Bledsoe v1 ch02_lecture

Bryan E BledsoeRichard A Cherry Robert S Porter

Paramedic Care Principles amp PracticeVolume 1 5e

Chapter 2EMS Systems

Multimedia Directory

Ambulance Service Video

Standardbull Preparatory (EMS Systems)

Competencybull Integrates comprehensive knowledge of EMS

systems the safety and well-being of the paramedic and medical-legal and ethical issues which is intended to improve the health of EMS personnel patients and the community

Introductionbull Out-of-Hospital Components

ndash Community members trained in first aid and CPRndash Communications systemndash EMS providers including paramedicsndash Firerescue hazardous-materials services

ndash Law enforcement officersndash Public utilitiesndash Resource centers

Introductionbull In-Hospital Components

ndash Emergency nursesndash Advanced-practice providersndash Emergency and specialty physiciansndash Ancillary servicesndash Social workersndash Mental health providersndash Rehabilitation services

Introductionbull EMS operation begins with citizen activation

bull EMS dispatch responsible forndash Collecting informationndash Sending staffed and equipped unitndash Providing prearrival instructions

Introductionbull First EMS provider to respond

ndash Police officerndash Firefighterndash Lifeguardndash Teacherndash EMR-trained community member

Introductionbull Dispatcher will send

ndash EMT-level or paramedic level ambulancendash Tiered response multiple levels of emergency care

personnel to same incidentndash Paramedic personnel to every incident regardless of

level of care needed

Introductionbull EMS providers decide on

ndash Medical facilityndash Type of care neededndash Transport timendash Local protocols

History of EMSbull Most significant advances in EMS during last 50

Table 2ndash1 An EMS Timeline (1 of 5)

1797Napoleonrsquos chief physician implements a prehospital system designed to triage and transport the injured from the field to aid stations

1860s Civilian ambulance services begin in Cincinnati and New York City

1891 Dr Friedrich Maass performs the first equivocally documented chest compression in humans

1915 First-known air medical transport occurs during the retreat of the Serbian army from Albania

1920 First volunteer rescue squads organize in Roanoke Virginia and along the New Jersey coast

1947 Claude Beck develops first defibrillator and first human saved with defibrillation

1958 Dr Peter Safar demonstrates the efficacy of mouth-to-mouth ventilation

1960 Cardiopulmonary resuscitation (CPR) is shown to be efficacious

Table 2ndash1 (continued) An EMS Timeline (2 of 5)

1965J Frank Pantridge converts an ambulance into a mobile coronary care unit with a portable defibrillator and recorded ten prehospital resuscitations with a 50 percent long-term survival rate

1966The National Academy of Sciences National Research Council publishes Accidental Death and Disability The Neglected Disease of Modern Society

1966 Highway Safety Act of 1966 establishes the Emergency Medical Services Program in the Department of Transportation

1967 Star of Life is patented by the American Medical Association1968 ATampT designates 911 as its new national emergency number1970 National Registry of EMTs is founded1970 Television show Emergency debuts on NBC

1972 Department of Health Education and Welfare allocates $16 million to EMS demonstration programs in five states

The Emergency Medical Services Systems (EMSS) Act provides additional federal guidelines and funding for the development of regional EMS systems the law establishes 15 components of EMS systems

1975 National Association of EMTs is organized1979 First automated external defibrillators (AEDs) become available

1981The Omnibus Budget Reconciliation Act consolidates EMS funding into state preventive health and health services block grants and eliminates funding under the EMSS Act

1981 Prehospital trauma life support (PHTLS) is developed

1981 International trauma life support (ITLS) formerly basic trauma life support (BTLS) is developed

1984The EMS for Children program under the Public Health Act provides funds for enhancing the EMS system to better serve pediatric patients

1985National Research Council publishes Injury in America A Continuing Public Health Problem describing deficiencies in the progress of addressing the problem of accidental death and disability

1988The National Highway Traffic Safety Administration initiates the Statewide EMS Technical Assessment program based on ten key components of EMS systems

1990The Trauma Care Systems and Development Act encourages development of inclusive trauma systems and provides funding to states for trauma system planning implementation and evaluation

1993The Institute of Medicine publishes Emergency Medical Services for Children which points out deficiencies in our health care systemrsquos ability to address the emergency medical needs of pediatric patients

1995 Congress does not reauthorize funding under the Trauma Care Systems and Development Act

1999 President Clinton signs bill designating 911 as national emergency number

2003 Health Insurance Portability and Accountability Act (HIPAA) becomes effective strictly regulating the flow of confidential information

2006The National Highway Traffic Safety Administration publishes Emergency Medical Services Agenda for the Future to guide the development of EMS in the United States in the twenty-first century

History of EMSbull Early Development

ndash Ancient tabletsndash Step-by-step instructions for patient carendash How to create medications

ndash Code of Hammurabi governed criminal and civil matters regulation of medical fees and penalties

ndash Out-of-hospital care transportndash Dominique-Jean Larrey (Napoleons chief surgeon)

first prehospital system using triage and transport

ndash Ambulances in US nineteenth centuryndash Nurse Clara Barton organized triage and transport

during Civil Warndash First civilian ambulance 1860 in Cincinnatindash Bellevue Hospital in Manhattan (1869) began to

operate ambulance service

History of EMSbull The Twentieth Century

ndash WWI high mortality rate of soldiers associated with evacuation time

ndash WWII transport to echelons (levels) of care createdndash Hospitals experimented with placing physician interns

on ambulances

ndash Korean War helicopters moved injured to mobile army surgical hospitals (MASHs)

ndash Set stage for trauma system in USndash 1956 mouth-to-mouth resuscitation ndash 1959 portable defibrillatorndash 1960 cardiopulmonary resuscitation (CPR)

Figure 2-2 Medical evacuation helicopters colloquially called ldquoDustoffrdquo saved many lives during the Vietnam War(Dust off copy Joe Kline Aviation Art)

ndash 1966 Accidental Death and Disability The Neglected Disease of Modern Society (White Paper)

ndash Guidelines for Development of EMS systems Training of prehospital emergency medical providers Upgrading of ambulances and equipment

ndash 1970 National Registry of Emergency Medical Technicians established

ndash 1972 television show Emergency public attention to prehospital care

ndash 1973 Emergency Medical Services Systems Act

History of EMSbull 15 Components of EMS Systems

ndash Manpowerndash Trainingndash Communicationsndash Transportationndash Emergency facilities

ndash Critical care unitsndash Public safety agenciesndash Consumer participationndash Access to carendash Patient transfer

ndash Standardized record keepingndash Public information and educationndash System review and evaluationndash Disaster management plansndash Mutual aid

History of EMSbull 1988 NHTSA Ten System Elements

ndash Regulation and policyndash Resources managementndash Human resources and trainingndash Transportationndash Facilities

ndash Communicationsndash Trauma systemsndash Public information and educationndash Medical directionndash Evaluation

ndash 1980s Helicopter air ambulances (HAA) developedndash 1996 National Highway Traffic Safety Administration

(NHTSA) published EMS Agenda for the Future

History of EMSbull 14 Core EMS Attributes

ndash Integration of health servicesndash EMS researchndash Legislation and regulationndash System financendash Human resourcesndash Medical directionndash Education systems

ndash Public educationndash Preventionndash Public accessndash Communication systemsndash Clinical carendash Information systemsndash Evaluation

History of EMSbull The Twenty-First Century

ndash Result of September 11 Department of Homeland Security coordinates agencies

responsible for protecting country National Incident Management System (NIMS) prepares

country for terrorist attacks and other threats

Figure 2-4 The attacks on New York City and Washington on September 11 2001 forever changed the face of EMS(copy Reuters)

ndash 2006 Emergency Medical Services At the Crossroads Insufficient coordination Coordination of transport within regions was limited Disparities in response times

ndash 2006 Emergency Medical Services At the Crossroads Uncertain quality of care Lack of readiness for disasters Divided professional identity Limited evidence base

ndash 2006 The National Report Card on the State of Emergency Medicine Evaluating the Environment of Emergency Care Systems State by State

ndash 2001 national medical helicopter fleet expanded from 300 to 900

ndash 2008 record number of helicopter air ambulance crashes with fatalities

ndash 2009 NTSB hearings

Todays EMS Systemsbull Fire-based systems

bull Third service

bull Private (profit or nonprofit)

bull Hospital-based systems

bull Volunteer

bull Hybrid (combination of any of these)

Todays EMS Systemsbull Chain of Survival

ndash Continuum of care that begins once emergency occursndash Ends when patient completes care and returns to

normal activities of daily living

Todays EMS Systemsbull American Heart Association Chain of Survival

ndash Immediate recognition and activation of EMSndash Early CPRndash Rapid defibrillationndash Effective advanced life supportndash Integrated post-cardiac arrest care

ndash Bystander carendash Dispatchndash Responsendash Prehospital carendash Transportationndash Emergency department carendash Definitive carendash Rehabilitation

Essential Componentsfor Continuum of Carebull Health Care System Integration

ndash Public service access points (PSAPs) 911 call centers interface between EMS system and

communities it serves Identification of acute coronary syndrome and ST-segment

elevation myocardial infarction (STEMI) Primary percutaneous coronary intervention (PPCI)

Essential Componentsfor Continuum of Carebull Levels of LicensureCertification

ndash Emergency Medical Responder (EMR)ndash Emergency Medical Technician (EMT)ndash Advanced EMT (AEMT)ndash Paramedic

bull Each level unique role set of skills knowledge base

Essential Componentsfor Continuum of Carebull Education

ndash 2009 National EMS Education Instructional Guidelinesndash National EMS Core Contentndash National EMS certificationndash National EMS Education program accreditationndash National EMS Scope of Practice Modelndash National EMS Education Standards

Essential Componentsfor Continuum of Carebull Local- and State-Level Agencies

ndash Administrative oversight agencyndash Planning boardndash Define who may function within systemndash Policies consistent with state requirementsndash State EMS agencies allocate funds enact legislation

Essential Componentsfor Continuum of Carebull Medical Oversight

ndash Medical director physician legally responsible for all clinical and patient-care aspects of system

ndash Prehospital care providers are medical directors designated agents

Essential Componentsfor Continuum of Carebull Medical Directors Roles

ndash Educate and train personnelndash Participate in personnel and equipment selectionndash Develop clinical protocols in cooperation with expert

EMS personnelndash Participate in quality improvement and problem

resolution

ndash Provide direct input into patient carendash Interface between EMS system and other health care

agenciesndash Advocate within medical communityndash Serve as medical conscience of EMS system

Essential Componentsfor Continuum of Carebull On-line medical direction qualified physician gives

direct orders to prehospital care provider by radio or telephone

bull Intervener physician on scene or on-line medical direction may not exist paramedic relinquishes responsibility to physician

Essential Componentsfor Continuum of Carebull Off-line medical oversight medical policies

procedures practices that system medical director has established in advance of call

ndash Prospective medical oversightndash Retrospective medical oversight

Essential Componentsfor Continuum of Carebull Off-Line Medical Oversight

ndash Clinical protocols Policies and procedures of all medical components of EMS

system Responsibility of medical director

Essential Componentsfor Continuum of Carebull Four Ts of Emergency Care

ndash Triagendash Treatmentndash Transportndash Transfer

Essential Componentsfor Continuum of Carebull Public Information and Education

ndash Recognize emergencyndash Access systemndash Provide basic life support assistancendash Relationship between rapid emergency care and

mortality (death) rates of patientsndash Automated external defibrillators (AEDs)

Figure 2-7 Providing disease and injury prevention education to the public has become an important role of EMS in the twenty-first century(copy Dr Bryan E Bledsoe)

Essential Componentsfor Continuum of Carebull Effective Communications

ndash Heart of regional EMS systemndash Coordinates components into organized response to

urgent medical situationsndash Citizen access (911)ndash Single control center

ndash Operational communications capabilitiesndash Medical communications capabilitiesndash Communications hardwarendash Communications software

Figure 2-8 The EMS communications center is truly the heart of the modern EMS system

ndash Emergency Medical Dispatcher (EMD) Sends ambulances to scene Ensures system resources in constant readiness to respond Both medically and technically trained

Essential Componentsfor Continuum of Carebull Communications

ndash EMS dispatch assigns and directs appropriate medical care to patients Interrogation protocols Response configurations System status management Prearrival caller instructions

Essential Componentsfor Continuum of Carebull Education and Certification

ndash Initial education completing course following National EMS Education Instructional Guidelines published by US DOT Cognitive Affective Psychomotor

ndash Accreditation all paramedic education programs meet guidelines for faculty facilities equipment medical oversight clinical affiliations financial stability Committee on Accreditation of Educational Programs for the

Emergency Medical Services Professions (CoAEMSP)

ndash Continuing education refresher courses for recertification and periodic in-service training sessions mandatory Continuing Education Coordinating Board for Emergency

Medical Services (CECBEMS)

Essential Componentsfor Continuum of Carebull Licensure Certification Registration and

Reciprocityndash Licensure occupational regulationndash Certification agency or association grants recognition

to individual who has met its qualificationsndash Registration enter name and essential information

within a particular record

Reciprocityndash Reciprocity agency grants automatic certification or

licensure to individual who has comparable certification or licensure from another agency

Essential Componentsfor Continuum of Carebull National Registry of EMTs (NREMT)

ndash Nonprofit entityndash Prepares and administers standardized tests for EMS

provider levelsndash Establishes qualifications for registration and biennial

reregistrationndash Establishes national minimum standard of competency

Essential Componentsfor Continuum of Carebull Professional Organizations

ndash National Association of Emergency Medical Technicians (NAEMT)

ndash National Association of Search and Rescue (NASAR)ndash National Association of EMS Educators (NAEMSE)ndash National Association of EMS Physicians (NAEMSP)

ndash International Flight Paramedics Association (IFPA)ndash National EMS Management Association (NEMSMA)ndash National Council of State EMS Training Coordinators

(NCSEMSTC)

Essential Componentsfor Continuum of Carebull Professional Journals and Magazines

ndash Academic Emergency Medicinendash American Journal of Emergency Medicinendash Annals of Emergency Medicinendash Emergency Medical Servicesndash Journal of Emergency Medical Services (JEMS)

ndash Journal of Pediatric Emergency Medicinendash Journal of Trauma Injury Infection and Critical Carendash Prehospital Emergency Care

Essential Componentsfor Continuum of Carebull The Internet

ndash Websites designed for EMS providersndash Updated content and newsndash Accredited continuing education programsndash International EMS discussions networking

Click here to view a video on the topic of ambulance serviceBack to Directory

Essential Componentsfor Continuum of Carebull Patient Transportation

ndash Medical oversight designates facility based on needs of patient availability of services

ndash Transported by ground or airndash Fixed-wing aircraft when patients transported long

distancesndash Vehicles licensed meet local and state EMS

requirements

Figure 2-11 Patients may be transported by ground or air Medical helicopter transport was introduced in the 1950s during the Korean War(copy Ed Effron)

Figure 2-12 Fixed-wing aircraft as well as helicopters have become an important part of patient transport in the modern EMS system(copy REACH Air Medical Services)

Essential Componentsfor Continuum of Carebull Patient TransportationmdashAmbulances

ndash Type I conventional cab and chassis module ambulance body mounted no passageway between driver and patient compartments

ndash Type II standard van body and cab form integral unit raised roof

Figure 2-13 Type I ambulance

Figure 2-14 Type II ambulance

ndash Type III specialty van with forward cab and integral body passageway from driver compartment to patient compartment

ndash Medium-duty truck chassis built for rugged durability and large storage and work areas

ndash Diesel developed for fuel economy

Figure 2-15 Type III ambulance

Figure 2-16 Some EMS systems have elected to use medium-duty ambulances that are built on a commercial truck chassis(copy Pat Songer)

Figure 2-17 The diesel unibody ambulance is becoming increasingly popular because of cost fuel economy and safety(copy Acadian Ambulance Services)

Essential Componentsfor Continuum of Carebull Appropriate Receiving Facilities

ndash EMS systems organize hospitals into categoriesndash Identify readiness and capabilityndash Staff to receive and treat emergency patientsndash Trauma centers chest pain centers stroke centers

specialized care capabilities

ndash Specialty facilities Burn trauma pediatric psychiatric perinatal cardiac spinal

poison

ndash All receiving facilities Emergency department surgical facilities lab and blood bank

medical imaging capabilities critical and intensive care units

Essential Componentsfor Continuum of Carebull Mutual Aid and Mass-Casualty Preparation

ndash Ensures help available when neededndash Transcends geographical political historical

boundariesndash Disaster plan for catastrophesndash Incident command systemndash Mutual-aid agreement

Essential Componentsfor Continuum of Carebull Quality Assurance and Improvement

ndash Guidelines for Quality Improvement Leadership Information and analysis Strategic quality planning Human resources development and management

ndash Guidelines for Quality Improvement EMS process management EMS system results Satisfaction of patients and other stakeholders

ndash Quality assurance (QA) program maintains continuous monitoring and measurement of clinical care delivered to patients

ndash Problem-identifying mechanism

ndash Continuous quality improvement (CQI) ongoing effort to refine and improve system in order to provide highest level of service possible

ndash Problem-solving methodologyndash Plan do check act

ndash Rules of Evidence Must be a theoretical basis for change Must be ample scientific human research to support the idea Must be clinically important Must be practical affordable teachable

ndash Ethics rules or standards that govern conduct of members of a particular group or profession

ndash Prehospital providers have ethical responsibility to patients and public

ndash Customer satisfaction service qualityndash Medical errors

Skills-based failures Rules-based failures Knowledge-based failures

ndash High-risk areas of EMS practice Hand-off Communications issues Medication issues Airway issues Dropping patients Ambulance crashes Death pronouncements

ndash EMS system must have clear protocolsndash Must be understood by all providersndash Standardization and organization of drugs and their

packaging helps to minimize medication errorsndash Medical error preventionndash When in doubt ask for help

Essential Componentsfor Continuum of Carebull Research

ndash Component of EMS system for moral educational medical financial practical reasons

ndash Outcome studies required to justify funding and ensure future of EMS

ndash Paramedics play valuable role in data collection evaluation interpretation of research

Essential Componentsfor Continuum of Carebull Evidence-Based Medicine (EBM)

ndash Conscientious explicit judicious use of current best scientific evidence in making decisions about care of individual patients

ndash EMS personnel proficient in prehospital care exercise sound clinical judgment

ndash Be familiar with current and past research pertinent to prehospital care

ndash Be able to integrate that knowledge into care of patients

ndash Neither clinical experience nor external evidence alone is enough

ndash Ensures providing patients best care at lowest price

Essential Componentsfor Continuum of Carebull System Financing

ndash EMS can be Hospital-based Fire or police department-based Municipal service Private commercial business Volunteer service Some combination

ndash Fully tax-subsidized municipal systemsndash All-volunteer squads supported solely by contributionsndash Fee-for-service revenue (third-party payers)ndash Subsidized by local taxing entities

Summarybull Evolution of EMS over thousands of years

bull Many innovations result of lessons learned from military conflicts

bull EMS today result of federal legislation investment from private foundations

Summarybull EMS provides continuum of care

bull EMS is total team effort

bull EMS systems designed with patient as highest priority

bull Each system has administrative agency

bull EMS systems activated by single universal number (911)

Summarybull Centralized communications center

bull Emergency response BLS care less than 4 minutes ALS care less than 8 minutes

bull Ground and air transport follows established protocols

bull Mutual-aid agreements ensure continuum of care during multiple-casualty incidents

Summarybull Hospitals categorized according to readiness to

provide essential or specialty services within region

bull EMS providers trained according to US DOT Instructional Guidelines

bull Continuous quality improvement program documents EMS systems performance

Summarybull Ongoing research validates actions of prehospital

providers through scientific evaluation

bull EMS systems need strong stable financial plans

Paramedic Care Principles amp Practice

Standard

Competency

Introduction

Introduction (2)

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Figure 2-2 Medical evacuation helicopters colloquially calle

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Figure 2-4 The attacks on New York City and Washington on Sep

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Todays EMS Systems

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Essential Components for Continuum of Care

Essential Components for Continuum of Care (2)

Figure 2-7 Providing disease and injury prevention education

Figure 2-8 The EMS communications center is truly the heart o

Figure 2-11 Patients may be transported by ground or air Med

Figure 2-12 Fixed-wing aircraft as well as helicopters have

Figure 2-16 Some EMS systems have elected to use medium-duty

Figure 2-17 The diesel unibody ambulance is becoming increas

Summary

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on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

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Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

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Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

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Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

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Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

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Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

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Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

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History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

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History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

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History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

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History of EMS (9)

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History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

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History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

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History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

on ambulances

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

bull Third service

bull Volunteer

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

resolution

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

(NCSEMSTC)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

requirements

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

poison

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)

Standard

Competency

Introduction

Introduction (2)

Introduction (3)

Introduction (4)

Introduction (5)

Introduction (6)

Introduction (7)

History of EMS

History of EMS (2)

History of EMS (3)

History of EMS (4)

History of EMS (5)

History of EMS (6)

History of EMS (7)

History of EMS (8)

History of EMS (9)

History of EMS (10)

History of EMS (11)

History of EMS (12)

History of EMS (13)

History of EMS (14)

History of EMS (15)

History of EMS (16)

History of EMS (17)

History of EMS (18)

History of EMS (19)

History of EMS (20)

History of EMS (21)

Todays EMS Systems

Summary

Summary (2)

Summary (3)

Summary (4)

Summary (5)