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{{Afd-merge#REDIRECT [[Editing to|National Registry of Emergency Medical Technicians|National Registry Emergency Medical Technician|22 February 2024}}]]
'''Emergency Medical Technician''' is the entry level of [[Emergency Medical Technician]] (pre-hospital [[emergency medical provider]]) in the [[Emergency medical services in the United States|United States]].
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EMTs are not trained to provide definitive medical care, but instead focus on rapid in-field treatment and transport to higher medical providers. EMTs work in conjunction with other medical providers such as [[paramedics]], [[nurses]], and [[physicians]], as well as with other EMTs. When operating in the prehospital environment, their actions are governed by protocols and procedures set by their system's physician [[medical director]].
==Education and training==
EMT training is regulated at both the state and federal level. At the federal level, the [[National Highway Traffic Safety Administration]] (NHTSA) has developed a minimum content and hour curriculum, but it is not binding on the states. This is known as the ''National Standard Curriculum''.<ref name=NHTSA_NSC>{{cite web |url= http://www.nhtsa.dot.gov/people/injury/ems/pub/emtbnsc.pdf |title= Emergency Medical Technician-Basic National Standard Curriculum|access-date=2008-03-10 |publisher= National Highway Transportation Safety Administration}}</ref> Under the NHTSA curriculum, students receive 110 hours of lecture and lab time covering anatomy, physiology, legal aspects of medical care, assessment, and treatment of [[medical emergency|medical]], [[Physical trauma|trauma]], [[Emergency psychiatry|behavioral]], and [[obstetric]] emergencies. In addition to class time, the NHTSA recommends clinical rotations on board [[ambulances]] and in [[emergency departments]].
Using NHTSA guidelines, the [[National Registry of Emergency Medical Technicians]] have developed and implemented certification tests for the NHTSA EMT levels, including the EMT level.<ref>{{cite web |url=http://www.nremt.org/about/about_exams.asp |title=About NREMT Examinations |access-date=2008-03-17 |publisher=National Registry of Emergency Medical Technicians |archive-url = https://web.archive.org/web/20071027161226/http://www.nremt.org/about/about_exams.asp <!-- Bot retrieved archive --> |archive-date = 2007-10-27}}</ref> As of 2006, 39 US states utilize the NREMT EMT exam as part of the state licensing and/or certification procedure.<ref>{{cite web |url= http://www.nremt.org/downloads/2006_Annual_Report.pdf|title= 2006 Annual Report|access-date=2008-03-17 |publisher=National Registry of Emergency Medical Technicians |pages=11|quote=50 states minus non-registry states minus paramedic only states |archive-url = https://web.archive.org/web/20071009005320/http://www.nremt.org/downloads/2006_Annual_Report.pdf <!-- Bot retrieved archive --> |archive-date = 2007-10-09}}
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Once certified, EMTs are required to obtain continuing education hours to recertify. Recertification requirements vary from state to state. Continuing education courses can cover a variety of topics, provided that they cover relevant material, including college courses covering anatomy, physiology, or psychology, to more applied courses that are either standardized, such as a [[PHTLS|Prehospital Trauma Life Support (PHTLS)]], or tailored to the needs of an individual EMS system or region.<ref>{{cite web|url=http://www.nremt.org/downloads/EMT.basic.pdf |title=EMT-Basic Re-registration Requirements |access-date=2008-03-25 |publisher=National Registry of Emergency Medical Technicians |url-status=dead |archive-url=https://web.archive.org/web/20070415133417/http://www.nremt.org/downloads/EMT.basic.pdf |archive-date=April 15, 2007 }}</ref>
Some states allow for an already certified EMT from another state to apply for reciprocity in their state. The states that participate in this can be found by contacting the certification boards of each state or on their websites.
==Scope of practice==
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The scope of medical practice for EMTs is regulated by state law, and can vary significantly both among states as well as inside states. In general, EMTs provide what is considered [[basic life support]] (BLS) and are limited to essentially non-invasive procedures. Besides employing basic medical assessment skills, typical procedures provided by EMTs include [[CPR]], [[Automated external defibrillator|automated external defibrillation]], mechanical ventilation using a bag valve mask, placement of air way adjuncts such as [[oropharyngeal airway|oropharyngeal]] and [[Nasopharyngeal airway|nasopharyngeal]] airways, pulse [[oximetry]], glucose testing using a [[glucometer]], splinting (including spinal immobilization and [[traction splint]]s), and suctioning. In addition, EMT-Bs are trained to assist patients with administration of certain prescribed medications, including nitroglycerin, [[metered-dose inhaler]] such as [[Salbutamol|albuterol]], and epinephrine auto injectors such as the [[EpiPen]]. EMT-Bs can typically also administer certain non-preprescribed drugs including oxygen, oral glucose, and [[activated carbon|activated charcoal]] (usually upon medical direction).<ref name=NHTSA_NSC/> In response to the opioid overdose epidemic, states are rapidly changing protocols to permit EMT-Bs to administer [[naloxone]] as well. <ref>{{cite web |url=https://www.networkforphl.org/_asset/8b7kmi/EMS-naloxone-overview.pdf |title=Emergency Medical Services Naloxone Access |access-date=2015-04-02 |publisher=Network for Public Health Law |archive-date=2015-04-27 |archive-url=https://web.archive.org/web/20150427124904/https://www.networkforphl.org/_asset/8b7kmi/EMS-naloxone-overview.pdf |url-status=dead }}</ref>
Individually, each state is free to add or subtract to their EMTs scope of practice. For example, EMTs working in California may not administer activated charcoal, an NHTSA approved intervention, under a standard certification. Local EMS systems (i.e. counties in California) can apply to the state to implement an extended scope of practice for EMTs that includes activated charcoal<ref>{{cite web |url=http://www.mayoclinic.org/drugs-supplements/charcoal-activated-oral-route/description/drg-20070087 |title=Charcoal, Activated (Oral Route) |access-date=2014-11-12 |format=Blog |publisher=Mayo Clinic }}</ref> as well as other pharmaceutical interventions not normally allowed to be administered by EMTs.<ref>{{cite web|url=http://www.emsa.ca.gov/legislation/FinalApprovedChapter3242007.pdf |title=Emergency Medical Technician I |access-date=2008-04-02 |publisher=California Emergency Medical Services Authority |pages=16 |url-status=dead |archive-url=https://web.archive.org/web/20070620062125/http://www.emsa.ca.gov/legislation/FinalApprovedChapter3242007.pdf |archive-date=June 20, 2007 }}</ref>
== See also ==
* [[Emergency medical responder levels by state]]
* [[National Association of Emergency Medical Technicians]]
* [[Emergency Medical Services in the United States]]
* [[Medic]]
* [[Combat medic]]
* [[Rescue squad]]
* [[Wilderness emergency medical technician]]
== References ==
{{reflist}}
==External links==
* [http://www.ems.gov National Highway Traffic Safety Agency, Office of Emergency Medical Services]
* [http://firstaid.about.com/od/emergencymedicalservices/qt/06_EMTBvsP.htm The Difference Between an EMT and a Paramedic] {{Webarchive|url=https://web.archive.org/web/20080930141707/http://firstaid.about.com/od/emergencymedicalservices/qt/06_EMTBvsP.htm |date=2008-09-30 }}
* [http://www.emtbasics.com The Basics about Emergency Medical Technician ] {{Webarchive|url=https://web.archive.org/web/20121122041512/http://www.emtbasics.com/ |date=2012-11-22 }}
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[[Category:Emergency medical responders]]
[[Category:Emergency medical services in the United States]]
[[Category:Medical credentials]]
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