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Each state is free to add or subtract levels as each state sees fit. Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state.
EMS providers work under the authority and indirect supervision of a medical director, or board-certified physician who oversees the policies and protocols of a particular EMS system or organization. [52] Both the medical director and the actions they undertake are often referred to as "Medical Control".
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.
Mar. 3—EAU CLAIRE — With a new state law about to come into effect and many remaining questions the county committee researching countywide emergency medical services has asked for an extension.
These protocols or guidelines are usually specific to a region or individual medical service, though some states have statewide protocols. For example, all fifty states allow for the administration of some form of anti-convulsive. [32] In the state of Massachusetts a paramedic may administer the anti-convulsant, midazolam, up to a maximum of 6 ...
Accurate use of protocols establishing the priority of various cases is critical. The standard for emergency dispatcher training is becoming very high. Some emergency medical services - (EMS) dispatch agencies use "Priority" dispatching to establish the urgency of a given request for service, or ”call”.
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 ...
This Protocol was created to handle the influx of emergency calls during the H1N1 pandemic: it directed that Standard EMS Resources be delayed until patients could be assessed by a Flu Response Unit (FRU), a single provider that could attend a patient and determine what additional resources were required for patient care to reduce the risk of ...