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The ability to effectively manage patients and scenes involves the application and integration of a variety of higher-order skills. This course takes a problem-based approach to the development of decision-making skills and critical thinking required for practice as an Advanced Care Paramedic. On a weekly basis, learners will manage a variety of clinical problems and then participate in peer and reflective review. This allows the learner to develop patient and scene management strategies and move from a philosophy of rule in/rule out to one of risk stratification.