Mid-America Safety Services
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Advance Medical Life Support

Advanced Medical Life Support (AMLS) is the gold standard of education for emergency medical assessment and treatment. Endorsed by the National Association of EMS Physicians, AMLS emphasizes the use of the AMLS Assessment Pathway, a systematic tool for assessing and managing common medical conditions with urgent accuracy.

Students learn to recognize and manage common medical crises through realistic case-based scenarios that challenge students to apply their knowledge to highly critical patients.  The course emphasizes the use of scene size-up, history, interactive group discussion on potential treatment strategies, and physical exam to systematically rule out and consider possibilities and probabilities in treating patients’ medical crises. 

Topics include:

  • Respiratory disorders
  • Cardiovascular disorders
  • Shock
  • Altered mental status
  • Neurological disorders
  • Endocrine/Metabolic disorders
  • Environmental emergencies
  • Infectious disease
  • Abdominal disorders
  • Toxicological emergencies
  • Exposure to hazardous materials


AMLS is appropriate for EMTs, paramedics, nurses, nurse practitioners, physician assistants, nurse anesthetists and physicians. AMLS is accredited by CAPCE and recognized by NREMT.

All Hazards Disaster Response

The All Hazards Disaster Response (AHDR) course teaches students how to respond to the many types of disaster scenarios they may encounter, including natural disasters and infrastructure failings, fires and radiological events, pandemics, active shooter incidents, and other mass casualty events. AHDR educates participants on how to analyze potential threats in their area, assess available resources, and create a response plan that will save lives.

Features of a medical response plan covered in the course include:

  • Communicating effectively during disasters.
  • Mutual aid and interoperability.
  • Managing resources such as supplies, medications and equipment.
  • Triage and transportation strategies and challenges.
  • Patient tracking and evacuation.


At the start of the course, participants conduct a “hazards vulnerability analysis” to assess features of their environment, both natural and man-made, that pose risk along with assessing the needs of vulnerable populations, such as assisted-living residents or hospital patients that need special consideration during such an event.

Content is presented in the context of realistic scenarios, culminating with a large-scale mass casualty activity.

AHDR is appropriate for all levels of EMS practitioners. This course is offered in the classroom and provides 8 hours of CAPCE credit and NREMT recognition.

EMS Safety

NAEMT’s EMS Safety course teaches students how to protect themselves and their patients while on the job. It promotes a culture of safety and helps reduce the number of on-the-job fatalities and injuries. EMS Safety is the only national, comprehensive safety course for EMS practitioners. Its interactive format features real-life case studies and compelling discussions on current safety issues, and provides participants with a forum to share their own experiences. Critical thinking stations help build participants’ risk assessment and decision-making skills.

Participants are taught:

  • To identify and remove the hazards that can appear during daily tasks, from offensive drivers to violent encounters to chronic stress.
  • Practical strategies that they can apply in the field, from situational awareness to defensive driving to verbal deflection.
  • How to strengthen their resiliency skills in order to combat both chronic and critical incident stress.


Topics covered include:

  • Applying crew resource management in EMS.
  • Utilizing situational awareness and defensive driving for safe emergency vehicle operations.
  • Employing multi-agency pre-planning, vehicle and practitioner visibility techniques, and defensive staging practices at roadside incidents.
  • Utilizing lift assist teams, lifting and moving equipment, and behavioral controls to protect both EMS practitioners and patients from injury.
  • Employing situational awareness to continually assess for the potential of violence on the scene and verbal and physical techniques to deescalate potential threats.
  • Practicing infection and contagion control to protect both EMS practitioners and patients from emerging threats.
  • Strengthening resiliency skills to help EMS practitioners cope with daily and critical incident stress.
  • Ensuring personal readiness for the daily challenges and hazards of working in the field through optimal personal health.


EMS Safety is offered as an 8-hour classroom course and is appropriate for all levels of EMS practitioners, other medical professionals providing prehospital patient care, and EMS supervisors and administrators. Students who successfully complete the course receive a certificate of completion and a wallet card good for 4 years. EMS Safety is accredited by CAPCE and recognized by NREMT.

EMS Vehicle Operators Safety

NAEMT's EMS Vehicle Operator Safety (EVOS) course addresses the knowledge gap that leads to injuries and deaths, and focuses on the specific behaviors that need to be changed to create a culture of safe driving.

Drawing on the most current research about the behaviors and other hazards that lead to crashes, EVOS features case studies and analyses of both common and catastrophic collisions. EVOS challenges EMS practitioners to reconsider their preconceptions about safe vehicle operations. Instructors can easily incorporate local laws, rules and policies into the curriculum. Topics covered in the course include:

  • Making driving safety a priority
  • Legal aspects of EMS vehicle operation
  • Maneuvering an EMS vehicle
  • Vehicle inspection and maintenance
  • Mental, emotional and physical preparedness
  • Emergency response
  • Crash prevention
  • Driving skills
  • Technological aids
  • Simulation training


EVOS is appropriate for EMS practitioners at all levels.  EVOS is accredited by CAPCE and recognized by NREMT.

 
Geriatric Education for EMS

GEMS provides EMS practitioners at all levels with the skills and knowledge to address the unique medical, social, environmental and communications challenges of older adults. Developed by NAEMT, in partnership with the American Geriatrics Society, GEMS empowers EMS practitioners to help improve medical outcomes and quality of life for geriatric patients. 

GEMS features case-based lectures, live action video, hands-on skill stations, simulation and small group scenarios to fully engage students in the learning experience. GEMS covers the following topics:

  • Changes with age
  • Assessment of older adults
  • Pharmacology and medication toxicity
  • Psycho-social emergencies
  • Elder abuse
  • End-of-life care issues
  • Cardiovascular and respiratory emergencies
  • Trauma
  • Neurological emergencies and altered mental status
  • Mobile integrated healthcare
  • Special considerations for older adults in disaster response
  • Skin and wound care
  • Medical devices frequently used by older adults


Two GEMS courses are offered - a core and advanced course.  They may be offered separately or sequentially.  Both courses are appropriate for EMTs, paramedics, emergency medical responders, nurses, physician assistants and physicians. GEMS is accredited by CAPCE and recognized by NREMT.

Prehospital Trauma Life Support

NAEMT's Prehospital Trauma Life Support (PHTLS) is recognized around the world as the leading continuing education program for prehospital emergency trauma care. The mission of PHTLS is to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care.  PHTLS is developed by NAEMT in cooperation with the American College of Surgeons' Committee on Trauma. The Committee provides the medical direction and content oversight for the PHTLS program. 

PHTLS courses improve the quality of trauma care and decrease mortality. The program is based on a philosophy stressing the treatment of the multi-system trauma patient as a unique entity with specific needs. PHTLS promotes critical thinking as the foundation for providing quality care. It is based on the belief that, given a good fund of knowledge and key principles, EMS practitioners are capable of making reasoned decisions regarding patient care. The course utilizes the internationally recognized PHTLS textbook and covers the following topics:

  • Physiology of life and death
  • Scene assessment
  • Patient assessment
  • Airway
  • Breathing, ventilation and oxygenation
  • Circulation, hemorrhage and shock
  • Patients with disabilities
  • Patient simulations


PHTLS is the global gold standard in prehospital trauma education and is taught in 64 countries. PHTLS is appropriate for EMTs, paramedics, nurses, physician assistants, physicians, and other prehospital providers. PHTLS is accredited by CAPCE and recognized by NREMT.