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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.
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 particular, in the US state of California, in Seattle, Washington state , and in Miami, projects began to include paramedics in the EMS responses in the early 1970s. Groups in Pittsburgh, Pennsylvania , Charlottesville, Virginia and Portland, Oregon were also early pioneers in pre-hospital emergency medical training.
Using NHTSA guidelines, the National Registry of Emergency Medical Technicians have developed and implemented certification tests for the NHTSA EMT levels, including the EMT level. [11] As of 2006, 39 US states utilize the NREMT EMT exam as part of the state licensing and/or certification procedure.
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 ] .
Is usually made up of 3 levels in the US. EMT-B, EMT-I (EMT-A in some states) and EMT-Paramedic. The National Registry of EMT New Educational Standards for EMS renamed the provider levels as follows: Emergency Medical Responder (EMR), Emergency Medical Technician (EMT-B), Advanced EMT (AEMT), and Paramedic (EMT-P).
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Emergency medical transportation began in the city of New Orleans with hospital-based horse-drawn ambulances in the early 1900s. [3] Charity Hospital was one of the first hospitals in the United States to provide emergency medical transportation. [3] The current EMS agency began in 1947 as the EMS division within the New Orleans Police Department.