1. Trauma Management [10]
   1. Perform patient triage
   2. Differentiate injury patterns associated with specific mechanisms of injury
   3. Identify patients who meet trauma center criteria
   4. Perform a comprehensive assessment of the trauma patient
   5. Initiate the critical interventions for the management of the trauma patient
   6. Provide care for the patient with life-threatening thoracic injuries (e.g., pneumothorax, flail chest, tamponade, myocardial rupture)
   7. Provide care for the patient with abdominal injuries (e.g., diaphragm, liver and spleen)
   8. Provide care for the patient with orthopedic injuries (e.g., pelvic, femur, spinal)
   9. Administer appropriate pharmacology for trauma management
2. Aircraft Fundamentals, Safety and Survival [12]
   1. Assess the safety of the scene
   2. Conduct preflight checks to ensure aircraft integrity
   3. Conduct preflight checks to ensure equipment is present, functional, and stowed
   4. Observe for hazards during aircraft operation
   5. Utilize proper safety equipment while in flight
   6. Maintain a sterile cockpit during critical phases of flight
   7. Approach and depart the aircraft in a safe manner
   8. Ensure safety around the aircraft
   9. Secure the patient for flight
   10. Participate in crew resource management (CRM)
   11. Participate in flight mission safety decisions (e.g., Go – No Go, abort)
   12. Respond to in-flight emergencies
       1. Fire
       2. Emergency egress
       3. Emergent landing
       4. Adverse weather conditions
   13. Perform immediate post-accident duties at a crash site
   14. Build survival shelters
   15. Initiate emergency survival procedures
   16. Ensure the safety of all passengers (e.g., specialty teams,family, law enforcement, observer)
   17. Estimate weather conditions that are below weather minimums
3. Flight Physiology [10]
   1. Identify causes of hypoxia
   2. Take corrective measures to prevent altitude related hypoxia
   3. Identify signs of barometric trauma
   4. Identify stressors related to transport (e.g., thermal, humidity, noise, vibration, or fatigue related conditions)
   5. Take corrective action for patient stressors related to transport
   6. Relate the relevant gas laws to patient condition and treatment
   7. Relate the stages of hypoxia to patient condition and treatment
   8. Identify immediate causes of altitude related conditions in patients
   9. Identify immediate causes of altitude related conditions as they affect the air medical crew
   10. Provide appropriate interventions to prevent the adverse effects of altitude changes during patient transport
4. Advanced Airway Management Techniques [5]
   1. Identify the indications for basic and advanced airway management
   2. Identify the indications and contraindications for specific airway interventions
   3. Perform advanced airway management techniques
   4. Administer appropriate pharmacology for airway management
   5. Implement a failed airway algorithm
   6. Identify esophageal intubation
   7. React to intubation complications
   8. Perform alternative airway management techniques (e.g., needle cricothyrotomy, surgical cricothyotomy, Seldinger technique, retrograde intubation, LMA)
   9. Monitor airway management and ventilation during transport
   10. Use mechanical ventilation
5. Neurological Emergencies [10]
   1. Conduct differential diagnosis of coma patients
   2. Manage patients with seizures
   3. Manage patients with cerebral ischemia
   4. Initiate the critical interventions for the management of a patient with a neurologic emergency
   5. Provide care for a patient with a specific neurologic emergency
   6. Perform a baseline neurologic assessment of a trauma patient
   7. Perform an ongoing serial evaluation of a neurologic patient
   8. Assess changes in intracranial pressure using patient level of consciousness
   9. Perform a focused neurological assessment
   10. Assess a patient using the Glasgow coma scale
   11. Manage patients with head injuries
   12. Manage patients with spinal cord injuries
   13. Evaluate muscle strength and motor function
   14. Administer appropriate pharmacology for neurological management
6. Critical Cardiac Patient [20]
   1. Perform a detailed cardiovascular assessment
   2. Identify patients experiencing an acute cardiac event (e.g., acute myocardial infarction, heart failure, cardiogenic shock, primary arrhythmias, hemodynamic instability)
   3. Use invasive monitoring during transport, as indicated, for the purpose of clinical management
   4. Provide treatment for patients with acute cardiac events and hemodynamic abnormalities
   5. Control cardiopulmonary support devices to patient condition as part of patient management (e.g., ventricular assist devices, transvenous pacer, intra-aortic balloon pump)
   6. Assist in the control of cardiopulmonary support devices to patient condition as part of patient management (e.g., ventricular assist devices, transvenous pacer, intra-aortic balloon pump)
   7. Conduct defibrillation during transport
   8. Administer appropriate pharmacology for cardiac management
7. Respiratory Patient [10]
   1. Perform a detailed respiratory assessment
   2. Identify patients experiencing respiratory compromise (e.g., acute respiratory distress syndrome, spontaneous pneumothorax, pneumonia)
   3. Monitor patient’s respiratory status using laboratory values and diagnostic equipment (e.g., pulse oximetry, capnography, blood gas values, chest radiography)
   4. Provide treatment for patients with acute respiratory events
   5. Administer appropriate pharmacology for respiratory management
8. Toxic Exposures [6]
   1. Conduct a physical examination of a toxicological patient
   2. Decontaminate toxicological patients when indicated
   3. Administer poison antidotes when indicated
   4. Provide emergency care for victims of envenomation (e.g., snake bite, scorpion sting, spider bite)
   5. Administer appropriate pharmacology for toxic exposures
   6. Provide treatment for toxicological patients (e.g., medication overdose, chemical/biological/radiological exposure)
9. Obstetrical Emergencies [4]
   1. Perform an assessment of the obstetrical patient
   2. Perform fetal assessment
   3. React to special transport considerations of the obstetrical patient
   4. Provide treatment for high-risk obstetrical patients
   5. Assess uterine contractions
   6. Conduct interventions for obstetrical emergencies (e.g., pregnancy induced hypertension, hypertonic or titanic contractions, cord prolapse, placental abruption)
   7. Assess whether transport can safely be attempted or whether delivery should be accomplished at the referring facility
   8. Administer appropriate pharmacology for obstetrical patients
   9. Manage emergent delivery
10. Neonates [4]
    1. Perform an assessment of the neonatal patient
    2. Reevaluate the clinical assessment and management of the neonate when initial emergency measures fail
    3. Administer appropriate pharmacology for neonatal patients
    4. Implement neonatal resuscitation according to established practice
    5. Manage the isolette transport
    6. Provide treatment of neonatal emergencies
11. Pediatric [10]
    1. Perform an assessment of the pediatric patient
    2. Identify the pediatric patient experiencing an acute respiratory event (e.g., epiglottitis, bronchiolitis, asthma)
    3. Identify the pediatric patient experiencing an acute medical event (e.g., menningitis, overdose, seizures)
    4. Identify the pediatric patient experiencing an acute cardiovascular event (e.g., shock, cardiac anomaly, dysrhythmias)
    5. Identify the pediatric patient experiencing an acute traumatic event (e.g., auto v. pedestrian, falls, child abuse)
    6. Administer appropriate pharmacology for pediatric patients
    7. Provide treatment of pediatric emergencies
12. Burn Patients [5]
    1. Perform an assessment of the burn patient
    2. Calculate the percentage of total body surface area burned
    3. Calculate appropriate fluid replacement amounts based on the patient’s burn injury and physiologic condition
    4. Diagnose inhalation injuries in burn injury patients
    5. Administer appropriate pharmacology for burn patients
    6. Provide treatment of burn emergencies
13. General Medical Patient [16]
    1. Perform a focused medical assessment
    2. Identify patients experiencing a medical emergency (e.g., AAA, GI bleed, bowel obstruction, HHNC)
    3. Use invasive monitoring during transport, as indicated, for the purpose of clinical management
    4. Provide treatment for patients with medical emergencies
    5. Manage patient condition utilizing available laboratory values (e.g., blood glucose, CBC, H/H)
    6. Administer appropriate pharmacology for the medical patient
    7. Prevent transmissions of infectious disease
    8. Provide appropriate pain management
    9. Evaluate and record patient pain levels
14. Environmental [4]
    1. Perform an assessment of the patient suffering from an environmental emergency
    2. Identify the patient experiencing a cold related emergency (e.g., frostbite, hypothermia, cold water submersion)
    3. Identify the patient experiencing a heat related emergency (e.g., heat stroke, heat exhaustion, heat cramps)
    4. Identify the patient experiencing a diving related emergency (e.g., decompression sickness, arterial gas emboli, near drowning)
    5. Identify the patient experiencing a altitude related emergency (e.g., HAPE, cerebral edema)
    6. Administer appropriate pharmacology for environmental emergency patients
    7. Provide treatment of environmental emergencies