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Introduction to EmergencyMedical Services (EMS)

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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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http://lussier_movies/100_0096.MOV

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The choice is up to you

• pplications are availa*le

• s me for more information

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