Emergency medical services training levels: Difference between revisions

(Added to paramedic scope to reflect current US standard.)
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{| class="wikitable sortable"
{| class="wikitable sortable"
|+ US levels of EMS personnel training<ref name=National EMS Scope of Practice Model>[http://www.ems.gov/education/EMSScope.pdf National EMS Scope of Practice Model]</ref>
|+ US levels of EMS personnel training
|-
|-
! scope="col" | '''Current Name'''
! scope="col" | '''Current Name'''
! scope="col" | '''Former Name'''
! scope="col" | '''Former Name'''
! scope="col" | '''Training Requirements'''<ref name=National EMS Education Standards>[http://www.ems.gov/pdf/811077a.pdf National EMS Education Standards]</ref>
! scope="col" | '''Training Requirements'''
! scope="col" | '''Authorized Skills'''
! scope="col" | '''Authorized Skills'''
|-
|-
| Emergency Medical Responder||First Responder||~60 hours||
| Emergency Medical Responder||First Responder||~60 hours||
*Basic first aid and airway management (including [[OPA]] and BVM)
*Basic first aid and airway management (including [[OPA]] and BVM)
*AED  use
*CPR and AED  use
*Epi-pen
*Epi-pen
|-
|-
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*Advanced first aid and airway management (including [[OPA]]/NPA and BVM)
*Advanced first aid and airway management (including [[OPA]]/NPA and BVM)
*Assist patients in taking home meds
*Assist patients in taking home meds
*Limited medication administration (ASA, epinephrine, oral glucose, etc per medical director)
*Limited medication administration (ASA, NTG, IM Epinephrine, Nalaxone, oral glucose, etc per medical director)
*Oxygen administration
*Oxygen administration
*Monitoring vitals
*Monitoring vitals
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| Advanced Emergency Medical Technician||EMT - Intermediate||~300-450 hours||
| Advanced Emergency Medical Technician||EMT - Intermediate||~300-450 hours||
*Initiate IVs/IOs
*Initiate IVs/IOs
*Limited IV medication administration (D10, Epi 1:10000)  
*Limited IV medication administration (D10, Epi 1:10000 in Cardiac Arrest, Nitrous Oxide)  
*Fluid Resuscitation  
*Fluid Resuscitation  
*Airway management (including [[Supraglottic airway]] but NOT endotracheal tube)
*Airway management (including [[Supraglottic airway]] but NOT endotracheal tube)
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*Chest tube monitoring
*Chest tube monitoring
|}
|}
Note: there remains considerable variability among state laws related to EMS scope of practice as well as agency guidance and medical direction/protocols. 


==See Also==
==See Also==
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==References==
==References==
<references/>
<references/>
*[https://www.ems.gov/assets/EMS_Education-Standards_2021_FNL.pdf National EMS Education Standards]


[[Category:EMS]]
[[Category:EMS]]

Latest revision as of 18:24, 5 May 2025

US levels of EMS personnel training
Current Name Former Name Training Requirements Authorized Skills
Emergency Medical Responder First Responder ~60 hours
  • Basic first aid and airway management (including OPA and BVM)
  • CPR and AED use
  • Epi-pen
Emergency Medical Technician EMT - Basic ~150-200 hours
  • Advanced first aid and airway management (including OPA/NPA and BVM)
  • Assist patients in taking home meds
  • Limited medication administration (ASA, NTG, IM Epinephrine, Nalaxone, oral glucose, etc per medical director)
  • Oxygen administration
  • Monitoring vitals
Advanced Emergency Medical Technician EMT - Intermediate ~300-450 hours
  • Initiate IVs/IOs
  • Limited IV medication administration (D10, Epi 1:10000 in Cardiac Arrest, Nitrous Oxide)
  • Fluid Resuscitation
  • Airway management (including Supraglottic airway but NOT endotracheal tube)
Paramedic EMT - Paramedic 1000-2000 hours
  • Initiate IVs/IOs
  • 30-40+ Medications (including narcotics, benzodiazepines)
  • Cardiac monitoring and 12-lead ECG interpretation
  • Ultrasound
  • Manual defibrillation and cardioversion
  • Transcutaneous pacing
  • Advanced Airway including endotracheal tube, RSI/DSI
  • Needle/Surgical cricothyrotomy
  • Needle Chest Decompression and/or Finger Thoracostomy
  • Chest tube monitoring

Note: there remains considerable variability among state laws related to EMS scope of practice as well as agency guidance and medical direction/protocols.

See Also

References

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