Your State / System EMS Levels

[firemedic37]

I am interested in seeing what other States / Systems have as current EMS levels and if they use NREMT Exams for certification.

Iowa

Uses NREMT Exams for all current EMS levels besides Iowa Law Enforcement Emergency Care Provider.

Iowa Law Enforcement Emergency Care Provider

First Responder (NREMT-FR)

EMT-Basic (NREMT-

EMT-Intermediate (NREMT-I/85)

EMT-Paramedic (NREMT-I/99)

Paramedic Specialist (NREMT-P)

Paramedic Specialists may apply for Critical Care Paramedic endorsement after completing a Critical Care Paramedic Course.

[Kiwiology]

New Zealand is currently changing how we do business to build a professional Paramedic workforce of the future (weird Darth Vader style sounds here)

Basic Life Support ("Ambulance Technician")

~ One year Diploma in Ambulance Practice, generally speaking aimed exclusively at the volunteer Officers

- Oropharyngeal airway

- Laryngeal mask airway

- Nasopharyngeal airway

- Advisory defibrillation

- Methoxyflurane

- Oxygen

- Paracetamol PO

- Aspirin PO

- Glucagon IM

- GTN SL

- Anti emetic PO

- Salbutamol neb

- PEEP valves

- Combat application torniquet

Intermediate Life Support ("Paramedic")

Three year Bachelor of Health Science (Paramedic)

- IV cannulation

- 0.9% NaCl IV

- 10% glucose IV

- Manual defibrillation

- Cardioversion

- Adrenaline IV, IM, neb

- Zofran IV

- Morphine IM, IV

- Naloxone IM, IV, IN

Select services (probably end up going national)

- Ceftriaxone IM

- Clopidogrel PO

- Amiodarone IV (cardiac arrest)

- Midazolam IM, IN for seizures

Advanced Life Support ("Intensive Care Paramedic")

Post Graduate Certificate in Intensive Care Paramedicine

- Chest decompression

- Cricothyroid puncture

- Endotracheal intubation

- Laryngoscopy

- IO cannulation

- Transcutaneous pacing

- Amiodarone IV

- Atropine IV

- Frusemide IV

- Ketamine IM, IV

- Midazolam IM, IV, IN

- Vecurnoum and suxamethonium IV (selected ALS Officers)

Select services (probably eventually national)

- CPAP

- Salbutamol IV

- Tenecteplase IV

- Hydrocortisone IV

- Heparin IV

- Magnesium Sulfate IV

Edited January 11, 2010 by kiwimedic

[VentMedic]

The listing of "titles" or levels in the U.S. EMS system always disheartens me.

One of the forum members (JPINFV) has already compiled a list for the U.S.

http://en.wikipedia.org/wiki/Emergency_medical_responder_levels_by_U.S._state

EMS magazine also has updated their state survey as of 2008.

http://www.emsresponder.com/survey/

And, by 2014, the NREMT will unveil its new levels.

I had thought Washington State was going to change their levels but they still have all 8 or 9 listed on their website.

Florida is only 2 levels...as it should be.

EMT-B - NREMT

Paramedic - State exam

Edited January 11, 2010 by VentMedic

[firemedic37]

Thanks VentMedic for the links, they were very useful.

[Dustdevil]

Florida is only 2 levels...as it should be only 1.

Fixed that for ya.