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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]
As of 2011, 38 states use the NREMT examination for EMT certification and 45 states use the NREMT examination for Paramedic certification. [3] These levels are denoted below using an asterisk (*). At present time, use of the NREMT examination for EMT-Intermediate 85 and 99 have not been included in this list.
The EMT-III program is a short upgrade program, and does not generally receive reciprocity with other states. [6] Arkansas licenses EMS providers at the levels of EMT, AEMT, and paramedic, following the NREMT guidelines for these levels. In addition to the National Scope of Practice, AEMTs in Arkansas can start Intraosseous infusions in adults ...
EMS providers may also hold non-EMS credentials, including academic degrees. These are usually omitted unless they are related to the provider's job. For instance, a paramedic might not list an MBA, but a supervisor might choose to do so.
Paramedics work as part of the emergency medical services (EMS), most often in ambulances. They also have roles in emergency medicine, primary care, transfer medicine and remote/offshore medicine. The scope of practice of a paramedic varies between countries, but generally includes autonomous decision making around the emergency care of patients.
Emergency medicine is a medical specialty—a field of practice based on the knowledge and skills required to prevent, diagnose, and manage acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of undifferentiated physical and behavioural disorders.