This scenario-driven course is designed to develop team leadership skills and clinical decision-making. A great emphasis will be placed on paramedic assessment, diagnostic skills, treatment aims and outcomes. Students will draw from the knowledge and interventions learned in Advanced Cardiology, Medical Emergencies, Advanced Trauma, and Pharmacology courses. (Prerequisites: all fall PEM courses; corequisites: PEM 126C, PEM 135C and PEM 244C.) Any failure in PEM 126C, PEM 135C or PEM 244C will trigger a failure in this lab course which includes the practical portion of the above listed courses.