This course is designed to meet additional state and local educational requirements for paramedic practice. Content may include pre-hospital protocols, transfer medications, topics in critical care and transport, systems presentation, and/or national standard certification courses as dictated by local needs or state requirement. Upon course completion, students will have demonstrated competency in those respective components of the National Standard Curriculum for the EMT-Paramedic. 3.00 semester credit hours Contact Hours: 45.00 Prerequisite: EM 196 Cardiovascular Electrophysiology , EM 197 Medical Patient Management I and EM 203 Cardiovascular Patient Management. Corequisite: None.