Founded in 1771 by a Royal Charter granted by King George III of England, New York Presbyterian Hospital is the second oldest hospital in the country. Originally named The Society of the Hospital of the City of New York in America, the Hospital adopted the name The New York Hospital in 1810. At that time, pre-hospital responses were made by surgeons aboard horse and buggies along the dirt thoroughfares of old New York. Since then, pre-hospital care has been continued via various carriers and using methods of the times. In 1981, The New York Hospital Emergency Paramedic Service was founded and became the official EMS response team and training program for the institution and its affiliates. Today, the NYH-EMS Division is a state-of-the-art operation that provides pre-hospital care in Basic Life Support (BLS), Advanced Life Support (ALS), and Specialty Team transport units. The EMS Division also trains the Hospital’s physicians, critical care nurses and technicians in basic and advanced emergency medicine. The Emergency Medical Technician (EMT) and Paramedic Training Programs first developed in 1983 continue to evolve to meet the needs of today’s complex pre-hospital care environment. In 1998, The New York Hospital merged with Presbyterian Hospital to form New York Presbyterian Hospital.

Source of official student records: Manager, New York Presbyterian Hospital-Emergency Medical Service Division of Training, 525 East 68th Street, Room M-101, New York, New York 10021.

Titles of all evaluated learning experiences
Advanced Cardiac Life Support (ACLS - AHA)
Emergency Medical Technician - Basic Original
Emergency Medical Technician - Challenge Refresher Course
Emergency Medical Technician - Paramedic Challenge Refresher Course
High Risk Neonatal Pediatric Critical Care and Transport Program
Pediatric Advanced Life Support (PALS-AHA and AAP)

Descriptions and credit recommendations

Advanced Cardiac Life Support (ACLS - AHA)
Location: New York Presbyterian Hospital EMS Training Center, New York, New York.
Length: 16 hours (2 days).
Dates: Version 1: February 1997 - August 2000. Version 2: September 2000 - Present.
Objectives: Version 1 or 2: Provide advanced cardiac life support in cardiac and respiratory emergencies.
Instruction: Version 1: Monitoring and dysrhythmias; defibrillation and cardioversion; cardiovascular pharmacology; airway adjuncts and endotracheal intubation; intravenous and invasive techniques; EKG recognition; therapeutic modalities; mega-codes; sudden cardiac death; myocardial infarction.Version 2: Monitoring and dysrhythmias; defibrillation and cardioversion, external cardiac pacing, and AED; cardiovascular pharmacology; basic and advanced airway adjuncts; intravenous and invasive techniques; mega-codes; sudden cardiac death; myocardial infarction; treatment for strokes
Credit recommendation: Version 1 or 2: In the lower division baccalaureate/associate degree category, 1 semester hour in Health Science or Physical Education (11/97) (5/03 revalidation) (5/08 revalidation).

Emergency Medical Technician - Basic Original
Location: New York Presbyterian Hospital EMS Training Center, New York, New York.
Length: 180 hours (minimum) (5 to 20 weeks); includes 16 hours of field experience.
Dates: Version 1: September 1997 - December 2000. Version 2: January 2001 - Present.
Objectives: Version 1 or 2: Discuss basic human anatomy and physiology; discuss the rationale and fundamentals of pre-hospital care and treatment of the sick and injured; perform a primary and secondary patient survey by evaluating and treating a patient with suspected respiratory or circulatory distress and performing cardiopulmonary resuscitation and clearing an obstructed airway; recognize the signs, symptoms and treatment of shock, internal hemorrhage, and external hemorrhage, central nervous system disorders and deficiency, and types and degree of burns; perform immobilization techniques; on an obstetrical manikin, prepare a mother for a cephalic birth; demonstrate the procedure for dealing with an emotionally disturbed patient; demonstrate basic disentanglement of a patient, packaging, and removal from the scene; discuss patient safety and care at the scene and during transport; file a standardized NYS Patient Care Report; discuss the role and responsibilities of the EMT in performing both the emergency and operational aspects of the job; demonstrate appropriate diagnostic and emergency treatment procedures; demonstrate the proper use and care of emergency equipment.
Instruction: Version 1: This course is designed to provide the basic education needed by emergency medical technicians to provide patient care in the pre-hospital setting. The course covers all techniques of emergency medical care presently considered within the responsibilities of the emergency medical technician as well as all operational aspects of the job which the student will be expected to perform. Emphasis is placed on recognition of symptoms of illnesses and injuries and application of proper procedures of emergency care. Demonstration, practice, and clinical observation are carefully integrated into the didactic portion. The curriculum consists of four divisions: basic life support, trauma care, medical/environmental, and operations; and six practical skills areas: patient assessment, airway management and oxygen, bleeding control and fracture management, traction and splinting, spinal immobilization, and shock management. In addition, the following areas are emphasized: medical terminology, medical emergencies, pathophysiology, pediatric emergencies, hazardous materials awareness, defibrillation, critical trauma care. Graduates of the course are eligible to sit for the New York State EMT Certification Examination. Version 2: This course is designed to provide the basic education needed by emergency medical technicians to provide patient care in the pre-hospital setting. The course covers all techniques of emergency medical care presently considered within the responsibilities of the emergency medical technician as well as all operational aspects of the job which the student will be expected to perform. Emphasis is placed on recognition of symptoms of illnesses and injuries and application of proper procedures of emergency care. Demonstration, practice, and clinical observation are carefully integrated into the didactic portion The curriculum consists of seven divisions: preparation, airway, patient assessment, medical emergencies, trauma, infants and children, operations; and six practical skills areas: patient trauma assessment, patient medical assessment, cardiac arrest management, airway management, spinal immobilization, and fracture immobilization. In addition, the following areas are emphasized: medical terminology, medical emergencies, pathophysiology, pediatric emergencies, basic general pharmacology, weapons of mass destruction, automated external defibrillation, critical trauma care. Graduates of the course are eligible to sit for the New York State EMT Certification Examination.
Credit recommendation: Version 1 or 2: In the lower division baccalaureate/associate degree category or in the upper division baccalaureate degree category, 6 semester hours in Health Sciences, Allied Health Sciences, or Emergency Medical Care (11/97) (5/03 revalidation) (5/08 revalidation). NOTE: The credit recommendation for this course is not considered duplicative of the Emergency Medical Technician - Refresher Course.

Emergency Medical Technician - Challenge Refresher Course
Location: New York Presbyterian Hospital EMS Training Center, 421 East 70th Street, New York, New York.
Length: Version 1: 91 hours (4 to 8 weeks). Version 2: 76 hours (maximum) (4 to 8 weeks).
Dates: Version 1: September 1996 - December 2000. Version 2: January 2001 - Present.
Objectives: Version 1 or 2: Discuss basic human anatomy and physiology; discuss the rationale and fundamentals of pre-hospital care and treatment of the sick and injured; perform a primary and secondary patient survey by evaluating and treating a patient with suspected respiratory or circulatory distress and performing cardiopulmonary resuscitation and clearing an obstructed airway; recognize the signs, symptoms and treatment of shock, internal hemorrhage, and external hemorrhage, central nervous system disorders and deficiency, and types and degree of burns; perform immobilization techniques; on an obstetrical manikin, prepare a mother for a cephalic birth; demonstrate the procedure for dealing with an emotionally disturbed patient; demonstrate basic disentanglement of a patient, packaging, and removal from the scene; discuss patient safety and care at the scene and during transport; file a standardized NYS Patient Care Report; discuss the role and responsibilities of the EMT in performing both the emergency and operational aspects of the job; demonstrate appropriate diagnostic and emergency treatment procedures; demonstrate the proper use and care of emergency equipment.
Instruction: Version 1: This course reviews the content of the Emergency Medical Technician - Basic Course, updates any changes in medical techniques and practices, and covers current trends and issues.  The course covers all techniques of emergency medical care presently considered within the responsibilities of the emergency medical technician as well as all operational aspects of the job which the student is expected to perform. Emphasis is placed on recognition of symptoms of illnesses and injuries and application of proper procedures of emergency care. Demonstration, practice, and clinical observation are carefully integrated into the didactic portion. The curriculum consists of four divisions: basic life support, trauma care, medical/environmental, and operations; and six practical skills areas: patient assessment, airway management and oxygen, bleeding control and fracture management, traction and splinting, spinal immobilization, and shock management. In addition, the following areas are emphasized: medical terminology, medical emergencies, pathophysiology, pediatric emergencies, hazardous materials awareness. Graduates of this course are eligible to recertify as EMTs by sitting for the New York State EMT Certification Examination. (Prerequisite: New York State certification as an Emergency Medical Technician.) Version 2: This course reviews the content of the Emergency Medical Technician - Basic Course, updates any changes in medical techniques and practices, and covers current trends and issues.  The course covers all techniques of emergency medical care presently considered within the responsibilities of the emergency medical technician as well as all operational aspects of the job which the student is expected to perform. Emphasis is placed on recognition of symptoms of illnesses and injuries and application of proper procedures of emergency care. Demonstration, practice, and clinical observation are carefully integrated into the didactic portion. The curriculum consists of seven divisions: preparation, airway, patient assessment, medical emergencies, trauma, infants and children, operations; and six practical skills areas: patient trauma assessment, patient medical assessment, cardiac arrest management, airway management, spinal immobilization, and fracture immobilization. In addition, the following areas are emphasized: medical terminology, medical emergencies, pathophysiology, pediatric emergencies, hazardous materials awareness. Graduates of this course are eligible to recertify as EMTs by sitting for the New York State EMT Certification Examination. (Prerequisite: New York State certification as an Emergency Medical Technician.)
Credit recommendation: Version 1 or 2: In the lower division baccalaureate/associate degree category or in the upper division  baccalaureate degree category, 3 semester hours in Health Sciences, Allied Health Sciences, or Emergency Medical Care (11/97) (5/03 revalidation) (5/08 revalidation). NOTE: The credit recommendation for this course is not considered duplicative of the Emergency Medical Technician - Basic Course.

Emergency Medical Technician - Paramedic Challenge Refresher Course
Location: New York Presbyterian Hospital EMS Training Center, 421 East 70th Street, New York, New York.
Length: Version 1: 123 hours (4 to 12 weeks). Version 2: 100 hours (maximum) (4 to 12 weeks).
Dates: Version 1: September 1996 - December 2000. Version 2: January 2001 - Present.
Objectives: Version 1 or 2: Appropriately assess and correctly treat a single or multiple systems trauma patient in any given situation; appropriately assess and correctly treat a patient suffering from a medical emergency including conditions involving the respiratory system, cardiovascular system, nervous system, muscular system, skeletal system, integumentary system, endocrine system, digestive system, genitourinary system, and reproductive system; discuss the principles used in treating medical emergencies involving pediatrics, obstetrics, neonates, shock, behavioral disorders, toxicology, alcoholism and drug abuse, geriatrics, anaphylaxis, and infectious diseases; perform the following skills at the appropriate time in the correct situation: airway control and ventilation, endotracheal intubation; intravenous cannulation, administration of medications by intravenous, intramuscular or subcutaneous route, defibrillation, EKG interpretation, application of pneumatic antishock garment (PASG), fixation and traction splinting, bandaging, spinal immobilization and use of other devices appropriate to the care of the sick and injured; demonstrate disentanglement of a patient, packaging and removal from the scene, radio communications with medical control and use of report writing skills; discuss and demonstrate the roles and responsibilities of the paramedic in performing both the emergency and operational aspects of the job.
Instruction: Version 1: This course reviews the content of the Advanced Emergency Medical Technician - Paramedic Basic Course, updates any changes in medical techniques and practices, and addresses current trends and issues.  This course covers all techniques of advanced emergency medical care presently considered within the responsibilities of the paramedic as well as all operational aspects of the job which the student is expected to perform. Emphasis is placed on recognition of symptoms of illness and injuries, and application of proper procedures of advanced emergency care. Demonstration and practice are carefully integrated with the didactic portion. The curriculum consists of six divisions: pre-hospital environment, preparatory, trauma, medical emergencies, obstetrics/gynecology, and behavioral emergencies. Graduates of the program are entitled to recertify as an Advanced Emergency Medical Technician (AEMT) IV by sitting for the New York State Certification Examination and the New York City Medical Advisory Committee (MAC) Examination. (Prerequisite: New York State certification as a Paramedic.) Version 2: This course reviews the content of the Advanced Emergency Medical Technician - Paramedic Basic Course, updates any changes in medical techniques and practices, and addresses current trends and issues.  This course covers all techniques of advanced emergency medical care presently considered within the responsibilities of the paramedic as well as all operational aspects of the job which the student is expected to perform. Emphasis is placed on recognition of symptoms of illness and injuries, and application of proper procedures of advanced emergency care. Demonstration and practice are carefully integrated with the didactic portion. The curriculum consists of 8 divisions: preparatory, airway management, patient assessment, trauma, medical, special considerations, assessment based management, operations. Graduates of the program are entitled to recertify as an Advanced Emergency Medical Technician (AEMT) IV by sitting for the New York State Certification Examination and the New York City Medical Advisory Committee (MAC) Examination. (Prerequisite: New York State certification as a Paramedic.)
Credit recommendation: Version 1 or 2: In the lower division baccalaureate/associate degree category or in the upper division baccalaureate degree category, 4 semester hours in Paramedic Science, Allied Health Sciences, or Health Science (11/97) (5/03 revalidation) (5/08 revalidation). NOTE: The credit recommendation for this course is not considered duplicative of an Advanced Emergency Medical Technician - Paramedic Basic Course.

High Risk Neonatal Pediatric Critical Care and Transport Program
Location: New York Presbyterian Hospital EMS Training Center, New York, New York.
Length: 120 hours (includes 64 hours of clinical rotations).
Dates: January 2003 - Present.
Objectives: Communicate effectively with receiving MD prior to transport; retrieve an accurate patient report from sending facility; identify all needed equipment for transport; perform a thorough patient assessment; describe physical finds that would be present in particular diagnoses/pathologies; perform a thorough patient assessment; check existing medication infusions; determine the need for mechanical ventilation; assess efficacy of existing mechanical ventilation; document all appropriate findings, including vent settings, medication concentrations, rates, and all essential lab, echo, and X-ray results; troubleshoot any problems that may arise during transport.
Instruction: Operations, including logistics, communication, documentation, polices and procedures, standards of care, and ambulance operations; high risk obstetrics; fetal circulation; respiratory/mechanical ventilation; neonatal resuscitation; pediatric advanced life support; congenital heart defects; congestive heart failure; thermoregulation; gastro-intestinal disorders; sepsis/shock; pediatric and neonatal pharmacology; central vascular access techniques, including Brovia catheters, umbilical venous lines, percutaneous intravenous catheters, and subclavian and jugular lines; assessment techniques and treatment modalities for pediatric and neonatal medical and traumatic neurological disorders.
Credit recommendation: In the lower division baccalaureate/associate degree category or in the upper division baccalaureate degree category, 4 semester hours in Health Science, Allied Health Sciences, or Emergency Medical Care (5/03) (5/08 revalidation). NOTE: This course encompasses the instruction included in Pediatric Advanced Life Support (PALS), which is also recommended for credit. It is not recommended that credit be awarded for both PALS  and the High Risk Neonatal Pediatric Critical Care and Transport Program. If credit has already been awarded to a student for PALS, it is recommended that 3 semester hours of credit be awarded for the High Risk Neonatal Pediatric Critical Care and Transport Program.

Pediatric Advanced Life Support (PALS-AHA and AAP)
Location: New York Presbyterian Hospital EMS Training Center, 421 East 70th Street, New York, New York.
Length: 12 hours (2 days).
Dates: January 2003 - Present.
Objectives: Identify and treat cardiopulmonary arrest and common conditions that may lead to cardiopulmonary arrest in infants and children; perform immediate post resuscitation care.
Instruction: Recognition of respiratory failure and shock; prevention of cardiopulmonary arrest; basic life support; bag mask ventilation; advanced airway management; arrhythmia recognition and management; vascular access, fluids, medications.
Credit recommendation: In the lower division baccalaureate/associate degree category, 1 semester hour in Health Science or Physical Education (5/03) (5/08 revalidation). NOTE: The full content of this course is included in the High Risk Neonatal Pediatric Critical Care and Transport Program. If credit has already been awarded to a student for that program, no additional credit is recommendation for Pediatric Advanced Life Support.

Updated 6/2/08

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