This 27 hour course meets the required content for the Wisconsin DHS/EMS certification renewal at the EMR level, including the Wisconsin identified advanced skills of spinal immobilization, advanced airway management and epinephrine administration. This course includes American Heart Association BLS renewal. Course completion will also fulfill 27 hours of traditional EMR refresher training toward NREMT renewal at the EMR level. Course topics will include: Roles and Responsibilities, Airway Management, Patient Assessment and Care, Shock, Cardiac Emergencies, Bleeding, Wounds, Management of Shock, Pharmacology, Respiratory Emergencies, Environmental Emergencies, Trauma Assessment and Care, Obstetrics, Pediatrics, and other flexible content topics.