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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 ...
Each state is free to add or subtract levels as each state sees fit. Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state.
EMS delivery in the US can be based on various models. While most services are, to some degree, publicly funded, the factor which often differentiates services is the manner in which they are operated. EMS systems may be directly operated by the community, or they may fall to a third-party provider, such as a private company. [2]
Most states use or require NREMT testing for some level of state certification. [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]
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EMS providers may also hold non-EMS credentials, including academic degrees. These are usually omitted unless they are related to the provider's job. 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.
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.
Grady EMS is an emergency care provider owned by Grady Healthcare System, established in 1892 in Atlanta, Georgia. Grady EMS provides advanced life support to any citizen or visitor in the City of Atlanta in Fulton County. Grady EMS staffs more than 350 personnel and maintains a fleet of more than 46 ALS ambulances.