EMT and AEMT Qualifications and Roles

Study Notes

Basic requirements to become an Advanced EMT include having a high school diploma or GED, proof of immunization, a valid driver's license, clean background check, drug screening, BLS/CPR course, state-recognized AEMT course, written certification exam, and practical certification exam.
To work as an EMT, candidates must demonstrate the ability to meet psychological and physical criteria and comply with state, local, and employer provisions.
The Americans with Disabilities Act protects individuals with disabilities from being denied access to programs or services and requires employers with 15+ employees to make adjustments for candidates with disabilities.
The evolution of EMS traces back to field treatment and transport centers during the Civil War, with advancements during WWI, WWII, Korea, Vietnam conflicts, and response to terrorism influencing EMS today.
The modern EMS system in the US primarily stems from the 1966 publication of the "Accidental Death and Disability" report, prompting federal changes and the development of EMS standards.
EMS providers' roles and responsibilities vary across states, with the National EMS Scope of Practice Model providing guidelines for minimum skills at each level, while state laws regulate operations and medical directors determine day-to-day limits.
Lay people are trained in BLS and CPR, and AED training is included in prehospital emergency training to help laypersons respond to life-threatening cardiac arrhythmias.
Different levels of EMS providers include Emergency Medical Responders (EMRs), Emergency Medical Technicians (EMTs), Advanced EMTs (AEMTs), and Paramedics, each requiring specific training and skills to provide varying levels of care.
AEMTs receive training in specific aspects of ALS beyond EMT level, including IV therapy, advanced airway adjuncts, medication administration, with a minimum of 200 hours of additional training.
Paramedics undergo extensive training (800-1100+ hours beyond EMT requirements) and may have an Associate's or Bachelor's degree program, equipped with a wide range of ALS skills.