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EMT-Intermediate (state specific, phased out by Sept. 30 2013 however any EMT with this certification before Sept. 30 2013 could still be an intermediate and by the next recert cycle had to switch to AEMT) [56] EMT-Intermediate Advanced (analogous to EMT-Intermediate/99, phased out by Sept. 30, 2013 ) [56]
Patient being loaded into a Seattle Medic One ambulance circa 1970 Seattle Paramedic Unit King County Paramedic Unit. In 1968, motivated by the work of Frank Pantridge, cardiologist Leonard Cobb proposed to the chief of the Seattle Fire Department, Gordon Vickery, training firefighters to treat cardiac arrest.
The training, knowledge base, and skill sets of both paramedics and emergency medical technicians (both competed for the job title, and 'EMT-Paramedic' was a common compromise) were typically determined by what local medical directors were comfortable with, what it was felt that the community needed, and what could actually be afforded.
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 Washington, D.C. Fire Department [17] was investigated for cheating on the NREMT certification exam; [18] however, an extensive investigation [19] by the NREMT and Pearson VUE, with assistance from the DC Fire and EMS department [20] as well as the DC police, revealed no evidence of cheating at Pearson VUE's LaPlata, MD testing center.
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