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In addition, not all states use the "EMT" prefix for all levels (e.g. Texas uses EMT-Paramedic and Licensed Paramedic). Finally, some states have levels that have partially been phased out. While no new certifications are provided at this level, providers can sometimes be grandfathered in provided they meet recertification requirements.
[2] [7] [8] NREMT recognizes four levels of EMS: EMR, EMT, Advanced EMT, and Paramedic (some states may have additional certifications). [7] NREMT certification at an EMT Intermediate level may or may not be sufficient for some state EMT-I requirements. [9]
EMT-C or higher licensure may be required by Rhode Island fire departments, who provide emergency medical services in the majority of the state. [13] [14] Tennessee EMTs are licensed at either the EMT-IV (intravenous therapy) level or the EMT-paramedic level. EMT-IVs are trained to the NREMT-B standard in accordance with DOT regulations, as ...
Paramedic programs began to be established in many counties in California. Before 1980, the responsibility for emergency medical services (EMS) and disaster medical preparedness was spread among a variety of state departments. It became clear that a more unified approach to emergency and disaster medical services was needed.
An emergency medical technician (often, more simply, EMT) is a medical professional that provides emergency medical services. [1] [2] EMTs are most commonly found serving on ambulances and in fire departments in the US and Canada, as full-time and some part-time departments require their firefighters to at least be EMT certified.
The show's technical advisor was a pioneer of paramedicine, James O. Page, [18] then a Battalion Chief responsible for the Los Angeles County Fire Department 'paramedic' program, but who would go on to help establish other paramedic programs in the U.S., and to become the founding publisher of the Journal of Emergency Medical Services. [19]
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 ...
Until the professionalization of emergency medical services in the early 1970s, one of the most common providers of ambulance service in the United States was a community's local funeral home. [9] This occurred essentially by default, as hearses were the only vehicles at the time capable of transporting a person lying down.