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As of 2011, 38 states use the NREMT examination for EMT certification and 45 states use the NREMT examination for Paramedic certification. [3] These levels are denoted below using an asterisk (*). At present time, use of the NREMT examination for EMT-Intermediate 85 and 99 have not been included in this list.
The NREMT was established in 1970 in response to a recommendation from President Lyndon Johnson's Committee on Highway Traffic Safety that recommended that a national certifying agency for Emergency Medical Technicians be created in order to establish and standardize training requirements. [2]
Importantly, this training can be conducted by an EMT-Basic with some field experience—which is a resource available "in-house" for many volunteer fire departments who do not have the resources for full EMT training. The first responder training is intended to fill the gap between First Aid and Emergency Medical Technician.
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]
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The ABC system for CPR training was later adopted by the American Heart Association, which promulgated standards for CPR in 1973. As of 2010, the American Heart Association chose to focus CPR on reducing interruptions to compressions, and has changed the order in its guidelines to Circulation, Airway, Breathing (CAB). [48]
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