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AMLS 2e Agenda
History of AMLS
Overview of whats new and improved
The course
Instructor resources
Support
History of AMLS
AMLS has been taught throughout the world since
1999.
AMLS was the first EMS education program that fully
addressed how to best manage patients in medical
crises.
In 2011, NAEMT produced an all-new textbook and
instructor materials for the course.
AMLS continues to be endorsed by the National
Association of EMS Physicians (NAEMSP) and is
accredited by the Continuing Education Coordinating
Board for Emergency Medical Services (CECBEMS) and
recognized by the National Registry of EMTs (NREMT).
AMLS 2e Committee Members
Jeff Messerole, Chair
Les Becker, Vice Chair
Angus Jameson, MD, Medical Director
Vince Mosesso, MD, Medical Director
Anne Bellows
Leslie Hernandez
What is AMLS?
AMLS is a sixteen-hour, two-day course
For BLS and ALS practitioners
Consists of interactive/case-based lectures and
patient simulations
Emphasis on the AMLS Assessment Pathway
AMLS Pathway
AMLS 2e Instructor Resources
Lecture presentations
Patient simulation scenarios
New assessment videos
Instructors manual
Equipment list
Course agenda
BLS and ALS pre- and posttests
AMLS 2e Course Day 1
AMLS Video 1 Introduction video and Assessment video
Respiratory
Respiratory Disorders Lecture
Cardiovascular Disorders Lecture
Respiratory Disorders Stations (2 simulations)
Cardiovascular Disorders Stations (2 simulations)
Shock Lecture
Shock Stations (4 simulations)
Altered Mental Status and Neurologic Disorders Lecture
Endocrine /Metabolic Disorders Lecture
AMS/Neurologic Disorders Practical Stations (2 simulations)
Endocrine /Metabolic Disorders Stations (2 simulations)
Environmental Emergencies Lecture
AMLS 2e Course Day 2
AMLS Video 2 Introduction video and Assessment
videoAltered Mental Status
Infectious Diseases Lecture
Abdominal Disorders Lecture
Environmental Emergencies, Infectious Diseases,
Abdominal Discomfort Stations
Toxicologic Emergencies, Hazardous Materials Lecture
Toxicologic Emergencies, Hazardous Materials Station (2
simulations)
Written Evaluation Station
Final Practical Evaluation Stations
Videos
New AMLS assessment videos
Respiratory emergency
Altered mental status
Sample Assessment Videos
Lecture Presentation
Case based
Robust instructor notes
Consistent lecture structure
Showcases the use of the AMLS assessment
pathway
Sample Lecture Presentation
The lecture for the Cardiovascular Disorders
chapter follows, which includes Case 1.
Chapter 3
Cardiovascular Disorders
Introduction
Objectives
Apply knowledge of anatomy, physiology, and
pathophysiology to patients presenting with chest
discomfort.
Describe the general assessment process for a
patient presenting with chest discomfort using the
AMLS Assessment Pathway.
Describe the ongoing assessment of the patient
presenting with chest discomfort utilized to rule out
or confirm potential diagnoses and adapt treatment
and management based on patient response and
findings.
Anatomy
Anatomy
The major organs, spaces and pleurae, the
esophagus, and other structures of the
mediastinum and the musculoskeletal system.
Chest discomfort is typically the direct result of
stimulation of nerve fibers from damaged or
compromised organs.
Although the boundaries of the chest are well-
defined, organs or structures lying close to those
boundaries may be served by similar nerve roots.
From PHTLS: Prehospital trauma life support, ed 6, St. Louis, MO, 2007, Mosby
The major organs and spaces
Anatomy
Pathophysiology
Damage or compromise may be due to mechanical
obstruction, inflammation, infection, or ischemia.
An understanding of somatic vs. visceral pain is
important in generating differential diagnoses of
chest discomfort.
Case 1
Dispatch
You respond to a nursing home for a report of a
person with chest pain who is having trouble
breathing.
Jennifer A. Walz/Shutterstock.
Initial Observations
Primary survey
Level of consciousness (LOC)Awake, opens
his eyes to the sound of your voice and makes
eye contact.
AirwayOpen and patent.
BreathingRespirations rapid, shallow, and
regular; breath sounds diminished on the left
apex.
Circulation/perfusionRapid radial weak
pulse; skin is cool and moist.
First Impression
Do you identify any life threats?
Mark Bowden/iStock/Getty.
Is the patient sick/not sick?
First Impression
What are your initial differential diagnoses?
Which do you think are most likely?
More Likely
Less Likely
First Impression
110
90%
56 mm
Hg
Pursed lip
breathing, Abdomen soft, nontender
circumoral cyanosis