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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 addition, not all states use the "EMT" prefix for all levels (e.g. Texas uses EMT-Paramedic and Licensed Paramedic).
Paramedic programs began to be established in many counties in California. Before 1980, the responsibility for emergency medical services (EMS) and disaster medical preparedness was spread among a variety of state departments. It became clear that a more unified approach to emergency and disaster medical services was needed.
In addition to class time, the NHTSA recommends clinical rotations on board ambulances and in emergency departments. 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]
This list of emergency medicine courses contains programs often required to be taken by emergency medical providers, including emergency medical technicians, paramedics, and emergency physicians. Prehospital
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.
This training can be completed in twenty-four to sixty hours. 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 which do not have the resources or funds to conduct full EMT training. EMR training is intended to fill the gap between first aid and EMT.
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