Major topics covered in the course are an introduction to the EMS system, legal aspects of care, equipment,tools, and supplies; general anatomy and patient assessment; respiratory system, resuscitation, and CPR; aids to resuscitation and oxygen administration; management of bleeding, shock, and soft tissue injuries; management of fractures and spinal injuries; environmental emergencies and care of burns; care of special patients including obstetric, pediatric, and elderly; and special incidents including triage, water accidents, and gaining access to and moving patients. Methods of instruction include lecture; discussion; classroom exercises; audio/visual material; skills, written, and practical examinations; and graded skill evaluations.