Review Course Guidelines

Flight Paramedic Certification(FP-C®)

Critical Care Certification (CCP-C®)

The outline below is a sample of an approved course outline. The BCCTPC® does not dictate the specific categories or hours to a subject matter. The content and hours should instead cover a broad subject matter of critical care in the transport environment.
Organizations requesting approval, as a "review course provider" should submit the following information:

  • Letter from Program Director or management outlining why they should be approved to teach this course
  • Content outline
  • Letter of support from the Medical Director
  • Copy of Medical Directors resume
  • List all faculty for the class and a copy of resume
  • Proposed course dates
  • Required fee
  • Approved Review Course Application


The BCCTPC®, FP-C®, CCP-C®, TP-C®, IBSC®, CP-C®, and MSTP-C® logos are registered trademarks of the IBSC and may not be used in course advertising/marketing materials without express permission from the IBSC. To request a Logo Usage Agreement, please fill out the Logo Usage Agreement Form



Safety Issues

  • Ambulance safety issues
  • Ambulance Operations, scene and highway safety
  • Crash safety
  • Proper safety equipment

CAMTS: You should be familiar with all CAMTS policies such as:

  • Ambulance specifications
  • Safety education
  • Driver qualifications
  • Staffing and schedules
  • Equipment and operations around the ambulance.


  • Rapid Sequence Induction inclusive of standard medications.
  • Intubation and other airway procedures.
  • Surgical cricothyroidotomy, Needle cricothyroidotomy
  • Airway medications and their uses, limitations, and contraindications.

Lab Analysis

  • Regulation of acid-base balance
  • Acid-base derangements
  • Causes and correction of abnormal lab values


  • Fetal circulation
  • Recognition and treatment of maternal complications.
  • Delivery Complications
  • Postpartum complications
  • Maternal Medications
  • Fetal monitoring


  • Administration of blood products
  • Fluid replacement
  • Trauma scoring systems
  • Recognize and manage critical trauma injuries
  • Predictable patterns of injury due to mechanisms.
  • Burn assessment and management


  • Identify and interpret blood gases
  • Ventilator settings and parameters
  • Equipment, uses and troubleshooting
  • Capnography waveforms
  • Managing the rapidly deteriorating patient condition.


  • Signs and symptoms of early versus late cardiac tamponade.
  • Procedures pertaining to thoracic injuries.
  • Needle thoracentesis, pericardiocentesis, thoracostomy tube placement, etc.
  • Treatment and signs and symptoms of cardiac tamponade, tension pneumothorax, hemothorax, etc.


  • Treatment and recognition of elevated intracranial pressure.
  • Neuroprotective agents, vasoactive agents, loop diuretics, etc. and their uses, limitations, and contraindications.
  • Types of strokes, their assessment and management
  • Differentiation of signs and symptoms of head injuries,
  • Intracranial Pressure monitoring, cerebral perfusion pressures.
  • Mechanism of Injury and head injury dynamics.
  • Spinal cord injuries and management


  • Knowledge of cardiovascular disease, cardiac anomalies and their treatment.
  • 12 lead EKG's
  • EKG changes associated with drug, electrolyte, or medical conditions.
  • Cardiac Anatomy/Physiology
  • Cardiac Pharmacology
  • Thrombolytic therapy
  • A basic understanding of intra-aortic balloon pump (IABP) mechanics and troubleshooting/contraindications.
  • Hemodynamic monitoring
  • Arterial line management
  • Pacing, synchronized cardioversion, defibrillation, and medications

Pediatric and Neonatal

  • Pediatric and Neonatal resuscitation
  • Physiological and anatomical differences
  • Pharmacology
  • Congenital abnormalities
  • Pediatric assessment
  • Recognition and treatment of conditions and complications
  • Transitional circulation
  • Respiratory and Airway differences
  • Common medical and trauma emergencies
  • Vascular access
  • Pediatric psychosocial issues
  • Non-accidental trauma
  • Isolette use in transport


Trauma Combat Casualty Care Methodology

Topic Areas

  • TCCC/ C-TECC Methodology
  • Hemorrhage Control
  • Airway
  • Breathing
  • Circulation
  • Medication Administration
  • Neurological emergencies
  • Trauma Management
  • Burns
  • Remote Assessment/Surrogate Care
  • Rescue/Extraction
  • ICS/Chain of Command/Interface with EMS
  • Tactical Team Operations
  • Medical Mission Analysis
  • Legal Aspects of TEMS
  • Force Health Protection
  • Environmental Factors
  • Injuries and Complications of Less Lethal Weapons
  • Canine Management