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(C) physiological aspects of pressure and the atmosphere, including composition, layers and physiological divisions of the atmosphere, atmospheric pressure, the circulation system, basic respiratory physiology, hypoxia and shock, cabin pressurization and decompression, gas expansion disorders, evolved gas problems, and acceleration or deceleration forces on the body;

(D) supporting activities, such as recordkeeping and the role of protocols and standing orders;

(E) lifting and moving patients, survival during inflight emergencies, and general inflight patient care, including care of patients who require special considerations in the airborne environment;

(F) medical equipment used aboard aircraft;

(G) changes in barometric pressure, decompression sickness and air embolism, and changes in partial pressure of oxygen;

(H) other environmental factors affecting patient care, including humidity, temperature, ventilation, and noise;

(I) aircraft systems, including electrical, pressurization, lighting, and ventilation; and

(J) aircraft emergencies such as electrical failure, rapid decompression, emergency landings, and principles of survival;

(22) “direct or indirect supervision” means direct voice contact or by written standing orders;

(23) “distance delivery education” means educational activities in which the student and the instructor are not in the same physical location; “distance delivery education” includes videoconference or teleconference, performing directed studies, distributed learning, and virtual instructor lead training;

(24) “EMD” means an emergency medical dispatcher;

(25) “EMD medical director” means a physician who is authorized to practice medicine in this state who assumes medical oversight of emergency medical dispatch services, including the approval of systematized caller interrogation questions, systematized pre-arrival instructions, and protocols to match the dispatcher’s evaluation of injury or illness severity and the number of victims with vehicle response modes and configurations;

(26) “emergency medical dispatcher” means a person certified by the department who has successfully completed a department-approved emergency medical dispatcher course and has met all other department requirements for certification;

(27) “emergency medical dispatch priority reference system” means a protocol system