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The use of the terms "EMT-Intermediate/85" and "EMT-Intermediate/99" denotes use of the NHTSA EMT-Intermediate 1985 curriculum and the EMT-Intermediate 1999 curriculum respectively. In addition, not all states use the "EMT" prefix for all levels (e.g. Texas uses EMT-Paramedic and Licensed Paramedic).
The modern EMS system in King County began operation in 1970 with 15 paramedics staffing one paramedic unit in Seattle. In 2009, there were 255 paramedics [3] from six paramedic programs staffing 26 paramedic units. [4] [5] The system is a dynamic layered response system. An EMS response to an emergency begins with a telephone call to 9-1-1.
Using NHTSA guidelines, the National Registry of Emergency Medical Technicians have developed and implemented certification tests for the NHTSA EMT levels, including the EMT level. [11] As of 2006, 39 US states utilize the NREMT EMT exam as part of the state licensing and/or certification procedure. [12]
The United States EMS Compact, officially known as the Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA), is an interstate compact designed to facilitate the day-to-day practice of Emergency Medical Services personnel across state lines. The Compact provides a framework for states to extend a "privilege to practice" for ...
Paramedics function as part of a comprehensive EMS response under physician medical direction. Paramedics often serve in a prehospital role, responding to Public safety answering point calls in an ambulance. The paramedic serves as the initial entry point into the health care system. A standard requirement for state licensure involves ...
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In the state of Washington, EMT-basic protocols are similar to those in Iowa. Certified EMT-B personnel can administer EpiPen per state protocols and can insert a combitube. The Washington EMT-B can set up and maintain an IV that is non-medicated, but EMT-I certification is required to start the IV.
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