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Emergency medical technician
Medical Emergencies
What types of physicians must be on an ambulance?
If a physician medical emergency responder must respond to on spot medical emergency through emergency medical services with an ambulance, why do we need EMR (Emergency Medical Responder), EMT (Emergency Medical Technician), AEMT (Advanced Emergency Medical Technician), Emergency Medical Services (EMS) Instructor, Paramedic as medical emergency responders?
What do states have to do about emergency medical responders?
What is an EMT?
Are there other jobs like this?
What does an EMT do?
How long does it take to be a paramedic?
What's the Difference Between an EMT and a Paramedic?
What is the difference between an EMT and EMS?
What does an EMT do?
How do EMTs interact with other health professions workers?
What was it like to work as an EMT?
How do you become an EMT?
Is this a paid or volunteer position?
What is the time commitment?
What advice do you have for someone interested in becoming an EMT?
What is the difference between an EMT and an EMR?
What is an emergency medical responder?
Medical Emergencies


What types of physicians must be on an ambulance?
This ambulance must have a physician medical emergency responder (first responder).
The physician medical emergency responder (first responder) is also known as emergency medicine specialist (first responder).

If a physician medical emergency responder must respond to on spot medical emergency through emergency medical services with an ambulance, why do we need EMR (Emergency Medical Responder), EMT (Emergency Medical Technician), AEMT (Advanced Emergency Medical Technician), Emergency Medical Services (EMS) Instructor, Paramedic as medical emergency responders?
There are few physician medical emergency responders, physician medical emergency rooms and physician intensive care units available.

Because of the lack of physician medical emergency responders, EMRs (Emergency Medical Responder), EMTs (Emergency Medical Technician), AEMTs (Advanced Emergency Medical Technician), and Emergency Medical Services (EMS) Instructors, paramedics are required in certain situations.

What do states have to do about emergency medical responders?
Standardize emergency medical responder levels.
Emergency medical specialists (first responders) also known physician medical emergency responders or the equivalent must be first responders among emergency medical responders.
Here are further guidelines.
http://www.qureshiuniversity.org/medicalemergency.html

What is an EMT?
Emergency medical technician

EMTs

Job Duties

What does an EMT do?
EMTs and paramedics typically do the following:

•Respond to 911 calls for emergency medical assistance, such as cardiopulmonary resuscitation (CPR) or bandaging a wound
•Assess a patient’s condition and determine a course of treatment
•Follow guidelines that they learned in training and that they receive from physicians who oversee their work
•Use backboards and restraints to keep patients still and safe in an ambulance for transport
•Help transfer patients to the emergency department of a healthcare facility and report their observations and treatment to the staff
•Create a patient care report; documenting the medical care they gave the patient
•Replace used supplies and check or clean equipment after use

Career Overview

Emergency medical technicians (EMTs) and paramedics care for the sick or injured in emergency medical settings. People’s lives often depend on their quick reaction and competent care. EMTs and paramedics respond to emergency calls, performing medical services and transporting patients to medical facilities.

A 911 operator sends EMTs and paramedics to the scene of an emergency, where they often work with police and firefighters.

Duties

EMTs and paramedics typically do the following:

•Respond to 911 calls for emergency medical assistance, such as cardiopulmonary resuscitation (CPR) or bandaging a wound
•Assess a patient’s condition and determine a course of treatment
•Follow guidelines learned in training or received from physicians who oversee their work
•Use backboards and restraints to keep patients still and safe in an ambulance during transport
•Help transfer patients to the emergency department of a healthcare facility and report their observations and treatment to the staff
•Create a patient care report, documenting the medical care given to the patient
•Replace used supplies and check or clean equipment after use

When taking a patient to a hospital, one EMT or paramedic may drive the ambulance while another monitors the patient's vital signs and gives additional care. Some paramedics work as part of a helicopter's flight crew to transport critically ill or injured patients to a hospital.

EMTs and paramedics also transport patients from one medical facility to another. Some patients may need to be transferred to a hospital that specializes in treating their injury or illness or to a facility that provides long-term care, such as a nursing home.

If a patient has a contagious disease, EMTs and paramedics decontaminate the interior of the ambulance and may need to report the case to the proper authorities.

The specific responsibilities of EMTs and paramedics depend on whether they are an EMT or EMT-Basic, Advanced EMT, or paramedic; and the state they work in.

An EMT, also known as an EMT-Basic, cares for patients at the scene of an incident and while taking patients by ambulance to a hospital. An EMT-Basic has the skills to assess a patient's condition and to manage respiratory, cardiac, and trauma emergencies.

An Advanced EMT, also known as an EMT-Intermediate, has completed the requirements for the EMT level, as well as instruction in more advanced medical procedures, such as administering intravenous fluids and some medications.

Paramedics provide more extensive prehospital care than do EMTs. In addition to being able to carry out the tasks of EMTs, paramedics can give medications orally and intravenously, interpret electrocardiograms (EKGs)—used to monitor heart function—and use other monitors and complex equipment.

The specific tasks or procedures EMTs and paramedics are allowed to perform at any level vary by state.

Work Environment

Emergency medical technicians (EMTs) and paramedics held about 239,100 jobs in 2012. They work both indoors and outdoors, in all types of weather. Their work is physically strenuous and can be stressful, sometimes involving life-or-death situations and patients who are suffering. Most paid EMTs and paramedics work in metropolitan areas. Volunteer EMTs and paramedics are more common in small cities, towns, and rural areas. These individuals volunteer for fire departments, providers of emergency medical services, or hospitals and may respond to only a few calls per month.

Injuries and Illnesses

EMTs and paramedics have a higher rate of injuries and illnesses than the national average. They are required to do considerable kneeling, bending, and lifting while caring for and moving patients. They may be exposed to contagious diseases, such as hepatitis B and AIDS. Sometimes they can be injured by mentally unstable or combative patients. These risks can be reduced by following proper safety procedures, such as waiting for police to clear an area in violent situations or wearing gloves while working with a patient.

Work Schedules

Most paid EMTs and paramedics work full time. About 1 in 3 worked more than 40 hours per week in 2012. Because EMTs and paramedics must be available to work in emergencies, they may work overnight and on weekends. Some EMTs and paramedics work shifts in 12- or 24-hour increments. Volunteer EMTs and paramedics have variable work schedules.

Education and Training

Emergency medical technicians (EMTs) and paramedics must complete a postsecondary educational program. All states require EMTs and paramedics to be licensed; requirements vary by state.

Education

Both a high school diploma or equivalent and cardiopulmonary resuscitation (CPR) certification are prerequisites for most postsecondary educational programs in emergency medical technology. Most of these programs are postsecondary non-degree award programs that can be completed in less than 1 year; others last up to 2 years. Paramedics, however, may need an associate’s degree. Educational programs in emergency medical technology are offered by technical institutes, community colleges, and facilities that specialize in emergency care training. High school students interested in becoming EMTs or paramedics should take courses in anatomy and physiology.

Programs at the EMT level include instruction in assessing patients' conditions, dealing with trauma and cardiac emergencies, clearing obstructed airways, using field equipment, and handling emergencies. Formal courses include about 150 hours of specialized instruction, and some instruction may take place in a hospital or ambulance setting.

Programs at the Advanced EMT level typically requires about 300 hours of instruction based on the scope of practice. At this level, people must complete the requirements for the EMT level as well as more advanced ones, such as using complex airway devices, intravenous fluids, and some medications.

Paramedics have the most advanced level of education. They must complete EMT and Advanced EMT levels of instruction, along with courses in advanced medical skills. Community colleges and technical schools may offer these programs, which require about 1,200 hours of instruction and may lead to an associate's degree. Paramedics’ broader scope of practice may include stitching wounds or administering intravenous medications.

Licenses, Certifications, and Registrations

The National Registry of Emergency Medical Technicians (NREMT) certifies EMTs and paramedics. All levels of NREMT certification require completing a certified education program and passing the national exam. The national exam has both written and practical parts.

All states require EMTs and paramedics to be licensed; requirements vary by state. In most states, an individual who has NREMT certification qualifies for licensure. In others, passing an equivalent state exam is required. Usually an applicant must be over the age of 18. Many states require background checks and may not give a license to an applicant who has a criminal history.

Although some emergency medical services hire separate drivers, most EMTs and paramedics take a course requiring about 8 hours of instruction before they can drive an ambulance.

Important Qualities

Compassion. EMTs and paramedics must be able to provide emotional support to patients in an emergency, especially patients who are in life-threatening situations or extreme mental distress.

Interpersonal skills. EMTs and paramedics usually work on teams and must be able to coordinate their activities closely with others in stressful situations.

Listening skills. EMTs and paramedics need to listen to patients to determine the extent of their injuries or illnesses.

Physical strength. EMTs and paramedics need to be physically fit. Their job requires a lot of bending, lifting, and kneeling.

Problem-solving skills. EMTs and paramedics need strong problem-solving skills. They must be able to evaluate patients’ symptoms and administer the appropriate treatments.

Speaking skills. EMTs and paramedics need to be able explain procedures to patients, give orders, and relay information to others.

Pay

The median annual wage for emergency medical technicians (EMTs) and paramedics was $31,020 in May 2012. The median wage is the wage at which half the workers in an occupation earned more than that amount and half earned less. The lowest 10 percent earned less than $20,180, and the top 10 percent earned more than $53,550.

Most paid EMTs and paramedics work full time. About 1 in 3 worked more than 40 hours per week in 2012. Because EMTs and paramedics must be available to work in emergencies, they may work overnight and on weekends. Some EMTs and paramedics work shifts in 12- or 24-hour increments. Volunteer EMTs and paramedics have variable work schedules.

Are there other jobs like this?
EMR (Emergency Medical Responder)
EMT (Emergency Medical Technician)
AEMT (Advanced Emergency Medical Technician)
Emergency Medical Services (EMS) Instructor
Emergency Medical Services Lab Assistant
Paramedic

How long does it take to be a paramedic?
Steps to Becoming a Paramedic/EMT. EMT basic training (EMT-B) takes anywhere from six months to two years to complete, depending on the institution. These programs are offered at technical institutes and community colleges and typically include 120 to 150 hours of coursework.

What's the Difference Between an EMT and a Paramedic?
EMT's and Paramedics are well trained healthcare professionals whom respond to medical and traumatic emergencies in the pre-hospital setting.

The primary difference between a Paramedic and an EMT is the amount of education and their scope of practice (what they are allowed to do).

EMTs usually complete a course such as ______'s EMT course that is about 120-150 hours in length. Paramedic courses can be between 1,200 to 1,800 hours. EMT and paramedic courses consist of lectures, hands-on skills training, and clinical and/or field internships. EMTs are educated in many skills including CPR, giving patients oxygen, administering glucose for diabetics, and helping others with treatments for asthma attacks or allergic reactions. With very few exceptions, such as in the case of auto-injectors for allergic reactions, EMTs are not allowed to provide treatments that requiring breaking the skin: that means no needles.

Paramedics are advanced providers of emergency medical care and are highly educated in topics such as anatomy and physiology, cardiology, medications, and medical procedures. They build on their EMT education and learn more skills such as administering medications, starting intravenous lines, providing advanced airway management for patients, and learning to resuscitate and support patients with significant problems such as heart attacks and traumas.

What is the difference between an EMT and EMS?
Emergency Medical Technicians (EMTs) are the most common type of providers in all of EMS. They are the entry-level patient care provider followed by EMT-Intermediates (in some states) and then paramedics. EMTs are sometimes referred to as EMT-Basics or EMT-1s. However, do not be fooled by the term "entry-level."

What is the difference between an EMT and an EMR?
The biggest differences between paramedics, EMR's and EMTs are the training and the scope of practice (what they are allowed to do).EMR's usually receive 80 – 100 hours of training, Basic EMTs usually receive 120 – 180 hours of training, while paramedics get anywhere from 1,200 hours to 1,800 hours of training.

What is an emergency medical responder?
Emergency medical responders can range from bystanders with Cardiopulmonary Resuscitation (CPR) certification to trained professional rescuers such as First Responders, EMT-Basics/Intermediates, Paramedics, Nurses, or Doctors.

Emergency medical responders are people who are specially trained to provide out-of-hospital care in medical emergencies.
There are many different types of emergency medical responders, each with different levels of training, ranging from first aid and basic life support.

Critical Care Paramedics

This course is designed to prepare paramedics to provide advanced critical care during inter-facility transports, including performing advanced clinical patient assessments and providing invasive care beyond the standard scope of advanced pre-hospital care. Includes modes of transport, flight physiology, barophysiology and transfer considerations, including safety, patient packaging and practice in a closely confined space, airway and ventilation management including surgical airways and ventilators, CPAP and BiPAP, thoracostomy, and chest drainage maintenance, central venous lines, expanded pharmacologic formulary, interpretation of laboratory data, 12-lead ECG interpretation, monitoring and maintaining and IABP, and hemodynamic monitoring. Instruction is provided in both didactic and clinical settings.