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Individual states are allowed to use NREMT certification as part of their certification process, but are not required to. 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 (*).
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]
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 ...
As of 2004, the largest "Private Enterprise" provider of contract EMS services in North America was American Medical Response, [47] based in Greenwood Village, Colorado. The second-largest US EMS provider is Rural/Metro Corporation, [48] based in Scottsdale, Arizona; Rural/Metro Corporation also provides EMS services to parts of Latin America ...
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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 . It provides stand-by services for community events and operates a public relations group that attends local health fairs and community events to ...
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]
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