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Any level that has been completely phased out (i.e. not used for new or continuing providers) is not listed. In some states there are also EMS-RN's which is a Registered Nurse trained in Pre-Hospital response. In the list, each state's certification levels are provided from most basic at the top to most advanced at the bottom.
An advanced emergency medical technician (AEMT) is a provider of emergency medical services in the United States.A transition to this level of training from the emergency medical technician-intermediate, which have somewhat less training, [1] began in 2013 and has been implemented by most states [citation needed].
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 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]
For example, some paramedics in New Hampshire may be allowed to perform a surgical cricothyrotomy, medics in Virginia are allowed to use ultrasound as a diagnostic technique and paramedics in Arizona are allowed to perform rapid-sequence intubation utilizing paralytic and sedating medication to completely control a patient's airway. [50] [51] [52]
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Some protocols also utilise a single-letter suffix which may be added to the end of the code to provide additional information, e.g. the code 6-D-1 is a patient with breathing difficulties who is not alert, 6-D-1A is a patient with breathing difficulties who is not alert and also has asthma, and 6-D-1E is a patient with breathing difficulties ...
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.