All Things Cardiac in Maine EMS

December 27, 2025

All Things Cardiac in Maine EMS

Categories: Cardiology
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About Course

This is MD3 Rounds is a comprehensive continuing education module designed to equip Maine EMTs and Paramedics with the advanced knowledge needed to manage high-stakes cardiac emergencies in rural and resource-limited settings. Learners will explore the critical physiology of cardiac output while applying Maine EMS protocols for Acute Coronary Syndrome, Congestive Heart Failure, arrhythmias, and high-performance cardiac arrest management. Through realistic case studies and expert insights, providers will learn to prioritize interventions that preserve perfusion and seamlessly integrate with advanced resources.

What Will You Learn

  • Explain the rationale behind Maine EMS protocols for advanced airway management, particularly Protocol 7-2 and 7-3.
  • Differentiate between the physiological goals of oxygenation and ventilation and the dangers of hyper- and hypoventilation in the prehospital setting.
  • Justify the use of Supraglottic Airways (SGAs) as a frontline advanced airway strategy, citing relevant evidence from trials like PART and AIRWAYS-2.
  • Describe the benefits and limitations of standard geometry video laryngoscopy (VL) and explain why Maine protocols prohibit hyperangulated blades.
  • Demonstrate knowledge of best practices for manual Bag-Valve-Mask (BVM) ventilation, including the two-person technique and the use of waveform capnography as a feedback tool.
  • Recognize the critical importance of continuous waveform capnography for confirming airway placement, monitoring CPR quality, and ensuring patient safety during transport.
  • Adapt airway management strategies for special populations, including pediatric, trauma, and patients with conditions like asthma/COPD, TBI, or stroke.
  • Identify and apply system-level practices that contribute to airway excellence, such as pre-procedure checklists and quality assurance/improvement (QA/QI) processes.

Course Content

Introduction: More Than a Pump
The heart isn't just a pump—it's the engine that drives perfusion to every organ in the body. When it fails, the rest of the body follows.

  • Course Orientation
  • Course Overview & Objectives
  • Cardiac Physiology in the Field
  • Acute Coronary Syndrome (ACS)
  • CHF & Pulmonary Edema
  • Symptomatic Bradycardia
  • Tachycardia Management
  • Cardiac Arrest & The H’s/T’s
  • Advanced & Above-Scope Interventions
  • Case Studies

Conclusion: Holding the Line on What Truly Matters

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