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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.
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 ...
In the case of partial integration, the EMS staff may share quarters, administrative services, and even command and control with the other service. [7] In the case of full integration, the EMS staff may be fully cross-trained to perform the entry-level function of the other emergency service, whether firefighting or policing. [8]
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.
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].
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[86] [87] They may also provide advice and devise protocols for treatment, with a medical director acting as the most senior medical adviser to the ambulance service. In the United States, EMS became an officially recognized subspecialty by the American Board of Emergency Medicine in 2010, and the first examinations were held in 2013. [88]
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 ...