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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 ...
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)
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]
In some larger communities, EMS may be self-dispatching. Where EMS is operated as a division of the Police or Fire Departments, it will generally be dispatched by those organizations. Dispatching may occur through state-licensed EMS dispatch centers, which are operated by one service but provide dispatch to several counties.
The modern EMS system in King County began operation in 1970 with 15 paramedics staffing one paramedic unit in Seattle. In 2009, there were 255 paramedics [3] from six paramedic programs staffing 26 paramedic units. [4] [5] The system is a dynamic layered response system. An EMS response to an emergency begins with a telephone call to 9-1-1.
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In the state of Washington, EMT-basic protocols are similar to those in Iowa. Certified EMT-B personnel can administer EpiPen per state protocols and can insert a combitube. The Washington EMT-B can set up and maintain an IV that is non-medicated, but EMT-I certification is required to start the IV.
The attempted robbery took place just before 5 a.m. on Dec. 9, according to ABC News' Washington affiliate KOMO. Failed ATM robbers crash truck into Walgreens storefront, leave empty-handed Skip ...