HOW MANY CERTS DOES YOUR STATE RECOGNIZE

[1EMT-P]

Be careful about labeling EMT-CC's as less educated... There are some EMT-CC's who have completed undergraduate and graduate degrees in the Medical Sciences & Nursing.

[Asysin2leads]

Then why are they screwing around at the CC level and lowering everyone's salary, then? Spite?

[Timmy]

In Australia we have National Recognized Training. Most training organizations that sign up have to teach within certain guidelines. Once the training organization is recognized by National Recognized Training they get to print the little logo in the corner of there certificates, this is then recognized any were in Australia.

Sorry I can’t explain it better. Feel free to ask questions.

[coolparamedic]

Wa. State licenses at FR, EMT-B, EMT-I and EMT-P level. It does not recognize NREMT in place of a state license, as I understand it. I believe an except is made on a federal reservation [military base, etc] as they don't always fall under state regulation.

Technically there is no EMT-I there is Emt-IV, EMT- Airway (intubations and plueral decompressions) EMT-ILS, EMT-IV/Airway, EMT-ILS/Airway. WA requires National Registry for EMT-P

[spenac]

Ah, the question which is asked weekly appears on a Tuesday this week.

Texas

LP - Licensed Paramedic (paramedic with an AAS in EMS or a BS in any other discipline)

EMT-P - Tech school paramedic

EMT-I - Intermediate (mixed 85 and 99 standards, depending on school. Not many in Texas)

EMT-B - Basic

ECA - Emergency Care Attendant (40 hour first responder course. Not allowed to work ambulance.)

All except ECA are National Registry.

Actually ECA's can and do work on ambulances in Texas. I did before becoming a basic. We have one ECA works full time for us, he's been here 25 years. But your right most places not on ambulances

[RescueOne]

EMT Shock Trauma Tech??? You're making that one up right? Ohhhhh, you know there's some young guy with spiked up hair who chews his gum with his mouth open who has a special patch for that one. Actually, I kinda want to be a shock trauma tech now...

The most useful thing they could teach a "Shock Trauma Tech" would be how to drive faster. :roll:

Really Funny, Yer Highnesses.

In case you're truly not familiar with EMT-ST, it was derived years & years ago from the Golden Hour principle. It is accepted within the medical community that R. Adams Cowley, MD, the "father" of Shock Trauma, & the Golden Hour principle, saw the need for specialized care at trauma incidents, & at hospitals receiving the trauma patients. Here's the link to University of Maryland, where it explains it all.

http://www.umm.edu/shocktrauma/history.html

Virginia developed EMT-ST primarily, I believe, for rural EMS providers, (who where not "able", for whatever reason, to obtain their Paramedic education, ) in order to effectively treat trauma patients, when your closest trauma center (or closest facility cable of stabilizing a patient) is 45 mins - an hour away. Regardless, ST is being phased out currently, and I believe it's almost totally gone.

[RescueOne]

Actually ECA's can and do work on ambulances in Texas. I did before becoming a basic. We have one ECA works full time for us, he's been here 25 years. But your right most places not on ambulances

Certainly, they aren't allowed onboard an ambulance as primary care provider, correct?

[Ridryder 911]

In case you're truly not familiar with EMT-ST, it was derived years & years ago from the Golden Hour principle. It is accepted within the medical community that R. Adams Cowley, MD, the "father" of Shock Trauma, & the Golden Hour principle, saw the need for specialized care at trauma incidents, & at hospitals receiving the trauma patients. Here's the link to University of Maryland, where it explains it all.

http://www.umm.edu/shocktrauma/history.html

Virginia developed EMT-ST primarily, I believe, for rural EMS providers, (who where not "able", for whatever reason, to obtain their Paramedic education, ) in order to effectively treat trauma patients, when your closest trauma center (or closest facility cable of stabilizing a patient) is 45 mins - an hour away. Regardless, ST is being phased out currently, and I believe it's almost totally gone.

Whoa your Highness ! Maybe, your not aware that the "Golden Hour" is a myth!..just like responses should be in < than 8 minutes! Another traditional hand me down medical myth from one generation to another that has no scientific basis! The "hour" has been researched do death and can not be proven

I highly suggest you read Dr. Bledsoe's article in this months JEMS ..."The first peak of deaths occurs within minutes of the event. Approximately 50% of trauma deaths are in this group The second peak occurs in the first few hours after injury. The third peak accounts for 20% of trauma deaths. It occurs within a few days after injury, with death often resulting sepsis and end organ failure"... As well EMS does very little in treatment and decrease in outcomes.

Narrative quote mine: Bledsoe,B.: "Have We Set the Bar Too High?";JEMS 116

Please, if one wants to refer to being a "Shock" specialist, then one needs to really understand shock physiology and the expectations and treatment as well outcomes. Look beyond the "paramedic manual" and read some true studies of trauma. I suggest:

Lerner, ED. Moscati,R: "The Golden Hour Scientific Fact or Medical Urban Legend? " Academic Emergency Medicine 8(7):758-760,201

Trunkey,DD: "Trauma", Scientific American 249:28-35, 1983

We need to come to reality folks, so much of what we do and think is CRAP! It has never been challenged scientifically and we are finding out a lot is a bunch of B.S. ! Many of what we presume is just ideas (good intentions or for research grant money) that was pushed through and immediately was accepted, because we in EMS are undereducated to challenge such. What a shame to our system. profession and more so to our patients!

R/r 911

[bassnmedic]

I would think that a "shock trauma" guru would keep up to date on the latest trauma trends. Like Rid stated, Dr. Bledsoe's article should open eyes to that Golden Hour myth as well as taking the latest PHTLS class with the 6th edition, which also discusses that there is no golden hour rule any longer, only the "platinum ten".

[becksdad]

It is amazing that the state of Maryland still views itself as a "leader" in EMS based on "advances" made about 35 years ago. If I hear one more time that Dr. Cowley is the "father" of shock trauma I think my head will explode, just like in Dustdevil's infamous picture!

I've spent the majority of my life in Maryland, and love it like anyone loves "home". My Dad was a Medic in Baltimore City through the 60's and 70's, when all these advances were occuring. Actually, I think the highest certification then was Cardiac Rescue Technician. Take note that Maryland still utilizes this cert.

Maryland has some of the richest counties in the nation, several large metropolitan areas, surrounds our nations Capitol - yet remains mostly volunteer, using archaic certifications, and touting its world-famous University of Maryland Shock-Trauma Center and its 35 year old history. The "kingdom" hasn't changed much there in a long, long time. Rather than leadership, it seems to me that Maryland is a glaring example of what is wrong in EMS today, holding the profession back from true advancement.

I know - way off topic, but I had to get this rant out of my system. But all the best threads evolve, right? :wink: