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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 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.
EMT with intravenous authorization (EMT- IV is not a separate certification level but an authorization by an agency physician medical director after verification of approved education and skills competency) [9] Advanced EMT (AEMT) EMT-Intermediate (EMT-I) Paramedic [10] [11] Paramedic with Critical Care endorsement (P-CC)
NREMT also provides certification information for paramedics who relocate to another state. [26] Paramedics in training. Paramedic education programs can be as short as six months or as long as four years. An associate degree program is two years, often administered through a community college. Degree programs are an option, with two-year ...
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]
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.
"Emergency medical responder", or "EMR", [2] is an EMS certification level recognized by the National Registry of Emergency Medical Technicians. [ 3 ] The term "emergency medical responder" is used loosely in many states, with "first responder" and "medical first responder" still being common terms.
Each county developing an EMS system must designate a local EMS agency (LEMSA) which can be the county health department, an agency established and operated by the county, an entity with which the county contracts for the purposes of EMS administration or a joint powers agency. There are 34 single-county or multi-county local EMS agencies.