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Any level that has been completely phased out (i.e. not used for new or continuing providers) is not listed. In some states there are also EMS-RN's which is a Registered Nurse trained in Pre-Hospital response. In the list, each state's certification levels are provided from most basic at the top to most advanced at the bottom.
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]
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.
Until the professionalization of emergency medical services in the early 1970s, one of the most common providers of ambulance service in the United States was a community's local funeral home. [9] This occurred essentially by default, as hearses were the only vehicles at the time capable of transporting a person lying down.
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]. AEMTs are not intended to ...
In the United States there are no federal guidelines for the scope of practice for any level of EMS provider. In the field, paramedics follow a set of pre-approved procedures and interventions for particular scenarios. For example, all fifty states allow for the administration of some form of anti-convulsive. [32]
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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).