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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]
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.
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]
In 1979, Cobb and UW professor Mickey Eisenberg began training fire department emergency medical technician - Basics (EMT-Bs) to perform the administration of defibrillation for patients in cardiac arrest since the EMTs were usually at the patient's side several minutes before the paramedics. Eisenberg began training 9-1-1 dispatchers to ...
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.
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