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EMT-Intermediate (state specific, phased out by Sept. 30 2013 however any EMT with this certification before Sept. 30 2013 could still be an intermediate and by the next recert cycle had to switch to AEMT) [56] EMT-Intermediate Advanced (analogous to EMT-Intermediate/99, phased out by Sept. 30, 2013 ) [56]
The training, knowledge base, and skill sets of both paramedics and emergency medical technicians (both competed for the job title, and 'EMT-Paramedic' was a common compromise) were typically determined by what local medical directors were comfortable with, what it was felt that the community needed, and what could actually be afforded.
For instance, a paramedic might not list an MBA, but a supervisor might choose to do so. The provider's credentials are separated from the person's name (and from each other) with commas. There are usually no periods within the credentials (e.g. "EMT" not "E.M.T." or "PMD" not "Paramedic").
This training can be completed in twenty-four to sixty hours. This training can be conducted by an EMT-basic with some field experience, which is a resource available in-house for many volunteer fire departments which do not have the resources or funds to conduct full EMT training. EMR training is intended to fill the gap between first aid and EMT.
An example of a P4 call is a reattendance of a job that was of a higher priority, arrest attempts or neighbourly dispute. The KPI for attendance of P4's is 24 hours. Priority 5 or P5 is a job that has been set for supervisor review. Various jobs may require a person of the rank of Acting Sergeant or higher to review the completed job.
EMT-Intermediates can establish IVs in addition to the EMT-basic skills. An Iowa paramedic is a NREMT-intermediate/99 and is not the highest level of care in Iowa. This allows them to insert ET tubes and perform needle decompressions, manual defibrillations and medication administrations. The Iowa paramedic specialist is the NREMT-paramedic.
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