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Any provider between the levels of Emergency medical technician and Paramedic is either a form of EMT-Intermediate or an Advanced EMT. The use of the terms "EMT-Intermediate/85" and "EMT-Intermediate/99" denotes use of the NHTSA EMT-Intermediate 1985 curriculum and the EMT-Intermediate 1999 curriculum respectively.
In California, for example, each county's local emergency medical service agency (LEMSA) issues a list of standard operating procedures or protocols, under the supervision of the California Emergency Medical Services Authority. These procedures often vary from county to county based on local needs, levels of training and clinical experiences. [44]
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.
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.
The Emergency Medical Services System and Prehospital Emergency Medical Care Personnel Act (California Health and Safety Code sections 1797 et seq.) created the Emergency Medical Services Authority in 1980. This legislation (SB 125) was the culmination of several years of effort by local administrators, health care providers, consumer groups ...
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.
Freedom House Ambulance Service was the first emergency medical service in the United States to be staffed by paramedics with medical training beyond basic first aid. [ 24 ] In the late 1960s, Dr. R Adams Cowley was instrumental in the creation of the country's first statewide EMS program, in Maryland.
Importantly, this training can be conducted by an EMT-Basic with some field experience—which is a resource available "in-house" for many volunteer fire departments who do not have the resources for full EMT training. The first responder training is intended to fill the gap between First Aid and Emergency Medical Technician.