ryh&Reffipclt*d&tr DEGREE NEWBACHELORI1S USATAUNCHES IN EMERGENCY MEDICATSERVICES PROGRAM With the ever-changinglandscapeof our natioris health care system and, in particular, the {ield of emergenry medical services,the needfor baccalaureatepreparedEMS professionalsis critical. To meet this growing demand, the University of South Alabama, Department of trMS Education recendyimplemented a new Bachelorof Science degree program in Emergency Medical Services. "Baccalaureateprepared EMS professionalsare being actively recruited across the country today to work in leadership and supervisory positions such as EMS managers,EMS educators,and EmergencyPlanners,just to name a few", said David Burns, Chair of the Department of EMS Education. "Our faculty and staff haveworked very hard over the past few yearsto bring this new program to fruition and are extremely excited about finally starting the first cohort of studentsthis FaJ12007)." The University of South Alabama offers the Bachelor of Science degree in EMS for graduates of paramedic certificate and associatedegreeprograms. One of only 12 programsof its kind in the country, this degreeprogram is designed to prepare graduates to assume leadership positions within trMS and EMS related organizations. (Bachelor's Degree continued on page 2) IT'S FIRSTGROUPOF STUDENTS IN USAWETCOMES THE BACHELOR'S DEGREEPROGRAM From Left to Right Back Row: Ben Jernigan,Josh Ramey,Melissa Sutton Middle Row: Chuck George,Tina Maloy, Linda Oldham, Philip Creighton Front Row: TeffCarter. Mark Turner New ContractAwardedto USADepartmentof EMSEducationfor EMSRegion5 Activities The University of South Alabamq Department of Emergenry Medical ServicesEducation is oleasedto announceit hasbeen awarded a new contract by the Alabama Department of Public Health (ADPH), Of{ice of EMS andTrauma (OtrMST) to continue in its role asthe regional EMS coordinatingagencyfor EMS Region 6. EMS Region 6, alsoknown as the Alabama GuJf EmergencyMedical ServicesSlstem (AGEMSS), covers a sevencounty areain southwestAlabama including, Baldwin, Clarke, Conecuh, Escambia,Mobile, Monroe and Washington counties. The contract this year calls for the trMS Region 6 office to ensurethat a number of performance-based objectivesare met forFY 2007-08. Someof theseobjectivesinclude the following: ' Ensure that 98o/oof all licensed EMTs in the Region are in compliancewith NIMS requirements by September30, 2008 (New Contract continued on page 2) Spotliqhton CharlotteHarlan EMS News in Brief fromposeI) BACHELORI1SDEGREE ftontinued Major Core classes,suchas EMS Systems,EMS Administration,and DisasterManagementand Event Planning, will enablegraduatesof the program to fi-rnctionmore effectively and efficiently in EMS management and leadershiproles.Graduatesof the program will work in avariety of settings, including fire departments, ambulanceservices,state and regional EMS agencies,and training institutions, among others. In addition to a well-roundedgeneral educationand pre-professionaicore,the curriculum requires a 32 semesterhour oaramediccore and a 34 semesterhour EMS Mulot Core (seebelow). Students who have completed all of their general educationand pre-professionalcore classesand who have akeadycompleted their paramediceducationat USA or at another institution can complete the trMS Major Core requirementsin three to five semesters, dependingupon the student'sdesiredcourse1oad.In order to accommodatethe typical adult student,the EMS Major Core classes shown below are offered in an "executiveweekend" format. Classes meet on Friday afternoon, afi.day Saturday,and on Sundaymorning, approximately every third weekend for six (6) weekendsper semester. EMS 410:Concepts of Paramedic P r a c t i c( B e r i d g e ) . . . . . . . . . . . ... . . . ( 6 ) ....................(3) EMS 475:EMS Internship and EMS 440:HealthInsurance M a n a g eC d a r ei n E M S . . . . . . . . . . . . . . . . . . . . . . ( 3 ) E M S 4 4 5 :E M S R e s e a r c. .h. . . . . . . . . . . . . . . . . . . . ( 3 ) EMS 460:IssuesandTrendsin . .....(3) EMS.............. Review/ EMS 495:Comprehensive .. .lll Exams............ 34 Individuals interested in starting the Bachelor'sdegreeprogram in the Fall EMS 310:Introductionto EMS semester2008 needto contactthe . . . . . . . . . . . . . . . . . . . . . . . (Department 3) Systems of EMS Education trMS 315:EMS Administration ............(3) (251-437-641,8)as soon as possible EMS 320:EMS Law andLegal in order to schedulean advising I s s u e. s. . . . . . . . . . . . . . . . . . . . ( 3 ) appointment. Inquiries aboutthe EMS 325:Instructional Methods programmayalsobe e-mailedto in EMS.......... . . . . . . . ( 3 ) Ms. LyndalCurry,BS DegreeProgram EMS 340:DisasterManagement Coordinatorat lcurry@usouthal.edu. .......(3) & EventPlanning EMS CORE REOUIREMENTS fromposeI) NEW CONTRACT @ontinued ' Ensure that 50o/oof all licensed EMTs in the Region havereceivedCPR training by September30, 2008 ' Ensure that 500/oof all licensed trMTs in the Region havereceivedprotocol educationby September30, 2008 ' Ensure that 500/oof all licensedEMTs in the Region have receivedrequired continuing education training byJanuary31,2008 ' Ensurethat the number of licensedEMT Basicsin the Region (basedon 2006 data supplied by ADPH) is increasedby 25 by September30, 2008 ' Ensure that 25o/oof all permitted ambulancesin the Region are equippedwith an approvedclosed-system CPAP by September30,2008. ' Ensure that one meeting will be held quarterly with reoresentativesfrom each of the medical direction hospitals and trMS provider servicesin the Region to discussmedical direction and relevant issuesby September30, 2008. The RegionalEMS agenciesacrossthe Stateare funded to orovide technical assistanceand servicesto EMTs and ambulanceserviceproviders in their respective in trMS Region 6, please regions.If you need assistance call David Garmon, Region 6 Director, at 251-472-781,0 or 251-431-641.8. 2008 USAContinuingEducationSchedule- OpenEnrollmentClasses ovider M a y 8 - 9 . . . . . . . . . . . . . . . . . . A CPLrS Provider May 22 - 23................PALS ACLS Refresher June 72 Provider 25 - 26 ................PALS J:irne - 1 1 . . . . . . . . . . . . . . . . A CPLrSo v i d e r 1 0 July . .A . .L . .S . Refresher J t t I y24 . . . . . . . . . . . . . . . . . P Provider Sept.11 - 12 ..............ACLS Provider Seot.25 - 26 ..............PALS resher O i t . 9 . . . . . . . . . . . . . . . . . . . . . . . . AR CeLfS Provider Ocl 22 - 23 ................PALS ovider N o v . 6 * 7 . . . . . . . . . . . . . . . . . . A CPLrS N o v . 2 0 . . . . . . . . . . . . . . . . . . . . . . PRAeLfSr e s h e r INDUSTRY (CERT) CLASSES Refresher Jan.17 ................Hazwopet Technician Jan.7 11 ............Ha2mat Refresher Feb.7 ..................Ha2wooer F e b .1 8 - 2 2 . . . . . . . . H a z mTaet c h n i c i a n Refresher March 20 ............Ha2woler M a r c h l 0 - 1 4 . . . . . . H a z mTaet c h n i c i a n Refresher April 16 ..............Ha2woper A o r i l 2 1 - 2 5 . . . . . . . . H a 2 m aTt e c h n i c i a n May 22................Hazwoper Refresher May 12 - L6 ........HazmatTechnician Refresher Jl:ne 72................Haawoper - 6 ............Ha2matTechnician 2 June Refresher JuJy24 ................Haz;woper JuIy L4 18..........Ha2matTechnician Refresher Aug. 14 ..............Ha2woper Aue. 4 - 8 ............Ha2matTechnician Refresher Sep1.Z5 ..............Ha2woper Sept. 15 - 19........Ha2matTechnician Refresher Oct. 16 ................Hazwroler t echnician O c t . 6 - l 0 . . . . . . . . . . H a 2 m iT Refresher Nov. 6 ................Haawoqer N o v . 1 7 - 2 I . . . . . . . . . . H a 2 m aTte c h n i c i a n Dec. 3..................HazwooerRefresher t echnician D e c . 8 - 1 2 . . . . . . . . . . H a 2 m iT For more information on these classes or to register, please contact our Department ^t 25 1,-43 1,-6418. Spotlighton CharlotteSmithHarlanUSAsNew EMSClinicalCoordinator (CPAP)AIRWAYPRESSURE POSTilVE CoNTTNUOUS NEWHOPEFORHYPOXIA CPAP, or Continuous PositiveA\rway Pressure,is currently a promising technology for the treatment of emergent, severerespiratory conditions, particularly congestiveheart failure. In patients who are struggling to breathe, but who are not to the point where endotracheal intubation is classicallyindicated (unconsciousor severely low breathing rate), CPAP is finding great successin improving lung compliance, reopening and clearing distressedalveoli, and avoiding the necessityofprehospital intubation of severemedical respiratory pathology. The processinvolves placement of a mask, similar to an ambu mask but sealedairtight in a systemwith a CPAP delivery device. When the oatient inhales. the deliverv device forces oxygen enriched air into the lungs at either apreset delivery pressureor one selectedby the rescuer.Pressurefor ventilation is derived from the oxygen cylinder and exhaled gasesare ventilated through a separatevalve system. According to Dr. T. Douglass Bradley, a professor of medicine at the University of Toronto, in his treatise Continuous Positive Airway Pressurefor Congestive Heart Failure, the positive effects of CPAP come from several physiologicalfacets: The beneficial effects of nasal CPAP in congestiveheart failure are probably due to 3 mechanisms.First, CPAP increasesintrathoracic pressureand lowers left ventricular transmural pressure(afterload). It thereby acts as a cardiac assistdevice to augment cardiac output in patients with elevatedleft ventricular filling pressure.Second, in patients with congestiveheart failure who have central or obstructive sleep apnea, CPAP abolishesnocturnal blood pressuresurges by eliminating the apnea.Third, CPAP reducesactivity of the sympathetic nervous system by alleviating apnea-related hlpoxia and preventing arousalsfrom sleep. Becausethese mechanisms of action depend on the generation of positive intrathoracic pressure,they differ fundamentally from, and are additive to, the effects of optimal drug therapy for congestiveheart failure. Journal of Academic Emergency Medicine, found that CPAP utilization by EMS was associatedwith marked improvements of dyspneic patients in the prehospital environment. The study was conducted on fifty-six patients who otherwise would have ultimately required intubation in the fie1d.The study involved 47 congestive heart failure (CHF) and 9 chronic obstructive pulmonary disease (COPD) patients suffering from severerespiratory difficulty and hl,poventilation. The 56 patients comprised a group of approximately half males and half females and with an averageageof 75 years.Treatment of the group with CPAP resulted in marked improvement of 54 patients (evidenced by much improved pulse oximetry and other physiological markers) and only two patients ultimately required endotracheal intubation. This result indicates avoidance of intubation in 960/oof the patients due to improvement of underlying ventilatory compromise. Use of CPAP by EMS personnelalsowas not associatedwith extendedon-sceneor transport times and was recommended by the researchersfor use in the prehospitalphaseofcare. To review the complete study: Lauder, C., Barnes,T., Fitzkee, A., Bailey, E., Schnyder,M., O'Connor, R. and Megargel, R. Out-of-hospital use of Continuous Positive Airway PressureVentilation (CPAP) in Elder Patients with SevereRespiratory Distress. Journal of Academic EmergencyMedicine Volume 8, Number 5 525,2007. A 2007 study by Lauder, et al, of the Christiana Care Health System of Dover, Delaware and published in the The State of Alabama Department of Public Health, Office of EMS and Trauma has embracedthe CPAP technology and has adopted the use of Emergent Respiratory Product's Proto2Vent CPAP system for prehospital EMS use at the Advanced level. The Proto2Vent has an advantageover many systemsbecausethe amount of pressurecan be adjusted from "0" (essentially delivering the same as a non-rebreather oxygen mask) and titrated to the lowest level that produces positive results, (CPAP continued on next page) CPAP ftontinuedfrompoge4) such as an appreciableelevation in pulse oximetry levels and decreasedrespiratory distress. Other systemson the market require that the operator start therapy at 5-10 cm/H2O of pressure.Alabama protocols (seeProtocol 6.11) maximize the amounts of pressuredelivered to a patient at 10 cm/H2O for congestiveheart failure/pulmonary edema and 5 cm/H2O for other etiologies of dyspnea.(Pleasealso review the protocol manual for a list of contraindications for CPAP.) Another advantageof the Proto2Vent unit is that, if necessary,an albuterol nebulization (breathing treatment) can be accomplished during CPAP therapy by placing a common nebulizer into the circuit during administration. The circuit is designed to achievethis without the necessity of special equipment for the updraft. Alabama's regional offices are encouraging the state's hospitals to adopt the Proto2Vent units so that exchanges can be made with prehospital EMS crews for the masks and administration circuits. The ability to "swap-out" equipment will saveprehospital servicesmoney while allowing hospitals to simply retain the initial equipment utilized in the field with the patient until it requires discarding and prevent unnecessarywaste. Equipment grants facilitated through the regional EMS systemwill supply the state's EMS services, specifically 25o/oof all certified ambulance units, with the Proto2Vents over the next year. The regional of{ices will attempt to evenly distribute the equipment while placing them where they will have the greatest benefit. During the distribution process,the EMS regions will also conduct classeson the proper use ofthe units. If you have any questions or comments regarding this processin the Alabama Gulf Region, please call David Garmon, EMS Region 6 Director at 257-437-6418 or e-mail him at dgarmon@usouthal.edu.Emergent Respiratory Product's company website can be found at the following address: http :/ / www. eresp.com. 2oo7'sMassCasualtyDrillwas an Extraordinary Success interact with one another aswell as introducethemselvesto USA EMS studentsfor recruitmentpuqposes. This year that opportunitywas all the more pleasantwith Charlie Erwin and Unde Dave Faggardcooking up and servinggrilled hotdogs and hamburgers Everyonein EMS in the southwest Alabama areais awareof the Mass CasualtyIncident (MCI) drill held every November for USlls basic and oaramedic srudents.This year'sMCJ drill, held at Mobile's Batdeship Park, was an extraordinarysuccessasitwas larger and utfized by more respondingagencies, sfudentsand rescuersthan in anv orevious years.Approximately130 EMS-students and greaterthan 50 rescuersparticipated in the drill. In addition, this yeals exercise was adminisffated by USA's new Clinical Coordinator, Charlotte Harlan. Charlotte took the reins as Clinical Coordinator in August after the former coordinator, Charlie Erwin, was promoted to faculty member and reassignedasthe Basic EMT Coordinator. The MCI drill has traditionally been an opporhrnity for areaEMS and fire agenciesto participate, network and on an especiallynice wood grill suppliedby SpanishFort Fire Department. Our department haslong recognizedthe associationbetweena good cookoutmeal and a successfirlMCI ddll - this year more than proving that point. Units from Mobile, Daphne, Foley, SpanishFort and Orange Beach Fire Departments aswell as ambulancecrews from North Baldwin EMS, Mobile County EMS, MedStar, Newmaris and AMR Ambulance Servicesparticipated in the mock disaster.This yeals scenariowas a structural collapseof the "BayWay'' section oflnterstate 10. Also participating were North Baldwin and Daohne Search and Rescueteams. Daphrr.'r SAR t.urn alsolaunched their boats for the simulation which took placewithin yards of the Bay. Wilson's Towing Serviceprovided three wrecked carsasprops for the exercise, which, asusual,took place after sundown. Air support and transport were provided by helicoptersfrom the local Coast Guard unit and from Gulf Coast MedEvac. USA Departmentof EMS Education and its entire factlty, staffand student body wish to thank all of the departments, servicesand individuals who worked so hard to make the 2007 Mass Casualty Drill such a great success. EMSNewsln Brief... elind Rirway lnsertion Removedfrom Alabama EMTBasics Reassignmentswithin the Department of EMS Education In November 2007, the Alabama Department of Public Health, Office of trMS and Trauma removed the privileges of Alabama's EMT Basics to insert blind airway devices. Blind insertion devices, such as Combi-Tubes and other similar airways, are used to secure an unresponsive and apneic patient's airway when endotracheal intubation by an EMT Intermediate or Paramedic is not available or achievable. Whereas no official explanation was given, it is possible that changes at the national level encouraged the from EMT Basics and that Alabama's ikill'r ..-oval Advanced Basic level will have the skill re-introduced along with severalother advanced skills. The decision may also be in responseto incidents where non-licensed Alabama first t.rpond.t. and rescue squads acquired blind insertion airways, which require off-line physician oversight to ourchaseand maintain. Alabama EMT Basics continue to te able to place oropharyngeal and nasopharyngeal airways when needed. Developments, happy and sad, within our Department have resulted in some reassignments.The initiation of our Bachelor's degree in EMS program resulted in the reassignment of Lyndal Curry from her position as trMT Basic Coordinator to the new position of EMS Bachelor's Degree Program Coordinator. As stated above, Chadie Erwin, after promotion to faculry, has been reassignedto replace Lyndal as Basic trMT Coordinator. Upon the departure of Vince Parker, Gary Varner, Research Program Coordinator will be promoted to Paramedic Program Director. Gary, who came to USA in 2002, is an epidemiologist and will retain the duties of Research Program Coordinator and will simultaneously perform the role of Program Director beginning inJanuary 2008 - good luck Gary! As this issue of The Responder goes to print, David Burns and our department's faculty search committee will begin the search process for a capable faculty member to fill the position left vacant by Vince's departure. CharlesErwin Completeshis Bachelo/s Degree from USA Charlie Erwin, who for yearshas faithfully servedthe EMSEducationDepartmentparticipatesin Health OccupationsCareerFair department as Clinical Coordinator, graduated from the USA School of Continuing Education's Interdisciplinary Studies Degree Program in May 2007. As a result, and reward for years of service, he was promoted to full faculty member of the department and reassiqned as the EMT iTh. Grrrr.ry,"so call"edby some of us, is Basic Coordinator. a combat veteran of the United StatesMarine Corps and is currently a reservist in the Coast Guard with a specialty in port security. Never (ever) one to rest on his laurels, he is now actively involved in earning his Master's degreein history from the American Military University. Congranrlations Charlie - Semper Fi! Vince ParkerLeavesUSADepartmentof EMS Education Vince Parker, Paramedic Program Director at USA since January2003, recendy left the University to take on a similar Dost at another institution closer to home. Mr. Parker had been with the University for over T4years and servedin many different capacitiesduring his tenure at USA. Over the years, Vince has had a significant effect on hundreds of trMT and paramedic students at USA and probably had an even greater i-pact on the many patients that these students have cared for since graduating from this program. Vince is an excellent educator and a terrific mentor, not only to paramedic students, but to young faculty and staff. We will certainly miss his expertise and we wish him all the best in his new position. In November 2007, department clinical staff and students participated in the Mobile Chamber of Commerce's annual Health Occupations Career Fair. This year's fair allowed more than a thousand area high school students the opportunity to participate in realistic simulations of healthrelated processes,such as prehospital emergency medical operations, hospital emergency department and surgical operations and pharmacy operations among others. In addition to our department, participants included USA's nursing, radiology, respiratory care and physical therapy departments and the Mobile Fire-Rescue Department. Hospitals participating included the USA system and Mobile Infirmary system. Also participating was the Auburn University/University of South Alabama pharmacy program. pafticipatesin SchoolShootingDdll at USA-EMS BakerHigh School In October2007 USA's trMS studentsparticipatedas "patients" at the city's mass casuaky drill conducted at Baker High School. The scenariowas that of alarge number of high school students wounded by gunmen while in school. Clinical Coordinator Charlotte Hadan participated as an evaluator of rescue operations. \Arhere it is unfortunate that such contingencies must be anticipated and practiced for, we applaud the City of Mobile for its efforts to provide more efficient medical servicesto its citizens in the event of such emergencies. Newsfrom within the ParamedicProgram In its consistent effort to orovide a better education and service to its students and the community, the USA Paramedic Program has made some noteworthy changes during 2007. Severalclinical rotation siteshave been added to the list of servicesand facilities who host the clinical education exoerience of our students. Additions include Mobile County EMS Rescue Squad, Mobile Infirmary System, Thomas Hospital. North Baldwin trMS ambulance service and North Baldwln Infirmary. A changewill also occur in the clinical rotation phase of paramedic training beginning in Summer Semesterof 2008. At present all ciinical internships are comoleted within facilities in the next-to-last semester (EMT 455) and all {ield internships in rescue servicesare completed during the last semester(pUf a9fl.To lessenthe physical burden upon the student and enhance the clinical skills practice process,clinical internships will be divided over an additional semester(EMT 455 is now trMT 465 &.466) with field internships in rescueservicesremaining in the last semesterin its present form. A process added to the clinical skills practice process to enhance the successof computerbased National Registry Testing is the introduction of Platinum Computer Adaptive Testing (EMSCAT) into the training process.The service allows students to either take online tests within the department under supervision or at home to practice the processof computer adaptive testing utilized by National Registry at both the Basic and Paramedic ievels. The service allows our instructors to evaluatestudent's progressby review, allowing counseling of the student so that an optimum amount of time can be spent reviewing areas of knowledge where the student is least is highly proficient. Statistically, success in EMSCAT Registry testing. To correlated with success in National EMS students, the further ease the burden of USA University is in the process of gaining certification to be a Pearson\rUE testing center so that graduatesofthe program can sit for National Registry testing at USA. LyndalCurr!/sSpicedRumCake 2 cupschoppedwalnuts(or pecans) ', 1 package(18.25oz)yellowcakemix 1 package(4 servingsize)instantvanilla puddingmix 4 eggs combinesugar,butter and Meanwhile,in a smallsaucepan, water and bring to a boil over medium heat; let boil for 5 minutes stirring often. Removefrom heat and allow to cool.sli$dy; Add,,remainingrum (I use at least,1/3,,.cup). , ,. 'tir ,,rAllow,thi, iake to cool slightly then pokCrhofes,'in, and the top with a fork or ice pick.nd pooi the rum sauceover the top of the cake.Allow the sauceto soakin and the cake to cool completely,then invert onto a servingplate. Slice and serve.Sprinklewith poweredsugarjustbeforeserving. lf you haveaccessto a turkey bastinginjector,that works much better to get the rum sauceinto the cake.I usea large Lnlov. ^A arrnE/ % cupspiced,ryndivided oil /z cupvegetable 1 cupsugar % cup(f stick)butter 7+cupwater Preheatthe oven to 350". Coat a 10" Bundt pan or 2,loaf panswith nonstick cooking spray.Spreadl/z-of the nuts over the bottom of the pan and set aside.Combine the cakeand pudding mixes,eggs,nuts, l/: cup rum and the oil and mk well in large bowl. Spoonover the nuts and bake for 45 - 50 minutes until toothpick comesout clean. q/rlng-el 161 \,v/ t\ q C.re,r; F 'lMed Chef is an annual article in The Responder dedicatedto recipessubmittedby trMS personnelwith whom we are acquainted.The recipescan be usedeasily by personnelin fire or ambulancestationsto preparemeals for hungry responderson dury - or by individuals to providepleasantand nutritious mealsfor growing families. W-e encourageany ofiour readersto submit recipesof their own for considerationor to provide feedbackconcerning with publishedrecipes. their experiences , l.tr'.' l.' ,.11, .l: ,i:.:., ' This year'srecipecomesfrom our own Lyndal Curry. Of her many talents,Llndal is especiallygifted in making desserts. This rum cakeis ALWAYS a big hit at facuity fi,rnctions,especiallyour annual Christmasbrealdast. Theoretically,the ium's alcohol denaruresduring the cooking process,however,experimentationhas proven that dependson how much you put in there - usethis recipe's proportionsifyou are going to serve"on duty." or feedback please e-.rnril To,,.send,.inl',reclpes,, gvarner@usouthal.edu ' Universityof SouthAlabama Departmentof EMS Educationand Centerfor EmergencyResponseTraining 2002 Old Bay Front Drive Mobile,AL 366'15-1427 DavidW. Burns,M.P.H.,EMT-P Chair FrankS. Pettyiohn,M.D. I ""a+"* tlsffiuioe : Crr-it rrro-SOOI AL Mohle, l SteveWhite, NREMT-P Instructor €orey Biggs,NREMT-P Instructor MedicalDirector DavidW. Burns,M.P.H.,EMT-P David Garmon, M.A.Ed.,NREMT-P ProgramDirector/ EMS Region6 CERTDirector Lyndal Curry M.A., NREMT-P ProgramDirector/ Bachelor'sDegreeProgram Rob Maxwell, M.F.A. Instructor/ CERTProgramCoordinator Gary Varner,M.P.H.,NREMT-P ProgramDirector / ParamedicProgram Reggie Norton, EMT-B SeniorCERTInstructor Charlie Erwin, 8.A., NREMT-P Faculty/ BasicEMT Coordinator Paul Phillips, EMT-B Instructor David Faggard,EMT-P ContinuingEducationCoordinator Bryant fohnson, EMT-B Instructor Charlotte Harlan, NREMT'P Clinical andField InternshipCoordinator Administration Ron Morgan, M.S.,NREMT-P Instructor leff €arter, NREMT-P Instructor Gail Knox ErsinOzcan SharonWalker