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The Center for Emergency Medicine of Western Pennsylvania is a multi-hospital consortium based in Pittsburgh, Pennsylvania. It is claimed to be one of the world's premiere centers of Emergency Medicine and EMS development. It currently ranks sixth for residencies in emergency medicine by reputation. [1]
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]
There are many ranks that a provider can hold within Pittsburgh EMS. Recruits graduate from the Training Division after a number of months, receiving training in operational policies, procedures and standards of care. Before training can be completed, recruits are assigned to units throughout the city for a field training period.
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]
It was the first nationally accredited paramedic training program in the United States. [11] Portland's Leonard Rose, M.D., in cooperation with Buck Ambulance Service, instituted a cardiac training program and began training ambulance personnel in ECG interpretation, CPR, and defibrillation in 1969. [12]
Paramedic (see Paramedics in the United States): Paramedic is specialist health care provider, autonomous practitioner , providing advanced assessment and management skills, various invasive skills, and extensive pharmacology interventions, Paramedic is the highest level in EMS and its extension to the emergency physician .
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A critical care paramedic, also known as an advanced practice paramedic or specialist paramedic, is a paramedic with additional training to deal with critically ill patients. [69] [70] [71] Critical care paramedics often work on air ambulances, which are more likely to be dispatched to emergencies requiring advanced care skills.
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