Hey everybody, good evening. Welcome to our first lecture. It's a little bit early. It's 6 55. I figured I'd log in early to let everybody get set and ready to go get prepared for this lecture.
Get your books, paper, pen, whatever you need to take notes. If you have a laptop, make sure you can access the PowerPoints if you want to. You can follow along that way. I know it's a lot of you guys.
A lot of you guys had little difficulty accessing the textbook. I just want to see if you were trying to access it. Access it from your phone.
Probably wasn't going to be able to work because this is a big textbook. So if you try to log or access it from like a laptop or a desktop, it'll probably work a little bit better for you guys. Hope y'all hope everybody completed the discussion board before today's class. Hope you got to know some of your classmates.
Hope you got to introduce yourself. And again, man, we're just gonna have fun. We're going to inform you guys again, full disclaimer, this class is strictly for information. I don't expect you guys to go out there and try to be heroes, man.
This class is strictly to keep you guys informed and have an idea of what goes on and an idea of how your body works and the things that cause your body to fail, the things that cause your body to have certain illnesses. So again, I'm just giving you guys the information. Please don't go out here and try to be EMTs or paramedics, man. That requires a whole lot of hours and hands-on training and skills that unfortunately I cannot give you guys through TikTok. So hopefully you guys just take the information and it makes you a little bit smarter and understand things.
Hello, hello, everybody. Hello. Like I said, I'm logged in a little bit early.
I wanted to come in here and just let everybody get a chance to get settled, get prepared, and ready to go. Thank you for the hand heart. Appreciate it.
You guys are doing great. All that fun stuff is great. No, no, you guys aren't late, man.
I'm early. I'm logged in a little bit early. I wanted to let you guys get in here and get settled, get ready to go. Good morning to my people who's mourning on the other side of the world wherever you are, whatever country it is mourning for you. Good morning.
Good evening to everyone else here on the East Coast of the United States. I'm on the East Coast of the United States. So that's why 7 p.m. here is good evening. Good afternoon if you're over on the West Coast and good morning everyone else.
Say, no, we came early. All right, two more minutes. Two more minutes.
I'm going to let everybody, as many people get in here so they can get started. 158 in South Africa, bless your heart. 158 in the morning, and you up here watching this live. Don't forget the lecture will be posted on YouTube, so don't lose no sleep, nah. Don't lose no sleep.
Make sure you get you some rest. Good morning to you in Fiji. Canada in the building.
Okay, shout out to Canada. West Coast, Cali, I see you. Thank you.
Thank you for the gifts too. I appreciate it, man. Very much appreciate it. Alright, we got one more minute. So again, make sure you guys got your pens and whatever you need to take notes ready.
We will be taking breaks throughout. It's going to be, again, it's a pretty long lecture. There's a lot of history about EMS and all that stuff, man.
So we will be taking breaks throughout. I'm not going to just talk to you guys for an hour to an hour and a half. That'd be crazy.
So we will be taking breaks throughout so you guys can go to the bathroom, get water and all that fun stuff. Again, make sure if you need to you guys can pull up the PowerPoint and follow along We're about to get started. It's 659. So it's almost time to get started Yeah, it's a PowerPoint. So if you haven't seen my videos pertaining to the class, man, there is a PowerPoint in the Google Drive link in my bio.
So you can if you can access it from a laptop and try to pull it up real quick. But it is 7pm. So we're officially about to get started.
Hope you guys are ready to go. Let me know if you guys are ready. Like I said, it's 7pm. So I want to get started with this lecture. I try to try to be punctual.
Okay. So let me know if you guys are ready. Ready, ready, ready.
The YouTube will be posted immediately after this live is over. I'm trying to get it posted as soon as possible. Oh yeah, ready. I got 30 ready.
All right, who else? Who else is ready? Let me know if y'all ready. Let me know if y'all ready to go. So again, guys, while I'm doing this lecture, I'm not going to be able to answer your questions.
I want to try to get through this lecture as smooth as possible. So if you guys see comments from your classmates and you can answer them, please do. Don't be afraid to answer your classmates' comments.
Unfortunately, I'm not going to be able to answer each and every one of you's questions and get through this lecture. All right, guys, let's go, man. Chapter one, EMS systems.
First and foremost, emergency medical services, EMS systems are always evolving, okay? So originally the primary role of the EMS, of the emergency medical services, the primary role of this whole thing was transportation. That's how this, it all started as just basically getting people from home to the hospital, all right?
As awareness of EMS capabilities grew, the need for improved systems in various locations became evident, especially in rural areas. So you have to understand a lot of places that have populations, but not necessarily close to a hospital. EMS is extremely, extremely important. You could be living somewhere and the closest hospital is 40 to 45 minute drive.
So you want to make sure that. Especially wherever you live, wherever you're trying to locate, kind of be aware of where the closest hospital is and be mindful. If you choose to live far away from a hospital, you're taking on a risk because, again, you've got a 40-minute drive to the hospital and that's not even counting the response.
times to get to where you are. So if the closest ambulance unit is 10 to 15 minutes away, by the time they get there and assess you, you got a 40 minute drive to the hospital, even with the lights and sirens. So you're talking about almost an hour before you're even seen by a doctor.
So just keep in mind for those of you who live in like rural areas or have, or like really, really far away from hospitals. So their awareness along with research and guidelines from national organizations has led to the advancement of EMS. The public's perception of you is based on media exposure and personal experience. So a lot of us in EMS, depending on what's the big story is how we're perceived.
But for the most part, you get a general, generally a positive outlook. Thanks for the hat, man. A positive outlook on the EMS services as a whole.
So if you're following along with the PowerPoint, we're going into EMS system development. So we're going to discuss how the EMS system, as we know it today, was developed. All right. So much of the pre-hospital emergency medical care you will deliver, or people, it's not you will deliver, but much of the pre-hospital emergency care that is delivered as a paramedic can be attributed to the visionary advances of pioneers in the field, including Dr. Peter Safar and Nancy Caroline. For those of you who recognize that name, Nancy Caroline is the person that wrote the book, the textbook that we are learning from right now.
So a brief history of EMS. So this is the history of EMS here in the United States and overall. So in 1487, the first use of an ambulance occurred during the siege of Malaga, of Malaga, excuse me, the siege of Malaga, and it was transport only.
So the first use of an ambulance was in 1487 during the siege of Malaga, and it was transport only. During the 1800s, Baron Dominique John Lafrie, a chief physician in the Napoleon's army, is credited with establishing the first pre-hospital system for triaging and transporting patients. In 1869, the first ambulance service started at the Bellevue Hospital in New York City.
In 1899, the first operated automobile-type ambulance was used at the Michael Reese Hospital in Chicago, Illinois. So during the time between World War I and World War II, a major shift occurred in the EMS field. Many hospital-based ambulance services did not survive.
So what did that mean? A lot of EMS was strictly provided by the hospital. A lot of the transports, a lot of the ambulances were strictly hospital-based.
So that was What changed between World War and World War I and World War II. So between that time, the hospital-based ambulance services switched over and we're going to get into what they switched over to. So in 1926, the Phoenix Fire Department started service similar to present-day EMS. So what you guys know as EMS today was started in 1926 by the Phoenix Fire Department. In 1928, Julian Stanley Wise launched the first rescue squad in Roanoke, Virginia.
Soon after, numerous other rescue squad organizations were developed along the East Coast, primarily in New Jersey. During the 1940s, EMS was turned over to fire and police departments due to lack of personnel. No minimum standard or training was set and the role of providing care was not always accepted or welcome. So basically they was out here just winging it.
The hospitals couldn't afford to provide the service so it was turned over to firemen and police officers who were not. trained in the field and basically they would show up on scene see a person was injured and just drive them to the hospital as fast as they could it wasn't any like there wasn't no um care being provided um it wasn't any patient assessments being done they would just literally go go see a person in trouble, try to load them up and get them to the hospital as soon as possible. So God forbid that person was in cardiac arrest, wasn't no CPR happening.
They literally was like, load them up, let's get them to the hospital and see what happens. So obviously that was not acceptable. So during World War I and World War II, systems for field treatment and transport continuously evolved.
EMS made major strides in the 1950s and the 1960s. Military medical researchers recognized pre-hospital type services closer to the field gave patients a better chance of survival. What does that mean?
Obviously, if I get to a scene and I'm able to assess and treat you and provide you with interventions, you have a better chance of surviving once you get to the hospital. As I previously discussed before. What they were doing before was just loading you up and going, just trying to get you to the hospital as soon as possible.
Obviously, the chance that you surviving without nothing being done, as opposed to interventions being done, are astronomically different. Helicopters were first used in 1951 during the Korean War. So helicopter transport was first used in 1951 during the Korean War. 1956 is when mouth-to-mouth resuscitation was developed and it was developed by Dr. Ilan and Safar.
The portable defibrillator was developed by Frank Pantridge in 1959. So mouth-to-mouth resuscitation wasn't even invented until 1956. So keep that in mind, there was no mouth-to-mouth for anyone until 1956. And then the portable defibrillator, which is the AED, which is what provides the shock during cardiac arrest, the portable defibrillator was developed in 1959. So during the late 1950s to the early 1960s, the focus moved back to bringing the hospital to the patient. So that's when you got mobile intensive care units being developed. So that started to occur during the late 1950s to the early 1960s.
During 1965, the National Academy of Sciences and the National Research Council released the white paper. During 1965 is when the white paper was developed. The National Academy of Sciences and the National Research Council released the white paper in 1965. During this release of this paper, the finding includes that there was a lack of uniform laws and standards for the EMS services.
Ambulances and equipments had poor quality or non-existent quality. So basically, like they either had poor, the equipment was of poor quality or they didn't have any equipment at all. There was a lack of communication between EMS and hospitals. So EMS was out here in the streets bringing patients to the hospitals and not, you know, not giving them any kind of pass down, not telling them what was going on.
So it was basically no communication. No, there was no connectivity between what was going on the streets and what happened when they got to the hospital. There's a lack of personnel training.
The hospital staff would be only part-time, so you would get certain hospitals that were only staffed part-time. And you didn't have the ambulance services from the hospital. So if you were depending on ambulance services from the hospital and it was only part-time staff, depending on what time of day you call 911, you might be out of luck, unfortunately.
So more people died in motor vehicle crashes than in the Vietnam War. So during this time period in the 1950s and the 1960s, they had more people passing away from vehicle crashes than they actually had passing away during the Vietnam War. And again, that's just because of all these, the lack of personnel training, the lack of communication, all these things that EMS services lacked was the reason why a lot of people didn't make it from the scene to the hospital. So because of this and these findings, these findings led to the National Highway Safety Act. The National Highway Safety Act was led to by the findings from the white papers.
And this is what created the U.S. Department of Transportation. So that's why we have the DOT. The DOT was developed because of EMS.
The Department of Transportation that you guys know that works with Shepard and all the big... tractor trailers and all that stuff, the DOT wasn't designed for them. The DOT was designed for EMS and all that stuff came into the DOT afterwards.
So because of EMS, we have a Department of Transportation. So in 1968, the task force of the Committee of EMS created basic training standards and principles of a 911 system to provide universal access to emergency services. So 911... Like what we know 911 is today, 1968 is when it was developed. So for those who think 911 has been here since telephones have been invented, it's not the case.
1968 is when the 911 system as we know it was developed. 1969, Dr. Eugene Nagel of Miami, Florida created the first true paramedic program. Okay. During this program, they would train firefighters with the advanced emergency skills needed for the field.
They developed a telemetry system, which is the way basically radio communication and the way we communicate with the hospital. So that gap in communication between the hospital and the ambulances, the telemetry fixed that. So that way you had a solid communication. That way we had solid communication between EMS and hospitals. So Dr. Eugene Nagel is often called the father of paramedicine.
and the standards for ambulance design and equipment were also published this year. So 1969, the standards for ambulance design and equipment were also published that year. During the 1970s, during the 1970s, helicopters for medical transport became available. So medical helicopters for medical transports became available during the 1970s.
And also during this time, the National Registry of Emergency Medical Technicians was established. So the NREMT was established in the 1970s. And this is the programming guidelines that you need to do to this day in order to be certified. You have to be NREMT certified to practice as an EMT or paramedic in the United States.
So during 1973, the Emergency Medical Services Systems Act was passed. It placed the emphasis on regional development in trauma care, and it provided a structure and a uniformity to the EMS system that came out of pioneering programs in Miami, Seattle, and Pittsburgh, and the Illinois trauma system. So during 1973 is when the structure and the uniformity to the EMS system that we know of today started to get even more advanced.
So in 1974, there was a report that disclosed that fewer than one half of ambulance personnel completed sufficient training. So guidelines published for development and implementations of the EMS system were put into place. So even though they had these guidelines and they were trying to get people to be certified and be trained quarterly, they only had half the people that were on these units actually trained.
So they had to have even more guidelines and implementation into the EMS systems to make sure everybody... to make sure everybody was fully capable on these units. Let's see. The first national standard curriculum, so the first curriculum for EMS, was developed in 1977 by the DOT.
So the Department of Transportation was the first one to develop the national curriculum for paramedics in 1977. So during this time, the number of trained personnel grew significantly. The National Highway Traffic Safety Administration developed 10 system elements to help sustain an EMS system. Federal funding and staff for EMS were reduced and responsibility for EMS was transferred to the states.
So before EMS was a national organization, during this time in the 1980s and 90s is when the the states start to be responsible for their own EMS services. So funding continues to be significant challenges for states and local governments. So keep in mind, wherever you are, your taxes is what pays the local firefighters and local paramedics and EMTs is based upon the property tax that's wherever your location is. So if you are in a location that's a lower income area, keep in mind those medics and EMTs and firefighters probably aren't being paid that well as opposed to someone who's working in like an upper echelon city.
With a higher income, those people are compensated pretty well. So just keep in mind it's kind of how it fluctuates depending on your location. Because again, we work for the government and we work for our county governments or our city governments and whatever the funding they have is what they have. So right now during the 21st century, numerous initiatives are appearing. So you have the National EMS Quality Alliance.
It's an organization that measures performance in EMS, so it's like quality control and quality review for EMS. EMS training is also being used in many other areas of health care. So there's community paramedicine, which is the health care model in which experienced paramedics receive advanced training to provide additional services to meet continuing strides in these areas. So these additional capabilities are not being developed to replace current health care modalities, but rather to apply the capabilities of paramedics in areas not served previously.
All right, guys, take five minutes. You got to go to the bathroom. Go to the bathroom.
You got to get some water. Get some water. Take five minutes.
Go go handle your business and we're going to continue the lecture. So take five minutes. It's 717-722-22.
Make sure you be back. PowerPoint is in the Google Drive in my bio, so make sure you go get to my bio and get the Google Drive and it had a PowerPoint in there. Also, this will be posted to the YouTube channel, so make sure you subscribe once we're done with the live here to be posted over to the YouTube channel.
If it's too large, you have to access it from a laptop or a desktop. It might be too large for your phone. I have no updates on the discord yet for a helmet talk. I'll try to get those to you guys as soon as possible.
As soon as I hear anything, I'll let you guys know. I don't have any updates on it right now. I know that we're still working on it because it's a lot of you guys trying to get on that server.
So as soon as I have any of the information, I'll let you guys know. The book is available in the Google Drive as well, but again, it's a big file, but it's a big book. So try to access it from a laptop or a desktop. The test will be Saturday. I'll be posting a test in that Google Drive on Saturday morning.
So y'all be on the lookout for that Saturday morning. The week one exam will be in there. I was not expecting twelve hundred people, man.
And I appreciate every last one of you guys for taking your education seriously and trying to learn something new, man. So it's truly amazing. I can't thank you guys enough.
Okay, so somebody just said, according to the president of the university, they still working on the discourse. So y'all be patient. Be patient.
Again, this was all put together in less than three days. So, man, so y'all be patient with us. Hey, how you doing over there in London, in the UK?
How are you in the UK? Oh, you're very welcome. You are very, very welcome, guys.
Thank you for all the gifts, too. Thank you for the roses. Thank you for the likes.
Everything is very, very much appreciated. Hey, how are you over there in Portugal? How are you in Portugal, man?
Where am I? I'm on the East Coast. I'm in the southeast corner of the country, of the United States. Yes, MASH stands for Mobile Army Surgical Hospital. So yeah, if you're looking in the PowerPoint, MASH is Mobile Army Surgical Hospital.
That was just another beginning of EMS. Hey, over there in Egypt, how you guys doing? All right, guys, about two more minutes and we're gonna get back into this lecture. You got about two more minutes. What made me choose this profession?
I just, I like how, I love this class, you know what I'm saying? I love this, I love helping people. I love the medicine too, so it just kind of was all the same thing. Like, my worlds just collided.
I like being active, I like being fit. I love helping people and I love medicine, so getting into this field of work for me was just like easy money. Thank you, guys.
I don't know how to do the moderators yet. I got to still work on that with this live thing, but I see my man MedTech in here trying to keep you guys informed to keep you updated. And I seen your text message too, man. I don't quite know how to do it yet, and I don't want to mess up the live. So the next time I go live, man, I'll make sure I figured out how to make moderators so they can answer these questions and pin these answers, bro.
All right, y'all. We got one more minute left in the break, and we're going to get back into it. It's 2.20 in Egypt, and you're watching this lecture, man.
Shout out to you, bro. You're taking your education very seriously, man. They click on their name, and the option will come up. Let me see. See if I can find it.
No, I don't see anything to moderate. I'll figure it out for you guys. Don't worry. All right, it's 22. Let's get back into this lecture.
Again guys save your questions for the end if you got any questions about anything I'm going over we can we're going to tackle that at the end save them for the end okay don't forget your questions write them down so we can tackle them at the end. I see a few of you guys are asking me more about the white papers I'll let you guys know I'll answer that question at the end. All right, let's let's pop through this lecture real quick All right, so we're gonna go over licensure certifications and registration and conditional. Basically. This is all the Paperwork you got and you need to be able to be certified and work in this field so Registration means that records of a paramedics education, state or local licensure and recertification will be held by a recognized board of registration.
So again, registration means that records of a paramedics education, state or local licensure and recertification will be held by a recognized board of registration. Depending on your state or location, you may be licensed or registered. So make sure you guys know the difference between being licensed and being registered.
All right. Just because you're registered as a paramedic or EMT doesn't mean you're licensed to operate as a paramedic or EMT. So remember that. Keep that in mind. So once you complete your initial education, depending on your state, you will be eligible to take your state certification exam.
Some states require you to test and establish licensure through a registry system such as the NRMT. So, again, most states I know now the NRMT is like the gold standard. So you have to pass that exam in order to be licensed to operate in your state.
Certification examination is used to ensure that all healthcare providers have the same basic level of knowledge and skill. So once you have passed these required exams your state and or the NRMT will give you a certificate or a license. Licensure is how states control who is allowed to practice as a health care provider.
Licensure is how states control who is allowed to practice as a health care provider. Depending on the state, this may be known as licensure, certification, or credentialing. performing functions as a paramedic before licensure is unlawful.
If you do not have a license as a paramedic, do not perform paramedic functions. If you do not have a license as an EMT, do not perform EMT functions. You will not be protected out here in the streets. You got to have a license. So again, guys, do not be performing any of these things that I'm teaching you guys without a license.
To be eligible, you must successfully complete an initial paramedic education through an accredited program. And then the national registry exam tests the paramedic psychomotor competency and your comprehensive collection of skills scenarios. So basically, you take a written exam and you take a performance exam to test your skills.
And that's how you get credentialed. See, I'm only trying to get, I know it's a lot, and I'm only trying to teach you guys the things that you should know. Alright, so reciprocity addresses training that occurred in a place other than where a paramedic wants to practice.
So let's say you get your education in one state, but you want to practice in another state. There's a thing called reciprocity. So each state has different licensing.
requirements and procedures reciprocity is when certification is granted to a provider from another state or agency investigate the licensure process beforehand if you're planning to relocate to another state or even another country so let's say you get your license and I can only speak from where I'm at so I live in Florida so licenses in Florida depending on where you where you want to go most of them transfer to to anywhere in the country. Like most states will accept your licenses from Florida. However, if you're coming from, let's say, just right next door from Georgia to Florida, they make you test all over again.
But if I go from Florida to Georgia, I wouldn't have to test all over again. And again, it just all depends on what your state's guidelines and their licensure standards. All right, guys, let's take another three minute break. You got a three minute break and then we're going to talk about traditional EMS employment.
So three minute break, three minute break. Catch up. Catch up on what we just talked about.
Yes, Sarah is the U.S. database for reciprocity oncologists. The PowerPoints are available in the Google Drive. They will always be available to you guys. So once they're in there, you can always review them.
I'm not taking them down. Each week you will have access to a new set of PowerPoints depending on that week's lesson. So they're not coming down. Once they're in that area.
So you can always go back to them. If you if you not real fast to taking notes, you can always go back and check the PowerPoint slides in the Google Drive. So how I'm going to do the testing for this class is on Saturday I'm going to put the test in that Google Drive so you guys have access to the test. This is a test.
This testing is strictly integrity based. You're going to take that test. You're going to answer it to the best of your ability. Try not to do open note testing.
Try to... test what you're learning, test your ability to retain information. And then on Sunday morning, I'm going to go live and I'm going to give you guys the answers and I want you guys to grade it and let me know how you did.
That's how we're going to do this. Again, this is knowledge for you. So you're only cheating yourself if you cheat.
So try to really keep integrity and try to really test yourself, see how you're doing, see how well you're retaining this information. Thank you. Thank you guys for the gifts.
Thank you for the likes, man. Very much appreciate it. I'll let you guys know a little bit later in the week what time on Sunday. All right, guys, let's get back into it. Three minutes is up.
Let's get back into it. Let's going to talk about traditional EMS employment. All right.
So once you become licensed, you will have a variety of different career options available to you. OK, so some career possibilities include Firebase EMS. So this is EMS integrated into the fire department, which is what I do.
I am a firefighter paramedic. So my fire department also provides EMS services. And here in Florida, pretty much most, I want to say 90% of all fire departments also provide the EMS services for the county that they serve. Now you have a few places and a few pockets.
depending on, again, those rural areas, the ambulance services and the fire department might be separate. It might be a volunteer fire department and a private ambulance services. So again, that's something you should research wherever you live at, kind of see how those entities work and are they the same? Do the fire units work together? Are they separate?
Is it run by the local government? Is it a private company? Those are all things you want to check in your local areas. So, these fire-based EMS, most are paid and operated by the municipal government. So, again, like I was telling you guys earlier, firefighters are paid by the local government.
So, those property taxes and your taxes that you guys pay, those are what fund all the city services. So, garbage, fire, police. All those services that you guys receive where you work at, that's all provided by you guys.
So depending on your area, if you live in a wealthier area, you probably have a really good qualified fire department. If you live in a not so wealthy area, again. It is what it is. Like I said, I can't control how this thing goes as far as how they choose to pay and how they choose to compensate us. So it's just like I say, do research about where you're at in the area and how it works.
Definitely because you never know when you might be in an emergency. So keep that in mind. Some locations operate fully with non-paid volunteers, while others use providers who are paid per call.
So those private ambulance services, those are. provides pay per call. They get paid per call.
So if they don't run no call, they don't get paid. So EMS may have a separate management system and operate independently from the fire side. So like I told you guys earlier, some are together.
You have firefighter and ambulance services together for certain departments, other places they're separate. So you should keep in mind to know where you are, if they're together or separate. Fire departments can better justify keeping a staffed in-house department if they have EMS. So if they add EMS.
So that's why the fire department and EMS kind of merge because EMS, I'm just being honest with you guys, EMS is probably 90% of what the fire department does, especially here where I live. So if it wasn't for EMS, the fire department, the number of calls would be, like I say, 90% fewer. Keep that in mind. A lot of fire departments, they want to have the EMS because it helps them survive. Because most of the calls, 911 calls are medically related.
With the way things are built now, a lot of it's just fire doesn't occur as much as it used to back in the day. So if everything was just strictly based on like fire calls, it wouldn't be it wouldn't be that much work, to be honest with you. Third service EMS municipality. So these are those private private ambulance services I'll tell you guys about. Depending on financial capabilities, some municipalities establish and operate their own ambulance services independent of fire, police and other public safety entities.
So I know like some places up north, the city has their own EMS and the city has their own fire, but they don't put them together. So even if they choose to keep them separate. So some cities do that. They just choose to keep it separate.
Again, it just all depends on where you live. Independent ambulance agencies may also offer their services under contract to the city who cannot provide their own services. So if you live in one of those areas where it's low income or there's not that much money coming in from the property taxes, you'll have an independent ambulance company come in and contract with that city. So the city will basically...
sign like a five or ten year contract with the ambulance service and that ambulance service has exclusive rights to run ambulance services through um through that municipality so even if they develop their own they still have to honor that contract with that independent ambulance contractor unless you know they got out calls they buy them out however that works so some states allow multiple municipalities to share services with each being an equal owner Usually citizens need to request a response. They may not be sent automatically. So just because you call 911 and you're telling them you're having a medical emergency, you have to say, hey, I want you guys to send an ambulance. They don't just, oh, okay, let's send an ambulance. No, in those places that have those independent contractors, you need to tell them, no, you need to send an ambulance right now.
I'm requesting you send an ambulance. So keep that in mind. All right, so then you have private EMS agencies, which are for-profit or non-profit. So you have for-profit private EMS and you have non-profit private EMS.
They operate similarly to those third service EMS agencies I was telling you about. They contract their services through municipalities. and the operations vary greatly.
What that means is private EMS, they do their own thing, man. So they're guidelines, they're equipment, they're their own company. So they can operate however they choose.
They're not held to the standards of the county or the city or the government. And then you have hospital-based EMS. So hospital-based EMS, basically hospital-based ambulances.
So some hospitals have their own ambulances. In most of these cases, hospital-based services tend to offer inter-facility type transports, as well as aeromedical services, which are offered in larger and remote organizations. So what that means is most hospitals, for you guys that don't know this, every hospital is not the same. Okay, so every hospital has different capabilities.
If you go to a hospital and you're having a heart attack, if that hospital doesn't have cardiac capabilities, meaning they don't have the surgical equipment to help you manage your heart attack, which means going to the cath lab, giving you stents, anything you might need. cardiac related, what that hospital has to do is transfer you to a cardiac facility. And instead of calling 911 to do that transfer, those hospitals will have their own ambulances to transfer you from that hospital to the next hospital.
Definitely want to make sure you know your hospital's capabilities. Not all hospitals are able to do what you might need. Certain hospitals, you have to make sure they have stroke capabilities.
Certain hospitals, you have to make sure they have cardiac capabilities. Certain hospitals, you need to make sure they have trauma capabilities. Most places, even if you live in a big area, there may be only one or two trauma hospitals.
You may have a lot of hospitals in your area, but you may have one or two that can actually treat a trauma. So just because that hospital is the closest hospital to where you live, if you are suffering from a trauma, that may not be the best place for you to go. Because you can get to that hospital, they may can keep you stable, but they still have to transfer you to the trauma center to give you any surgical interventions you might need or be able to treat you like you might need. So exactly, Atlanta only has one trauma center for the entire city of Atlanta. So keep that in mind when you are wherever you live in.
Know hospital capabilities. Know who can do what. That way, if something happens and you're dealing with an emergency, you know where to go. Because again, you don't want, say your grandpa having a heart attack, you don't want to take him to the hospital around the corner if that hospital doesn't have capabilities to help your granddad. Now you're prolonging his care because they have to call the inter-facility transport to take him from that hospital to the appropriate hospital.
So during this time, the hospital-based ambulances, the paramedics, they also work inside the hospital. So they'll help out the nurses and usually the doctors and the ER staff during their downtime while they're not doing their transports. Again, they typically stay around the emergency department.
And then you have hybrid EMS. So you have many large companies such as those operating oil drilling platforms and factories with hundreds or thousands of employees have their own medical response and care facilities. So in some areas, paramedics work in conjunction with other health care providers.
And there are numerous companies whose businesses is our thanks for the hat, man. There are numerous companies whose businesses is to hire personnel to fill medical positions at specific locations such as national parks, amusement parks and other venues. So keep in mind, keep in mind that companies can hire their own private services. Just in a. and provide the necessary care depending on, you know, like say you got an oil drilling platform, obviously you want to make sure you have medical staff there at all times.
These concert venues, these festivals and things of that nature, a lot of times they'll have their own EMS on scene. That way, something, something happens, they can get right on it. Exactly, Sam, like Disney World.
Disney World is another place. Disney World has their own EMS. They don't work with the city of Orlando or Orange County. Disney World has their own EMS system. And it's nice.
Trust me, I tried to work there. It's nice. All right. You guys need another break or you want to keep it moving?
Keep it moving? All right, let's keep it moving. All right, so let's talk about the EMS system. The EMS system is a complex network of coordinated services that provide various care to the community. These services work in unison to meet the needs of the community.
The EMS system begins with citizen involvement. So EMS system starts with you guys. The EMS system starts with the public.
The EMS system is activated once someone calls 911. So everything starts with you guys. It starts with the public, okay? The public and what I'm doing now, the purpose of this course, the purpose of me teaching you guys, the public needs to be taught how to recognize what an emergency is and what is not an emergency, how to activate the EMS system and provide basic care before EMS arrives.
Again, the public needs to be taught how to recognize what an emergency is, what it is not, activate the EMS system and provide basic care before EMS arrives. Factors that play a role in determining the outcome or likelihood of your patient's survival include bystander care, dispatch which means in which will give you pre-arrival and directions excuse me guys so a lot of times when you call 9-1-1 and you guys are panicking i understand it's not what you're calling for emergency the best thing you need to do is stay calm because the dispatch is going to give you emergencies because remember how i told you guys um response time so depending on where you are it might be a while before ems actually gets to you or if they're working on another call there's not an available unit It might be a while before they can actually get to you and serve you. So dispatch will give you pre-arrival directions, whether that may be how to do CPR. If it is a cardiac arrest, dispatch is trained to walk you through how to start compressions.
So make sure if you guys are in a situation where you call 911, I know it is an emergency, but you always got to make sure you stay calm. Even if the person on the phone is not the greatest, you want to make sure you stay calm because they might be trying to give you. directions or might be trying to give you important information that you need in order to help until EMS does actually arrive.
Other factors that play a role in determining the outcome of the patient's survival is response. Again, response times. So depending on how long it takes to get there. The greater chance you got, you know what I'm saying, the greater chance you got of surviving. So for those of you who live in those what we call ambulance deserts, which is a place where the ambulance response time is anywhere north of 20 to 30 minutes, like the chances of if something happens to you, the chances of you surviving are not great.
So keep that in mind. When you, if you decide you finna go live off in the mountains or you finna go live off somewhere off the grid, you gotta keep that in mind. If you off the grid, you off the grid. That means even from ambulance services and EMS services.
So, you know, it is what it is. Pre-hospital assessment and the care provided will also determine the likelihood of your patient's survival. The transportation units, so ground ambulances, the critical care units, air transports, the trauma helicopters and things of that nature, all that helps determine the likelihood of a patient's survival.
Emergency department care. So depending on who's on at the emergency department, again, depending on who you got as a nurse, as a doctor, it's going to determine the likelihood of your patient survival and definitive care. Like I was telling you guys earlier, the definitive care, getting your person to the right place, making sure they are in the right.
area. Another thing I forgot to mention to you guys too, as far as hospital capabilities, pediatric centers, know the hospitals that are able to treat pediatrics. Not every hospital is capable of treating a child.
So know which hospitals that you are, that are in your area that have pediatric capabilities. What that means is just because it's a trauma center, doesn't mean they can treat pediatric trauma. That might be a different hospital.
Sometimes it is, sometimes it isn't. So again, those of you all who have children, you need to know which hospitals can actually treat children. And what a pediatric hospital is, is a hospital that's capable of admitting a child.
and treating a child. So that hospital has to have admitting capabilities. So they can probably treat the emergency for the pediatric, but then they would transfer that child to another hospital that has the ability to treat that patient long-term.
So know your pediatric hospitals that are close by you. So again, the public's first contact is usually the dispatcher. So requirements for a dispatcher training vary greatly from state to state. The roles of the dispatcher are, again, to provide that pre-arrival instructions to best improve a patient's outcome. The scene may be different than what was relayed by the dispatcher.
So the dispatcher may be telling us one thing. I can speak from personal experience. A lot of times, some of the things that we get from dispatch. They'll give us one scenario and when we arrive on scene, it's a completely different scenario.
So don't be mad at us and don't be mad at the dispatcher. We can only go off what they're telling us in our notes. So if they're giving us something in our notes and we get them on scene and it's just something completely different, don't be mad at us.
Don't be mad at them. Again, you have panicked people calling 911. So some things get lost in translation. So it's like a terrible game of telephone. So. We have an idea of what might be going on, but we still have to develop once we get to the scene what's really going on.
So again, as paramedics, as a paramedic, you develop a care plan and then you determine the most appropriate facility. And that's how we determine the patient's best chance of survival. And a lot of times, again, that comes from those dispatch notes. When we kind of get an idea of what's going on, we can kind of determine, all right, this is probably what hospital we need to take them to, so on and so forth.
And again, I know certain people, and like I say, they're speaking from experience. A lot of times when dealing with patients, they'll have a preferred hospital that they want to go to. But we can't take them there because the hospital doesn't have the capabilities to treat what they're dealing with.
And a lot of times it's a struggle for us in the field because we have to fight with these people because they're basically like, hey, I want to go to this hospital. I don't like that other hospital. I've heard bad things about that hospital or I didn't like the way that hospital treated me last time.
Yes, sir. But right now you're having a heart attack. The hospital you want to go to can't treat a heart attack. That hospital that you don't like can't treat a heart attack. So even though you had a bad experience, you need to go to that hospital.
And I've seen somebody real quick that talk about insurance plays a factor. It does. However, again, during that time, we're worried about your life safety.
I don't care that the hospital might not take your insurance. What good is your insurance if you don't survive what's about to happen? You hear what I'm saying?
Worry about surviving first. You figure out the insurance thing on the back end. All right, guys.
I need to get a little bit of water. My voice is starting to go. Let's take a five-minute break.
I'm going to get some water real quick. I'll be right back. Five-minute break.
All right, I thank you. Thank you for being patient. No, thank you guys. I'm appreciating and loving this too, man. Again, this is my first time teaching, so bear with me.
I'm learning right along with you guys. So if any suggestions, if I'm going too fast or anything, man, you guys let me know. You can become an ENT in four to six months.
Yeah, I'll slow down for a little bit. I'll slow down a little bit, guys. If you think I'm going too fast, I can slow down.
Thank you, thank you. Yes, I work in one of the bigger counties in Florida. So, yeah, it's a lot of calls, a lot of patients, but I love it.
Love what I do. All right, we got two more minutes and we're going to pick it back up. Thank you. Yes, everything, this whole lecture will be posted onto the YouTube channel after this is over. So this whole lecture will be posted onto the YouTube channel.
So for those of you who got late or you can't stay through the whole thing, the whole lecture will be posted to the YouTube channel. So you guys won't be missing anything. Just make sure you subscribe to the YouTube channel and you'll be able to catch it over there.
I am working on getting CPR certified so I can teach the class like CPR instructor certified. However, in order to be certified CPR, you have to be able to do the four hours of hands on. So I can probably see if I can get like the online to do at least that portion of it. And then you have to go somewhere locally and do the hands on part to be CPR certified.
But I have been looking into that. Alright guys, you ready to go? Everybody ready?
Everybody ready? You ready? We ready? We ready? All right, let's get back into it.
All right. So we're talking about the roles and responsibilities. So the only thing I want you guys, we're not going to really hit this much because again, you guys aren't going to be practicing unless you go to get certified as an EMT or paramedic. So the only thing I want you guys to know from the roles and responsibilities is.
The first thing we're taught as providers is BSI and seeing safe. So that's body substance isolation and seeing safety. So we will not respond to anything, anything, no matter what it is, if we don't feel safe.
All right, sorry about that, something popped on the screen. But yeah, so we will not respond to anything if we don't feel safe. And we always make sure that we are gloved up, eye protection, everything we need for that particular call. So those are the very first two things that...
you have to do as an emergency provider. If the scene is not safe, no go. So for example, here in Florida, hurricanes, depending on the wind speed, if it's over 35 miles an hour, an ambulance can't drive in that wind.
So if it's an active wind event over 35 miles an hour and you're having a medical emergency, we're not coming because we're not safe. Because again, our safety is the priority over... over that medical emergency.
So keep that in mind if you're dealing with any kind of natural disaster or wind event or anything that's unsafe as emergency as paramedics and EMTs seeing safety for us is the very first thing. All right. So that's the only thing I want you guys to know from like roles and responsibilities as far as like just knowledge for you guys to know.
If you ever call 911 and you realize, if you see them down the street and you're like why you're not coming, you probably the scene ain't safe yet, you're probably dealing with us chaotic scene or we get a lot of times we'll get anything domestic violence related, we'll get anything you know. Weapons related all that type of stuff. We have to wait for the police department to secure the scene before we can actually come on to the scene All right, so we're going to go down to the medical direction section. So we're skipping a few slides because, again, I'm going to teach you guys things that I want you to know.
The stuff that's not going to be relevant, again, because you won't be certified, licensed paramedics by the end of this class. I'm going to teach you the things that you need to know. So we're going to go down to the medical direction. So if you want to skip a few slides and catch up. All right, so with medical direction, paramedics carry out advanced cardiology, cardiology, cardiologic, pharmacology, pharmacologic, and trauma care skills.
paramedics carry out advanced cardiology cardiology god gee i'm terrible tonight paramedics carry out advanced cardiologic cardiologic pharmacology pharmacologic and trauma care skills um they cannot act independently we do not act independently okay we are all under a medical director what does that mean so depending on where you work depending on where area you work in You have a medical director. We work under that medical director's protocols and guidelines. So the medical director is a doctor who gives us a list of things that we are allowed to do and a set of guidelines and orders for how we treat certain things.
We can deviate from those guidelines, but we have to explain our thought process, why we did it, and why it was appropriate. So a lot of times... We don't deviate from those guidelines because, again, it can come back on us legally because at the end of the day, if we ever presented in court or we go to court and they ask us why we did something, why we did something that was outside of our guidelines and the justification isn't satisfactory, we could be held liable.
And in some cases, I don't know if you've seen that case up in Sioux City, but there's a paramedic who's being arrested and charged with involuntary manslaughter. So you gotta keep that in mind when we are here in the streets, we're operating under our medical director and we have a certain guidelines and certain things that we are allowed to do and certain things that we are not allowed to do. So just because you've seen it on like 9-1-1 or Chicago or one of them TV shows, just because they did it in a TV show, that does not mean that we're going to be doing it out here on these streets. And these protocols, they vary from different cities and counties and things of that nature.
So my protocols might be different to what... the next city over protocol is or the next county over protocol is so on and so forth. So your protocols are your standing orders.
So the standing orders are the things that you do without calling the medical director, without deviating. So depending on, for example, if I get allergic reaction, there's an allergic reaction protocol that I have to follow step by step how to treat certain signs and symptoms that I don't deviate from unless absolutely necessary and I can justify why I did it. So the EMS medical directors, they educate and train the personnel. They recommend or select new personnel and equipment. They develop the protocols and guidelines with other EMS experts.
They develop and assist in quality improvement programs. They provide input into patient care. They serve as an EMS advocate to the community and they serve as the medical conscience of the EMS system. They provide online and offline medical control.
So online medical control, the standard protocols, the things that we don't have to call them for, like this is the doctor saying, if you see this, do this. That is an online order. If you see this, do this.
The offline medical control is when we like, hey doc, I need to call. I'm going to call. Hey, this is what I got.
This is what I want to do. Do I have your permission? So know the difference between the online standing order and then the offline. uh offline order So let me go over that one more time because I want to make sure you guys understand.
So the online direct medical control is given in real time by radio or other electronic communication. So the online order is the, hey doc, this is what I got. The offline order is the protocols is what he says that we should do without having us call him. That's what this is what we do.
So offline is the protocols and standing orders. Online is the direct communication, the offline orders. All right. All right, guys, we're almost there. We're almost there.
I know it's been about 60 minutes. We're almost there. We got about 15 more minutes left, guys, and that'll be it for this lecture. All right, so improving system quality.
So how EMS gets improved. So one way that they improve EMS quality is through CQI. Okay.
Tools used to continually evaluate your care. Quality control, another process that evaluates problems and finds solutions. So CQI is a process of assessing current practices and looking for ways to improve.
It is a dynamic practice, meaning it's always changing. The CQI process is always changing, okay? A good CQI process should include the following steps.
You should identify any department or system-wide issues, identify specific items that need to be measured, conduct an in-depth review of the issue, evaluate the issue, and develop a list of remedies. Develop an action plan for correction of the issue, enforce a plan of action and include time frames, re-examine the issue, identify and promote excellence found in patient care during the evaluation, identify modifications that may be needed to protocols and standing orders, identify situations that are currently not addressed by protocols or standing orders. So again, those are all the ways that we improve through CQI. So these programs, a CQI program can help to prevent problems by evaluating day-to-day operations and identifying possible stress points.
Those stress points can include medical direction issues, education, communications, pre-hospital treatment, transportation issues, financial issues, receiving facility review, meaning the hospital issues with the EMS, dispatch, public information and education. disaster planning, and mutual aid. So all this stuff is constantly being reviewed. It's constantly under quality control to see how it can be made better.
Whenever possible, all emergency calls should be reviewed. Ultimately, the focus of a CQI needs to be on improving patient care. So just like with anything, EMS is a customer service-based business, to be quite honest with you.
So quality assurance from our customers, our patients, how do they think we did? How can we improve patient care? You know, so use your CQI process as a constructive tool for continuous improvement.
So I know me personally, I'm always trying to figure out how I can do things better, trying to learn different things in order to be a better provider and make sure that I'm always giving the patients the best care possible. So CQI can be in the form of a peer review, meaning CQI can be a good learning experience if proper and consistent guidelines exist and those reviewing keep an open mind. Everyone makes mistakes and misses things from time to time, so peer recommendations for improvement should be educational tools. And in our ideal system, members of the peer review team rotate.
So we're constantly always bumping ideas off each other as providers. We're always kind of making sure we hold each other accountable so that, again. We're trying to give you guys the best patient care possible.
And there's nobody that can hold you accountable better than your own teammates. So peer review, CQIs are, in my mind, those are the best because, again, these are the people that you're working with every day. And they can tell you the things that they see during calls and vice versa.
Yeah, CQI is constantly, it's always improving, it's always changing, man. Always finding ways for it to improve in all those areas that I listen. Another thing you want to do, you want to look for ways to eliminate human error. So we do our very best to eliminate as much human error as possible. So again, making sure we provide the best patient care possible.
So you want to ensure adequate lighting when handling medications, limit interruptions, you know, keep everything in specific locations in the original packaging. Handing patients off is a high risk activity. So we have to be careful when we're doing our transports from us to the hospital.
There are three primary sources of errors. So there are three primary sources of errors, of human errors in EMS, okay? There's rules-based failure, meaning a legal right to administer medication, for an example, like those type of things, basically violating any of the rules that are given to you in those guidelines, no protocols I was telling you guys about.
So that's one way that we have human error. Knowledge-based failure, so just not knowing all the pertinent information about a medication, for example. So someone is telling me that they're taking a certain medication. If I'm not sure what that medication is and I provide an intervention that has a negative impact depending on what that medication is.
For example, I'll give you guys a quick peek into pharmacology. So we give something called nitroglycerin. Nitroglycerin is a medication that we give.
This medication has a very important contraindication. Nitroglycerin Nitroglycerin is something that we give for patients having cardiac issues. However, if I give you that nitroglycerin and I didn't know that you took a Viagra, a Viagra beforehand, I can bottom out your blood pressure. So that's an example of knowledge based failure.
That's why it's important to know. Viagra is an adverse effect to nitroglycerin. So if a person is having a cardiac, if a person having a cardiac event, I have to give them nitro.
I'm not being funny in the back of an ambulance when I say, hey, have you taken any, you know, sexual enhancement drugs? Because, again, I'm not trying to be funny. It is if you have and I give you this medicine, these can go from bad to worse really, really fast.
All right, so that's just a quick peek into knowledge-based failure. Okay, you got to know those types of things. Or again, if the blood pressure is low off the rip, so if I'm checking your blood pressure and you're already low and I give you that nitro, I'm going to bottom you out. And again, I turn the bad situation to worse.
So again, knowledge-based failure and skills-based failure, just not knowing how to use the equipment properly. That's those are the three main errors you get in the service. So you fail to follow protocol. You don't know knowledge. You don't know what you're doing or you don't know.
Again, in pharmacology, you don't know medications and you don't know what does what has adverse effect to what what a contraindications to what. And then skills based failure. That's why you stay on top of those three things.
Man, you want to eliminate human error as best as possible. That's why agencies need clear protocols. You want to be aware of your environment. So limit distractions, focus on what you're doing when performing the skill. I always ask myself, like, why am I doing this?
So every intervention that's done, you want to ask, why are you doing this? What's the point? And again, that's what this whole class is about. That's what I'm trying to teach you guys. Like this is why certain things are done.
This is what's happening in your body. And this is why we're doing what we're doing to treat it. Thank you.
All right, guys. So the last part of this is EMS research. I'm not really going to get into EMS research with you guys because truth be told, you really don't need to know it unless you're going to actually get into this thing and be treating patients.
So don't really worry about the other slides for EMS research. So that's going to be the end of the lecture for this evening. All right. So remember everything that we went over for the lecture this evening.
But yeah, that was it, man. So hopefully you guys learned a lot. If you guys have any questions, I'm going to try to get to as many of them as I can as they are popping up here.
So forgive me if I miss your question. I hope you guys learned something. Yes, this will be on YouTube. This will be on YouTube.
So make sure you subscribe to my YouTube channel. As soon as I get off this live, I'm going to download it and upload it to the YouTube channel. If you want to actually get your license in EMT, you have to find an EMT program and go apply and actually get your...
Your actual skills and lab times and clinical hours and ride times, that's how you truly become an EMT or once you become an EMT then you can go to the next phase and be in a paramedic. But yeah, you have to actually go to an EMT program that way you can get your hands-on skills. But a lot of the things I'm going over with you now are what we go over in the EMT program and paramedic programs.
But in order to truly be licensed you have to go to one of those programs because you need a certain amount of clinical hours and field hours in order to be licensed and certified. Oh, man, I'm trying to get to these questions. Anytime I see a question, it's already going before I can read it. Somebody said, can I explain more about the white paper? Sure, hold on.
The Good Samaritan law, it's a great area. It does and it doesn't, man. So I'll be careful with that Good Samaritan law.
So I'm going to go over the white papers again, because somebody asked me to explain a little bit more about it. So again, the National Academy of Sciences and the National Research Council released the white paper. And in the white paper, what was found was there was a lack of uniform laws and standards in EMS. Ambulances and equipment were of poor quality or they were non-existent. There was a lack of communication between EMS and hospitals.
There was a lack of personnel training. Hospitals were only staffed part time. And more people passed away from motor vehicle crashes than in the Vietnam War.
So those are the findings of the white papers from 1965. Yeah, always if you're going to be out here, especially if you get CPR certified and you start CPR, you want to make sure you have that CPR card with you. Because again, like I say, them good Samaritan laws, they do cover you, but sometimes it's a little gray area. So you got to be careful with that. Make sure you always have that CPR card with you.
Don't worry guys, if you missed the lecture, it's going to be posted on YouTube, so don't forget. You can always go to YouTube and look at it again. I have had to do a deposition twice. I've never actually had to be in court, but I've had to do two depositions in my career. Somebody said medical online and offline.
So again, offline medical control are your standing orders. It is your guidelines that you are allowed to, you're allowed, the interventions you're allowed to do without having to call the medical director. Online is when you got to call the medical director if you're going to deviate from those protocols or you need him to give you permission to do something that are not in those offline protocols. I have to get back to you on that, man. I'm not quite sure of the hours anymore.
Like I said, it's been a while since I've been in the actual class. I think when I did paramedic, it was almost 1,200 hours. That's lectures, rides, and clinicals. How I prep for the NRMT, I use the Marjorie Bowers book and I use LC Ready practice questions. Yes, yes guys, so I'm going to try to do a quick review before the test on Saturday, so don't be alarmed guys.
I'm trying to give you a quick review so you know what to study for for that test Saturday. Again, guys, if you need to go to the path, if you need the resources, the PowerPoint, the textbook is in the Google Drive link in my bio. So make sure you go to my bio. You click the Google Drive link. It's all in there.
The book and the PowerPoint slides so you can review. those. Also, make sure that you guys are ready for Wednesday and Chapter 2. We're going to be going over Chapter 2 on Wednesday. I think Chapter 2 is Workforce Safety and Wellness.
All right. So be ready for Chapter 2 on Wednesday. Again, if you guys can't open it on your phone, you're going to have to do a laptop or desktop because they're very big files. The textbook alone is like six thousand pages.
So make sure you if you can't access it on your phone, you might have to do a laptop or a desktop. Wednesday, same time, 7 p.m. Wednesday, seven times, 7 p.m. Now you guys are welcome.
You're very welcome. CPR certification, you just got to get AHA certified. Most of it is online as far as the written and then I think it's four hours of in-person class time to go over the skills for CPR. Guys, you're welcome. Very welcome.
Very welcome. And again, if you guys have any questions, you got plenty of classmates and it was almost 1400 people in here. Guys, talk amongst yourselves, help each other out.
If anybody has any questions, make sure you reach out to your classmates as well. So can you call out the slide? So the lecture I have are actually all through like actual notes.
But next time I'll have the PowerPoint up as well. So I can call out the slide numbers. That's no problem.
I can do that. If that's going to help you guys out, I can do that. I'll have the PowerPoint up. That way I can call out the slide number for you guys.
Next class is going to be Wednesday, 7 p.m. 7 p.m. Wednesday. Hey, how you doing over there, South America?
We're going to get into all of that. Trust me, all that's in the course. HIPAA is in this course. Trust me, we'll get into all of that.
Right now, we were just going over chapter one. That was EMS systems, roles, and responsibilities. So again, if you want to know when we're going to get into HIPAA, check out the syllabus in that Google Drive.
It'll let you know when we get into that area. Yeah, I'm going next time. I already got somebody that wants to do it. So we'll have that set up on Wednesday, man. I'm having my guy MedTech there.
He's been pretty good at it. It's keeping up with you guys here. So I'll have him be the moderator next Wednesday. So we're going to get that figured out. Alright guys, again, thank you.
This is my first time teaching the class. I hope you guys enjoy it. I hope you guys learned a few things, if not a lot. I'm going to get out of here. I got to be on shift tomorrow.
So again, if you guys missed it, make sure y'all go to the YouTube. channel you can catch up on the lecture again you guys were awesome I appreciate every last one of you I appreciate all the likes and all the gifts and again all I ask is you guys do what you were doing you like the live you send the gifts and you interact with the content that I posted. Okay. You guys be safe. You have a good evening.
This was very, very, very fun and I'm enjoying keep doing it. All right. You guys stay safe. If you have any other questions, feel free to shoot me a DM. I'll try to get back to all of you as soon as possible.
Y'all stay safe. Be blessed. Have a good night.