After students complete this chapter and the related course work, they will understand the origins and presentday structure of emergency medical care delivery systems. The emergency medical technicians (EMT’s) roles, responsibilities, and relationship to the emergency medical services (EMS) system as well as the EMT’s role in the quality improvement process are explained, and other levels of EMS providers are described. The foundations necessary for being a competent, effective, caring, and ethical EMT are presented. The interrelationships of the National Highway Traffic Safety Administration’s 14 components of the EMS system, per the EMS Agenda for the Future, are outlined. Also described is the EMT’s impact on research, data collection, and evidencebased decision making, as well as the EMT’s responsibilities as a student and a practitioner.

0:00 Introduction
0:10 National EMS Education Standard Competencies (1 of 3)
1:21 National EMS Education Standard Competencies (3 of 3)
1:26 Introduction
4:46 EMT Training: Focus and Requirements
4:59 Licensure Requirements (1 043)
6:09 Licensure Requirements (313)
7:17 Overview of the EMS System (3 of 3)
10:40 Emergency Medical Responders
11:35 Advanced Emergency Medical Technicians
11:56 Paramedics
12:23 Components of the EMS System
12:55 Public Access
13:29 Human Resources
14:26 Medical Direction (1 of 2)
15:02 Legislation and Regulation
15:34 Integration of Health Services
15:53 Mobile Integrated Health Care (2012)
17:07 Information Systems
17:24 Evaluation
17:45 Continuous Quality Improvement (CQI)
18:12 Patient Safety
18:29 System Finance (1 of 2)
19:44 Education Systems
20:38 Prevention and Public Education (1 of 2)
21:50 EMS Research
22:24 Roles and Responsibilities of the EMT (1 of 4)
22:32 Roles and Responsibilities of the EMT (1014)
23:31 Professional Attributes (113)
24:18 Professional Attributes (2 of 3)