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Each state is free to add or subtract levels as each state sees fit. Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state.
In the state of Massachusetts a paramedic may administer the anti-convulsant, midazolam, up to a maximum of 6 mg . [33] While in Maine paramedics are allowed to administer midazolam in upwards of 10 mg boluses. [34] These pre-approved procedures are known as standing orders. Standing orders cannot surpass a provider's scope of practice.
The scope of medical practice for EMTs is regulated by state law, and can vary significantly both among states as well as inside states. In general, EMTs provide what is considered basic life support (BLS) and are limited to essentially non-invasive procedures.
EMTs are the next level of providers. Within the United States, there are three common levels of EMS personnel, each with an increased scope of practice: EMT, advanced EMT, paramedic, and critical care paramedic. Critical care paramedics have the most training of these levels.
Each Wisconsin municipality prioritizes 911 calls differently depending on resources. In Milwaukee, dispatchers classify calls as low or high priority depending on symptoms described in the 911 call.
The advanced EMT or AEMT is the new mid-level EMS provider that has been introduced at the national level according to the new national EMS scope of practice model. [3] The AEMT replaced the EMT-I/85 and EMT-I/99, however some states have continued to teach similar levels, but they are not nationally recognized.
EMS Compact Member States as of 05 JAN 2025 . 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 ...
In the United States, a physician delegates authority under an individual state's Medical Practice Act. This gives a paramedic the ability to practice within limited scope of practice in law, along with state DOH guidelines and medical control oversight. The authority to practice in this manner is granted in the form of standing orders (off ...