||-||-||-||-||-||4|
|MD 0531 Taking Vital Signs||8||-||-||-||-||-||8|
|MD 533 Treating Fractures in the Field||-||-||8||-||-||-||8|
|MD 0534 Treating Chem & Biological Agent Causalities||-||-||-||-||-||6||6|
|MD 535 Communicable Diseases & Field Sanitation||-||-||-||-||-||14||14|
|MD 537 Decontaminating Casualties||-||-||-||-||-||8||8|
|MD 540 Sterile Procedures||-||-||-||-||-||6||6|
|MD 542 Management of Casual with Resp Dysfuntions||-||6||-||-||-||-||6|
|MD 547 Eye, Ear, and Nose Injuries||-||-||5||-||-||-||5|
|MD 548 Environmental Injuries||-||-||-||7||-||-||7|
|MD 549 Psychosocial Issues||-||-||-||7||-||-||7|
|MD 550 Return To Duty||-||-||-||4||3||-||7|
|MD 552 Administer IM, SQ, and ID Injections||-||-||-||-||-||5||5|
|MD 553 Intravenous Infusions and Related Tasks||-||-||-||-||-||5||5|
|MD 554 Treating Wounds in the Field||-||-||8||-||8||-||16|
|MD 560 Role of the Medical NCO||-||-||-||-||-||12||12|
|MD 0564 Blood, Electrolytes and Intravenous Infusions||-||-||-||6||-||-||6|
|MD 568 Respiratory Diseases and Disorders||-||-||-||12||-||-||12|
|MD 569 Chest and Airway Problems||-||4||4||-||-||-||8|
|MD 571 Cardiac Impairment||-||-||-||8||-||-||8|
|MD 572 The Central Nervous System||-||-||3||3||2||-||8|
|MD 574 Surgical Methods||-||-||6||-||-||-||6|
|MD 575 Integumentary System||-||-||-||6||2||-||8|
|MD 576 Wound Care||-||-||-||4||-||-||4|
|MD 579 The Genitourinary System I||-||-||-||6||-||-||6|
|MD 580 The Genitourinary System II||-||-||-||12||-||-||12|
|MD 581 The Gastrointestinal System||-||3||4||5||3||-||15|
|MD 582 The Sensory System||-||-||3||4||3||-||10|
|MD 583 The Endocrine System||-||-||-||8||-||-||8|
|MD 584 Obstetrics and Pediatrics||-||-||-||7||-||-||7|
|MD 586 Mental Health||-||-||-||11||-||-||11|
|MD 588 Environmental Diseases and Injuries I||-||-||-||6||-||-||6|
|MD 589 Environmental Diseases and Injuries II||-||-||-||-||-||7||7|
|MD 703 Preservation of Foods||-||-||-||-||-||8||8|
|MD 722 Microbiology for the Vet Food Inspection Spec||-||-||-||-||-||10||14|
|MD 803 General Chemistry||-||-||-||-||-||14||14|
|MD 804 Pharmacology I||-||-||-||14||-||-||14|
|MD 0804 Web Pharmacology I||-||-||-||14||-||-||14|
|MD 805 Pharmacology II||-||-||-||14||-||-||14|
|MD 0805 Web Pharmacology II||-||-||-||14||-||-||14|
|MD 806 Pharmacology III||-||-||-||14||-||-||14|
|MD 0806 Web Pharmacology III||-||-||-||14||-||-||14|
|MD 808 Pharmacology V||-||-||-||14||-||-||14|
|MD 808 Pharmacology V||-||-||-||7||-||-||7|
|MD 838 Immunology||-||-||-||-||-||10||10|
|MD 841 Parasitiology I||-||-||-||-||-||8||8|
|MD 842 Parasitiology II||-||-||-||-||-||12||12|
|MD 845 Immunohematology and Blood Banking||-||-||-||-||-||13||13|
|MD 856 Bacteriology||-||-||-||-||-||20||20|
|MD 900 Basic Mathematics||5||-||-||-||-||-||5|
|MD 0900 Web Basic Mathematics||5||-||-||-||-||-||5|
|MD 904 Pharmacology Math for the Practical Nurse||-||-||-||12||-||-||12|
|MD 905 Nursing Fundamentals I||-||-||-||-||-||12||12|
|MD 906 Nursing Fundamentals II||-||-||-||-||-||12||12|
|MD 913 Drug Dosage and Therapy||-||-||-||16||-||-||16|
|MD 915 Nursing Care of the Surgical Patient||-||-||-||-||-||10||10|
|MD 916 Nursing Care Related to Musculoskeletal Sys||-||-||-||-||-||7||7|
|MD 917 Nursing Care Related to Cardio & Resp Sys||-||-||-||-||-||12||12|
|MD 918 Nursing Care Related to Gastro & Urinary Sys||-||-||-||-||-||12||12|
|MD 919 Nursing Care Related to Sensory & Neuro Sys||-||-||-||-||-||12||12|
|MD 921 Obstetrics and Newborn Care I||-||-||-||13||-||-||13|
|MD 922 Obstetrics and Newborn Care II||-||-||-||15||-||-||15|
|MD 927 Special Surgical Procedures I||-||-||-||-||-||14||14|
|MD 928 Special Surgical Procedures II||-||-||-||-||-||8||8|
* Exceed the National Registry of Emergency Medical Technicians (NREMT) 24 hour limitation on Distributed Learning materials (ie.Video/Magazine/Correspondence Courses).
Army Correspondence Course Program