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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]
[25] [26] Currently, NREMT exams are used by 46 states as the sole basis for certification at one or more EMT certification levels. [27] A NREMT exam consists of skills and patient assessments as well as a written portion. On June 12, 2019, the NREMT changed the rules regarding age limits for EMTs, AEMTs, and paramedics.
Using NHTSA guidelines, the National Registry of Emergency Medical Technicians have developed and implemented certification tests for the NHTSA EMT levels, including the EMT level. [2] As of 2006, 39 US states utilize the NREMT EMT exam as part of the state licensing and/or certification procedure.
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.
EMT-CC - Emergency Medical Technician - Critical Care [citation needed] EMT-CT - Emergency Medical Technician - Cardiac Tech [citation needed] EMT-M - Emergency Medical Technician - MAST (Military Anti-Shock Trousers) EMT-T - Emergency Medical Technician - Tactical [10] EMT-ST - Emergency Medical Technician - Shock Trauma [citation needed]
Iowa EMT-basics can administer EpiPen per protocol, insert a combitube, and set up and maintain (but not start) an IV that is non-medicated as well as all other basic skills. EMT-Intermediates can establish IVs in addition to the EMT-basic skills. An Iowa paramedic is a NREMT-intermediate/99 and is not the highest level of care in Iowa.
The training, knowledge base, and skill sets of both paramedics and emergency medical technicians (both competed for the job title, and 'EMT-Paramedic' was a common compromise) were typically determined by what local medical directors were comfortable with, what it was felt that the community needed, and what could actually be afforded.
This training can be completed in twenty-four to sixty hours. 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 which do not have the resources or funds to conduct full EMT training. EMR training is intended to fill the gap between first aid and EMT.
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