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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).
Most paramedic education and certifying programs require that a student is at a minimum educated and trained to the National Standard Curriculum for a particular skill level. [25] The National Registry of Emergency Medical Technicians (NREMT) is a private, central certifying entity whose primary purpose is to maintain a national standard.
There are six skill levels obtainable. They are divided into responder and practitioner categories. As of September 2019, all practitioners working on an emergency ambulance must be trained to a minimum of paramedic, however in 2021 this minimum requirement was temporarily waived allowing an EMT to crew with a paramedic or advanced paramedic for the remainder of the COVID-19 era.
EMT training is regulated at both the state and federal level. At the federal level, the National Highway Traffic Safety Administration (NHTSA) has developed a minimum content and hour curriculum, but it is not binding on the states. This is known as the National Standard Curriculum. [3]
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].
Paramedic education programs typically follow the U.S. NHTSA EMS Curriculum, DOT or National Registry of EMTs. [40] While many regionally accredited community colleges offer paramedic programs and two-year associate degrees, a handful of universities also offer a four-year bachelor's degree component. [ 41 ]
In the United States, paramedicine is the physician-directed practice of medicine, often viewed as the intersection of health care, public health, and public safety.While discussed for many years, the concept of paramedicine was first formally described in the EMS Agenda for the Future. [1]
Similarly, the National Association of Emergency Medical Technicians has developed the Prehospital Trauma Life Support (PHTLS) course for basic Emergency Medical Technicians (EMT)s and a more advanced level class for Paramedics. The International Trauma Life Support committee publishes the ITLS-Basic and ITLS-Advanced courses for prehospital ...