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7/17/2019 Lussier
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Introduction to EmergencyMedical Services (EMS)
7/17/2019 Lussier
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In the state of Massachusetts there
are four levels of emergency careproviders:
• First Responder
• Emergency Medical Technician (EMT) !asic
• EMT Intermediate
• EMT " #aramedic
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• $#R trained at the health careprofessional level
• Re%uired minimum training for all police
and firefighters in Massachusetts• &sually the first on the scene in an
emergency
• Trained to treat life"threateningemergencies 'ith a minimum amount ofe%uipment
First Responder
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• ll of the sills of the first responder plus: Trained in the use and operation of the
am*ulance
$ertified to administer o+ygen, glucose,epinephrine and some other medications atthe on"line or off"line direction of the closestemergency department-s lead physician
• $alled the .medical control/ physician
EMT " !asic
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EMT " Intermediate
• ll of the sills of the EMT"!asic plus:
$apa*le of starting an intravenous line andinfusing volume"replacing normal saline
Trained to place an endotracheal tu*e in apatient-s 'indpipe to create a secure meansof ventilating the lungs
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• ll of the sills of the EMT"Intermediateplus: dministration of intravenous medications for
cardiac, dia*etic and other medical conditionsunder either off"line or on"line direction
Many other optional and advanced sills suchas chest decompression and needle
crichothyrotomy, etc0
EMT " #aramedic
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!asic or dvanced1
• !asic life support called !2S descri*es thecare given *y First Responders and EMT"!asics
• dvanced life support, called 2S, is thehigher level of care performed *y EMT"Intermediates and #aramedics
#ermitted to perform invasive procedures• #rocedures that introduce foreign su*stances or
e%uipment into the patient-s *ody
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Training
• The EMS provider is legally prohi*itedfrom performing sills that are *eyond hisor her level of training
• Each group of sills re%uires the propercertification
• The length of time re%uired for learning theadvanced sills is considera*le
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First Responder Training
• #rere%uisite: 3ealth $are #rofessionallevel $#R
4 hours
• 56"hour class
• Three"year certification period
$ertification is maintained 'ith a refreshercourse
• 75 hours
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EMT !asic Training
• #rere%uisite: 3ealth $are #rofessional level$#R 4 hours
• 778"hour class plus Five patient contacts
• State certification application and fee 978088
• T'o"year certification period 56"hour refresher course 54 hours of continuing education 978088 recertification fee
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EMT Intermediate Training
• #rere%uisite: 3ealth $are #rofessionallevel $#R 4 hours
• 748"hour class plus 788 hours of clinical o*servations and sills
• ;8 i0v0 starts
• 78 intu*ations
788 hours of field o*servations and sills• 78 i0v0 starts
• 7 intu*ation
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EMT Intermediate Training
• State certification application and fee
978088
•State administered e+am Minimum passing grade: <8=
• T'o"year certification period
56"hour refresher course 54 hours of continuing education
978088 recertification fee
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EMT #aramedic Training
• #rere%uisite: 3ealth $are #rofessional level$#R > EMT"! certification
• ? contact hours as an EMT"!
• 688"hour class plus 588 hours of clinical o*servations and sills
• @8 i0v0 starts
• 78 intu*ations
588 hours of field o*servations and sills• ;8 i0v0 starts
• 7 intu*ation
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EMT #aramedic Training
• State certification application and fee
978088
•State administered e+am Minimum passing grade: <8=
• T'o"year certification period
56"hour refresher course 54 hours of continuing education
978088 recertification fee
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3o' Far Ao Bou Cant to Do1
• 3$# $#R
Critten and practical tests• Minimum passing grade 46=
• &nlimited repeat attempts are allo'ed
• First Responder
Critten and practical tests
• Minimum passing grade 48=• &nlimited repeat attempts are allo'ed
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3o' Far Ao Bou Cant to Do1
• EMT !asic
EMT"! is no longer part of the regularcurriculum
pply to tae the summer course• $lasses held at Moha'
• Evenings and alternate Saturdays from une
ug0• Free to %ualified Moha' students
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Moha' Evening $lass
• Ao you 'ant to *ecome an EMT1
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Chat is Involved1
• 2ectures > 'ritten tests
$alled the didactic portion
Su*ects are similar to the first respondercurriculum *ut everything is covered in moredepth
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Chat is Involved1
• #ractical sills demonstrations
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Chat do the participants say1
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The choice is up to you
• pplications are availa*le
• s me for more information