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By about 1990, most of the 'trendiness' in pre-hospital emergency care had begun to disappear, and was replaced by outcome-based research and evidence-based medicine; [21] the gold standard for the rest of medicine. This research began to drive the evolution of the practice of both paramedics and the emergency physicians who oversaw their work ...
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 United States, paramedicine is the physician-directed practice of medicine, often viewed as the intersection of health care, public health, and public safety.While discussed for many years, the concept of paramedicine was first formally described in the EMS Agenda for the Future. [1]
The medical first response program is a program that responds personnel to a life-threatening emergency situation if they are closer than the paramedics to rapidly stabilize the scene and/or patient(s), to provide relevant medical information to paramedics before they arrive, and to support paramedic care on scene after paramedics arrive.
The National Registry of Emergency Medical Technicians (NREMT) is a US based, non-profit certification organization for pre-hospital emergency medical providers that exists to ensure that every Emergency Medical Technician has the knowledge and skills required for competent practice. [1]
EMT-Intermediate (EMT-I) (As of January 1, 2020 no new certifications are issued. Providers certified before 2020 may still practice under EMT-I (I/99) certification level, and renew it indefinitely with completion of CME hours each cycle.) Paramedic [60]
These same workers also tend to be opposed to overhauling the system. As the study pointed out, they remain loyal to “intervention techniques that employ confrontation and coercion — techniques that contradict evidence-based practice.” Those with “a strong 12-step orientation” tended to hold research-supported approaches in low regard.
An Emergency Care Practitioner (ECP) generally come from a background in paramedicine and most have additional academic qualifications, usually at university, with enhanced skills in medical assessment and extra clinical skills over and above those of a standard paramedic or qualified nurse.