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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.
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 ...
An EMS provider's post-nominal (listed after the name) credentials usually follow his or her name in this order: Highest earned academic degree in or related to medicine, (e.g. "MD") Highest licensure or certification (e.g. "NRP") Further certifications (e.g. "CCEMT-P") Generally, credentials are listed from most to least prestigious.
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]
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]
Gila River EMS employs approximately 80 full and part-time staff certified at the Basic EMT and Paramedic levels. All administrative staff are certified by the State of Arizona at the paramedic level. In addition to providing 9-1-1 emergency services, the department is heavily involved in community services.
An advanced emergency medical technician (AEMT) is a provider of emergency medical services in the United States.A transition to this level of training from the emergency medical technician-intermediate, which have somewhat less training, [1] began in 2013 and has been implemented by most states [citation needed].
The earliest ambulances were usually accompanied by a physician on emergency call. [2] However, by the 1960s, ambulance services, while becoming ubiquitous, were poorly supported and staffed and unevenly trained. 50% of the ambulance services were provided by morticians, primarily because their hearses were able to accommodate patients on litters. [2]