Mick J. Sanders, EMT-P, MSA, received his paramedic training in 1978 from St. Louis University Hospitals. He earned a Bachelor of Science degree and a Master of Science degree from Lindenwood University in St. Charles, Missouri. He has worked in various health care systems as a field paramedic, emergency department paramedic, and EMS instructor. For 12 years, Mr. Sanders served as Training Specialist with the Bureau of Emergency Medical Services, Missouri Department of Health, where he oversaw EMT and paramedic training and licensure in St. Louis city and the surrounding metropolitan areas. Kim D. McKenna, MEd, RN, CEN, EMT-P, is the Director of Education for the St. Charles County Ambulance District and Adjunct Professor at Lindenwood University, located in the metropolitan St. Louis, Missouri area. There she is primary instructor for the paramedic program, program director for the district's emergency medical technician programs, and leads a training staff that provides education for district paramedics and for firefighters and emergency personnel within St. Charles County. Kim has been teaching in EMS for more than 25 years. She formerly worked as an emergency and intensive care nurse, and served as Chief Medical Officer for the Florissant Valley Fire Protection District for 6 years. Kim was the EMR Project Level Leader for the National EMS Education Standards project and is currently a Board of Director for the National Association of EMS Educators.