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