
English: 
Ambulance Siren. Z: Good morning and welcome to another
episode of... S: I don't know, what did we..
laughing.... Z: Good morning and welcome to
another episode of. S: Paramedics for you
too. Z: My name is Zach and this is Stacy.
and we are going to introduce ourselves since
this is our first episode ever. Um, we both
work in Tennessee. I am a Critical Care paramedic
with a service. I have state of TN Critical
Care and I am a nationally registered paramedic.
(Sarcasm) Which sounds exciting, but it is
not... I have been doing this for about 8 years.
S: I am a "paramedic Basic" for the state
of TN. At the same service, that will go unnamed.
and I do not have any desire to be critical
care. Z: sarcasm but why wouldn't you want
to be critical care, it is so much fun. I
don't understand. On today's episode we are

English: 
Ambulance Siren
good morning and welcome to another
episode of
i don't know what it doing
good morning and welcome to another
episode of
paramedics for you too my name is zach
and this is stacy
and we're going to introduce ourselves
since this is our first episode ever
um we both work in tennessee i'm a
critical care paramedic with a service
here i have
state of tennessee critical care and i
am a nationally registered paramedic
(sarcastic voice)which sounds exciting but it's not.
i've been doing this for about eight
years and i am a paramedic
basic uh for the state of tennessee
at the same service that will go unnamed
uh
and i do not have any desire to ever be
critical care
(sarcastic voice) but why don't you want to be critical care
it's so much fun i don't understand
in today's episode we're going to be
talking to you about just about the

English: 
going to be talking to you about the basic
history of EMS. By no means is this the full
history or is this even scratching the surface,
but we didn't want to bore you too much. EMS
got started during the civil war. Mostly with
nurses, our buddies, be nice to your nurses.
We all work together in a chain. Started during
the civil war with nurses treating patients
out in the field and it progresses most of
the time through each war we get more skills
that are kind of passed down to us from the
military. As well as new medications and new
ways of doing treatments. S: Especially Vietnam.
Z: yes. Vietnam was a big one. S: And then
we got to like the 1960s and 70s and we had
car wrecks and people would load and go and
grab em and throw them in the hearse then
they went to the hospital or they went to
the funeral home. Literally! LITERALLY hearses.
Not true ambulances. So... Z: and at the same
time in the 50s and 60s they were also kind
of making some more regulated ways of doing

English: 
basic history of ems by no means is this
the full history or is this even
a scratching the surface but we didn't
want to bore you too much
um ems got started during the civil war
um
mostly with nurses our buddies everybody
should be nice to their nurses we all
work together in a chain
um but it started in the civil war with
nurses treating patients out in the
field and it progresses most of the time
through each war we get more skills
that are kind of passed down to us from
the military as well as new medications
and new ways of doing treatments
especially vietnam yes vietnam was a big
one
really picked up um and then we
had you know got to like the 1960s and
70s and we had you know
car wrecks and people would load and go
go and
grab them and throw them in the hearse
and either they went to the hospital or
they went to the funeral home literally
LITERALLY hearses not true ambulances so
yeah and in the same time the in the 50s
and 60s they were also
kind of making some more regulated ways

English: 
of doing cpr cardiopulmonary
resuscitation
so that kind of helped promote people
actually being trained to treat patients
out in the field
the national highway safety act of 1966
created the d.o.t or the department of
transportation which still oversees a
majority of the needs for ems agencies
around the country
doesn't make sense but then we have the
pittsburgh freedom house
uh that's actually pretty not well known
and i don't think it's taught in
school i didn't know about it until
actually you mentioned it which i think
is kind of sad because
you know it was actually it actually
became the gold standard
yeah and i didn't get taught it in
school i've learned it online through
other paramedics
on facebook i think it was but it was a
Black inner city community that
kind of made an ems service for
themselves
and like he said it became the gold
standard and
kind of what we do today yeah so most of
the paramedic
schools that actually started after that
era actually based a lot of their

English: 
CPR, cardiopulmonary resuscitation. So that
kind of helped promote people actually being
trained to treat patients out in the field.
The National Hwy Safety Act of 1966 created
the DOT or the Department of Transportation
which still oversees the majority of the  needs
of EMS agencies around the country. S: Doesn't
make sense, but then we have the Pittsburgh
Freedom House (PFH) that's actually pretty
not well known and I don't think it's taught
in school. Z: I didn't know about it until
actually you mentioned it, which I think is
kind of sad, because it was actually the gold
standard. S: I didn't get taught it in school.
I learned about it online through other paramedics
on Facebook. but it was a Black inner city
community that kind of made an EMS service
for themselves (see the description for the
link) and like he said it became the gold
standard, and kind of what we do today. Z:
yeah most of the paramedic schools that actually
started after that era actually based a lot

English: 
of their training on how the PFH ambulance
service was ran and how they did their training
in the beginning. S: So that's kind of cool.
Z: yeah I thought that was kind of awesome,
so... S: but that brings us to more of today's
setup. which is not, there is no clear way
to define what EMS is today which is part
of our problem in EMS. So you have like volunteers
and fire houses and then you've got true EMS,
then you've got private EMS. So it is hard
to define exactly what EMS is at this point.
Z: yeah there is a lot of um, variations.
Like both of us work in TN so we know that
from county to county things change. It's
not like there is a set way to do things through
the state of TN. The state of TN has a set
of protocols, but your medical director who
is over you ambulance service for your county
or city which ever way it goes, can actually
make changes to those and restrict what you

English: 
training
on how the um pittsburgh freedom house
ambulance service was ran and how they
did their training in the beginning
that's kind of cool yeah i thought that
was awesome so so
yeah but uh that brings us to more of
today's
today's setup which is not there's no
clear
way to define what ems is today which is
part of our problem in ems
um so you have like volunteers and you
have fire houses and then you've got
true ems
and you've got private ems so
it's hard to define exactly what ems is
at this point
yeah i think there's a lot of um
variation so like i
both of us work in tennessee so we know
that from county to county things
change um it's not like there is just a
set
way to do things through the state of
tennessee the state of tennessee has its
set of protocols
but your medical director who is over
your ambulance service for your county
or your city whichever way it goes

English: 
can actually make changes to those and
restrict what you can do or expand what
you can do in the field depending on
what they feel comfortable with
and um unlike nursing where it's kind of
just
come together and it's an older
profession so they are able to have a
more
localized way of doing things and they
can actually it expands from state to
state that's why there's like what a
the nursing license comes with uh it's
like 30 something states that if you're
licensed in one of those 30-something
states you're licensed
in the other 30-somethings yeah
multi-state licensure right
but for paramedics it's a little bit
more difficult since it varies so much
so tune in next week we will be talking
about the different licensure levels of
ems which is going to be pretty much
anything pre-hospital so i'll be talking
about emr
first and then we'll be talking about
emt basic
aemt which is advanced emt and then
paramedic
um as we go over each of those
licensures we'll talk kind of how they
vary from state to state because not all
states adhere to national registry
tennessee has critical care whereas some

English: 
can do or expand what you can do in the field
depending on what they feel comfortable with.
and um, like nursing where it has come together
and it's an older profession so they are able
to have a more localized way of doing things.
and they can actually expand from state to
state. That's why there is like, what? The
nursing license come with. S: It's like 30
something states that if you are licensed
in one of those, you are licensed in the others.
Z: Multi state licensure. but for paramedics
it's a little more difficult it varies so
much. So, tune in next week when we will be
talking about the different licensure levels
of EMS which is going to be pretty much anything
prehospital. So we will be talking about EMR
first, and the we will be talking about EMT
Basic, AEMT which is advanced EMT, and then
paramedic. As we go over each of those licensures
we will talk about how they vary from state
to state because not all states adhere to
National Registry. TN has critical care where

English: 
as some other states do not. But if that sounds
like something interesting, please down below,
sorry, I'm not use to this camera yet, this
is fantastic. Like and subscribe, and we will
see you next time. Have a good day. S: Byeee.
Z: Peace........ S: Sorry. Z: yeah that's
fine, no I mean actually with that program
it's super easy just to "mimics typewriter clicking".

English: 
other states do not
um but if that sounds like something
interested please
down below sorry i'm not used to this Camera yet
yeah this is fantastic
like and subscribe and uh we'll see you
next time have a good day
bye ....sorry yeah that's fine no
actually with that program it's super
easy just to (mimics type writer clicking)
you
