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This article starts its history of US EMS in the 70's, when it is clear that EMS as we know it started well before that. I point to 1966 The white paper "Accidental Death and Disability: The Neglected Disease of Modern Society" , The freedom House project in the mid 1960's too. Then there is the Seattle Medic One project, the Miami FF programs, and many many more examples. For that matter, there were fire departments running "resuscitator" calls in the 1930's. This completely neglects the role of military medicine in WWII on to influencing the development of EMS. The discussion of the "alexander" program is based more on "Emergency Medicine" as a professional specialty of physicians rather than any history of EMS. Croaker260 ( talk) 18:16, 7 April 2012 (UTC) croaker260
All EMT-B students learn under National Registry guidelines how to assist the patient with the administration of his or her own EpiPen, nitroglycerin, and MDI. They may also administer glucose and activated charcol. Medicines can be administered either when ordered by medical control or where standing orders are in place. Cite error: There are <ref>
tags on this page without content in them (see the
help page).
EMTs have not been trained to use MAST pants for at least a decade. They were never supportied by sciencific evidence, and anyone using them is in danger of being exposed to malpractice. https://www.nremt.org/nremt/about/psychomotor_exam_emt.asp Nstanaway ( talk) 02:56, 11 September 2016 (UTC)Nstanaway
In the United States, most paramedics (and E.M.T.s) are certified, not licensed, by a state EMS (Emergency Medical Service) agency. Only a few states currently license Paramedics.
The National Registry is a voluntary standards and testing body and does not have authority to certify or license paramedics.
Robert Haggerty, paramedic (NY) HaggertyRD@earthlink.net — Preceding unsigned comment added by 207.69.137.9 ( talk) 15:05, 17 December 2003 (UTC)
Hello,
can someone tell a poor french boy whether there is a difference between a CFR and an EMT-B? I read that "The first responder training is intended to fill the gap between First Aid and EMT-Basic", but what are these differences?
Cdang 12:59, 5 Oct 2004 (UTC)
Some bozo put the Globalize template in this article. I'm taking it out because the concept of the EMT is apparently exclusive to the United States. Other countries have paramedics or mere ambulance drivers. -- Coolcaesar 07:16, 6 January 2006 (UTC)
EMS varies widely from one country to the next, and writing out the nature of every country's EMS practitioners would create an impossibly long article. The solution may be to create a general article that addresses the common factors in worldwide EMS (need for trasporting a patient to a hospital, fact that medical calls are more common than trauma (unlike what we see on TV and in the movies) the varied levels of training, the increasing capabilities of EMS practitioners, etc; and move the bulk of this article into one whose title cleraly indicates that it refers to EMTs in the United States. -- Badger151 05:24, 24 September 2006 (UTC)
I feel the article does need to be globalized, or at least a reduction of the purely US view point. The UK has EMTs as well. 86.139.152.25 22:33, 2 February 2007 (UTC)
Does anybody know why there's so much on South Africa in this article? If no one objects, I'll remove it- it's basically the same as everywhere else, and I see no reason to state that South African EMT's need a valid driver's liscense -- Michaelp7 17:54, 17 May 2007 (UTC)
Canada Tries to Keeps it Simple: EMTs are Paramedics EMA-1 Canada has tried to simplify public understanding of emergency medical certification levels - and cut down on syllables - by referring to all levels of training as paramedics. Within the common term of paramedic, Canada uses the terms EMA-1, EMA-2, etc. EMA stands for emergency medical attendant. Generally, the training for emergency medical attendants in Canada is longer than that of similarly certified EMTs in the US. Cuvtixo ( talk) 23:36, 1 January 2008 (UTC)
I've added a basic section on EMT's in the UK (both from an NHS and private ambulance point of view) as a basis for getting this article improved, rather than just talking about it. As such, would one of you all from Canada do likewise for a Canadian section and South Africa the same. We can then put the US stuff into a US section and then point to pages for EMT-B, EMT-I, EMT-P and similar for a solely US centric point of view for those levels of EMT. The UK section already points to the IHCD Technician and HPC Paramedic pages (when they are done). Seems to me that this page can an must be made to be globalized because EMT is worldwide, EMT-B/I/P etc might be only USA but then those pages can be USA centric, but EMT generally shouldn't be. Fr33kMan ( talk) 01:08, 17 February 2008 (UTC)
Is the information of only 6 Ambulances for the entirety of 500,000 citizens correct? Seems like a pretty low ratio to me. For instance in Vienna there are over 30 active ambulances for 1,6mio citizens (avg. response-time 5-10min) .... -- 80.123.47.28 13:54, 17 January 2006 (UTC)
I've removed the section since this has been questioned for well over 2 years. JPINFV ( talk) 13:29, 10 March 2008 (UTC)
It appears that with some/most classes of EMT within the US, if you get certified, you are entered into the NREMT [1]. More details on this?
Also, I've seen a designation EMT-LP referenced, anyone know what that means?
~ender 2006-05-10 19:59:PM MST
some states do use the NREMT as their testing body, bhut generally have their own requirements in addition. for example, in RI, to become an EMT-B you must pass the NREMT exam, but your training must also include the use of an EOA (Esophogeal Obturator Airway) and MAST (Military Anti-Shock Trousers) Trousers [also known as PASG-Pneumatic Anti Shock Garment), both of which are rarely used, btw. — Preceding unsigned comment added by 68.0.235.69 ( talk) 02:43, 20 July 2006 (UTC)
Added "standing orders" to the Medical Direction section. This differs slightly from "by protocol," in that standing orders are issued by a medical director for a specific agency or department, and protocol refers to more global orders issued by a larger governing body or medical authority.
I do believe that prior to Hurricane Katrina the busiest EMS service in the US was the City of Philadelphia. —Preceding unsigned comment added by 69.248.144.2 ( talk) 07:16, 9 October 2007 (UTC)
Its most people agree the article has enough span. I'm removing the tag. If you disagree after look through the discussion, please contact me. St.isaac 23:21, 8 August 2006 (UTC)
I added information about the NREMT, including the frustrations felt by EMTs who have had to deal with them. Bstone 09:02, 3 December 2006 (UTC)
In looking over this and other EMS related articles (consider ambulance, for example) I'm seeing a lot of information that is country-specific. I also note that some articles are becoming lengthy, in part due to the inclusion of country-specific information, but fail to adequately cover common aspects of their subjects. What do people think about culling the country-specific information from the EMS, EMT, ambulance &c articles and placing this info in country-specific emergency_medicine/ EMS/ title to-be-determined articles? -- Badger151 21:16, 8 December 2006 (UTC)
Be careful when citing NFPA standards as "regulations". NFPA is not a regulatory agency. To be fair, though, (US) regulatory agencies such as PESH, NIOSH, and OSHA often cite NFPA standards when developing or reviewing regulations, because NFPA's standards are developed through a peer-reviewed process and (arguably) not subject to business or political pressures. Alan 20:16, 2 April 2007 (UTC)
I/O Systems is a competitor to the NREMT. Mass, Kansas and Illinois have switched from the NREMT exam to the I/O Systems one. A JEMS article on it is here: http://www.jems.com/emsinsider/23-9/13358/ We may want to consider adding in that there is another certification agency, albeit much smaller than the NREMT. Bstone 04:19, 7 May 2007 (UTC)
I would like opinion on whether there should be a paragraph at the end on the efforts of the EMS community to increase educational and professional standards in the field as to better be recognized as health professionals. It would satisfy those who are leading the efforts and communicate the efforts to other EMTs to may read the article...it can only be good for EMS. AnthonyM83 05:19, 14 November 2007 (UTC)
Agreed B46778848 ( talk) 19:13, 28 December 2019 (UTC)
I have done some work on the main article and have added a UK section and have made a US section out of what was there. I've made two new articles called EMT Basic and EMT Intermediate which can now be used to provide a solely US point of view on those certifications which are US alone. We now need to work on getting the article up to scratch as an article in an encyclopedia. I'll come back later and rework the references and add them for the UK section. Can some helpful Canadian do likewise and can those from countries with EMT's do the same? Comments? Thanks Fr33kMan ( talk) 02:02, 17 February 2008 (UTC)
Before I attempt to start adjusting the page, I want to be able to get rid of the copy edit and clean up tags. I've already gone through the introduction and consolidated and reworded it while keeping the general essence and structure. Any feed back before I move further into the article? JPINFV ( talk) 22:36, 6 March 2008 (UTC)
Started working on the "US EMT" section. Comments, concerns? JPINFV ( talk) 02:54, 8 March 2008 (UTC)
Is there even a reason for this section, or can I delete it? It seems painfully obvious that they (we) do that and paperwork isn't referenced in the section for physicians, nurses, or respiratory therapists, all of which do much more documentation than any EMS crew. If I don't get a response by next Friday (3/14/08), then I'm going to assume that no one objects and either agrees with it or doesn't care. JPINFV ( talk) 03:19, 8 March 2008 (UTC)
Don't copy and paste original sources into the article, especially one that is already referenced (first reference in this case, US DOL Bureau of Labor Statistics profile). If you want to edit, feel free to do so. Also feel free to take up any ideas or issues to the talk page. JPINFV ( talk) 23:29, 10 March 2008 (UTC)
With the rewrite of the employment section, almost the entire page has received a face lift. Due to that, I felt that removal of the copy edit and cleanup tags were justified. Tomorrow (Friday 3/14/08), I'm going to remove the paper work section seeing as there hasn't been any objections since I posted about it last Friday. Pending expanding the EMT-I85/99 sections (examples of procedures, education class hours), I will be submitting this to Wikiprojects: Medicine for a reevaluation. JPINFV ( talk) 20:41, 13 March 2008 (UTC)
Does anyone have any links to a SOP to source this section? There's no more information about training programs or SOP on the NHTSA website for the I/85 now.
EMT-I/85 is slowly going away. In the US, there is a big effort on the national level to go the "National Scope of Practice" model for levels of certification. The new AEMT level is likely to replace EMT-I/85 and EMT-I/99 in many states. 75.213.68.34 ( talk) 19:13, 1 April 2012 (UTC)
What the article really needs is to have other countries represented. I see that you've been making an effort in that direction, and I know that it's difficult.
I did a bit of minor copyediting. Personally, I would reduce the number of sub-sub-sections like "EMT-B", primarily to make the Table of Contents easier to parse. I'd merge them with the bullets under "Levels of EMTs". Also, the "See also" section would benefit from half-sentence explanations of how each item relates. For example "* NREMT, a certification used in several US states." I'd also shorten the "See also" section so that it doesn't include anything that's explained in the main text (like paramedic), or, if you want to keep a longer list, perhaps I'd reorganize it into groups: all the US-specific stuff together, all the general information alphabetized.
Just my thoughts: you don't have to agree with me or implement them. WhatamIdoing ( talk) 22:12, 15 March 2008 (UTC)
Those were removed upon suggestion to keep the table of contents organized. Since this is an international article, there is no reason to clutter the table of contents with sub groups that hold all of 4 sentences. JPINFV ( talk) 02:20, 21 March 2008 (UTC)
Oppose First, if anything, it should be merged with the EMT Basic page. That page is the proper page for information regarding EMT-Basics in the United States. The current Emergency Medical Technician page is more of an international clearing house of prehospital provider pages (hence EMT-Paramedic having a bit of space even though it also have the Paramedic page. Second (which I'll get around to expanding the scope section of the EMT-B page), the information should be condensed and converted to paragraph form. Third, most of the information isn't really needed for an encyclopedia. Do we need a list of procedures performed by emergency physicians? No, nor do we need a list of procedures done by EMT-Basics. This page should really either be directed towards EMT Basic or deleted. No one outside of the field cares about DCAPBTLS (a lot of people in the field don't care for it either). JPINFV ( talk) 05:03, 27 March 2008 (UTC)
We just had an IP editor add a blurb about MICUs in the US staffing section. While I've heard of the term before, the term itself wasn't in use where I worked. I've always taken the term to essentially mean the same as a paramedic unit, but when I did a Google search on the term the results were less definate. At least one website used the term to describe an ambulance in general, regardless of BLS or ALS staffing level. Another website used it to describe paramedic intercept units. Still a third used it to describe a pediatric/neonate specialty transport unit. So, is there enough consensus out there to label a particular level (i.e. synonym for ALS), type of unit (i.e. paramedic staffed ambulances only), or type of service (critical care units versus 911 units versus interfacility versus specialty care) to include it on the page? - JPINFV ( talk) 02:16, 2 April 2008 (UTC)
Was there any discussion about the renaming of this article? Based on the Wikipedia:Manual of Style, "The first letter of the first word, letters in acronyms, and the first letter of proper nouns are capitalized; all other letters are in lower case" and from the Wikipedia:Naming conventions, "Do not capitalize second and subsequent words unless the title is almost always capitalized in English (for example, proper names)." Emergency medical technician is not a proper noun, so it should not be capitalized. Most acronyms are all capital letters, but that does not mean the individual letters when spelled out should be capitalized. Once the history of this page is merged (necessary because of the prior improper move), I think the article should be moved back to Emergency medical technician. Similarly, the new Emergency Medical Technician Levels by State should be renamed to Emergency medical technician levels by state.
Additionally, the titles of many other EMS-related articles need to be discussed. The new articles EMT Basic and EMT Intermediate should be changed so that EMT is spelled out and a dash used to denote the level. They should probably be named like "Emergency medical technician-intermediate," but could also be like "Emergency medical technician - intermediate."
Most other articles seem to be okay. I just moved Advanced Life Support to Advanced life support. Advanced Trauma Life Support and Pediatric Advanced Life Support are appropriately capitalized - they are registered trademarks. I do not think Advanced cardiac life support is a trademark, so it is appropriately in lowercase. -- Scott Alter 00:23, 3 April 2008 (UTC)
(copied from here) Hi, just to point out, the reason I moved from Emt to EMT is that EMT is a proper noun, it is a title. It's the same as Doctor or Nurse and so all words within the title should be capitalized. Please put the article back as you found it, thanks! :-) fr33kman ( talk) 00:29, 5 May 2008 (UTC)
I have added the certification of the Critical Care Emergency Medical Transport Program, which gains EMT-P additional certification in critical care transport. This program was developed and maintained by UMBC (University of Maryland at Baltimore). This IS NOT advertising but notes were the orginal program was developed and can be taken. I suggest that a another wiki page developed to explore more indepth into what a CCEMTP can and cannot due. Medicellis ( talk) 03:05, 23 June 2008 (UTC)
I know that currently Tennessee is indeed certifying at the CCEMTP level, and other states are considering an "advanced practice" level of certification of one name or another. The UMBC program is just one curricula out of several that will provider a pathway to this level.
Croaker260 (
talk) 18:20, 7 April 2012 (UTC)
Please consider adding a link to the Health Workforce Information Center guide on EMTs and Paramedics - http://www.healthworkforceinfo.org/topics/introduction.php?id=77. HWIC provides links to funding programs, organizations, publications and news related to the EMT workforce. HWIC is a free, federally funded service to help people find information about health workforce. More on HWIC’s selection guidelines here: http://www.healthworkforceinfo.org/other/disclaimer.php Mrsand ( talk) 15:54, 15 December 2009 (UTC)
How about a mention on the EMT-T certification?
Ambulance Technician Attendant or even Emergency Medical Technicians for First care giver Rescuers whoud be much better than the confuse "Para Medic" , neologic term comming from Militar Vietnam Medic that is a despreciative informal term in US English (Longman) and even in US Spanish (medico) (Longman). The better international english terminology to be worldwide Understood and Traduisible would be for Public Health Registered Ambulance Care givers should or Paramemedical Ambulance Professionals. This new Care Paraprofessional has to be integrated in other Parmedical Professions as Registered Nurses that can be also used as Ambulance Professions.
"Emergency Medical Services" "EMS" as used in US and UK Services are not traduisible if they do not integrate all other Care Givers and Services that are in charge of all Emergency Medical Care steps even ilf renapmed Prehospital EMS because Primary care professions treat many medical emergencies. For eviting these misunderstandings induced by EMS with US UK restricted signification it could be by used Integrated Medical Emergency Services IEMS that is the exact traduction of SIUM Servicios Integrados de Urgencias Medicas used first by Cuban Public Health. --
90.24.186.168 (
talk) 13:03, 18 August 2010 (UTC)
What is the difference between an EMT and a paramedic? Are they same thing? Or is one a special type of the other? I get the impression "EMT" is primarily a North American term, and "paramedic" is more global. Should this article be merged to paramedic? Or paramedic merged to this article? Or at least, at the start of each article, explain the difference between them, and why we have separate articles for each? SJK ( talk) 11:18, 16 January 2013 (UTC)
"Emergency Medical Technician", "Ambulance Technician" etc are not proper nouns so why are we using initial caps?-- ukexpat ( talk) 13:37, 26 March 2015 (UTC)
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EMTs do not exist in Canada - only EMRs and Paramedics
Canadian licensing material will be moved to "EMS in Canada" article, and Canadian section will be replaced with common EMT skills. B46778848 ( talk) 18:57, 28 December 2019 (UTC)