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Emergency medical technician – intermediate


Advanced Emergency Medical Technician (AEMT) is a mid-level provider of prehospital emergency medical services in the United States; a transition to this level of training from the Emergency Medical Technician-Intermediate (EMT-I), which had somewhat less training, began in 2013 and has been implemented by most states at this point. The AEMT is not intended to deliver definitive medical care in most cases, but rather to augment prehospital critical care and provide rapid on-scene treatment. AEMTs are most usually employed in ambulance services, working in conjunction with EMTs and Paramedics, however are also commonly found in fire departments as non-transporting first responders. The AEMT is authorized to provide advanced life support, which is beyond the scope of an EMT.

AEMTs must be certified as EMTs prior to seeking certification, which involves a class lasting about six months, the curriculum for which is largely outlined by the NAEMT but can vary slightly from state to state. Along with the classroom time, the AEMT student is required to complete many hours of clinical experiences in the operating room, emergency department, other hospital units and advanced life support ambulances. During these clinical hours, the AEMT student must successfully demonstrate full practical knowledge of skills learned. Upon completion of all classroom and practical skills hours, AEMT students must successfully pass a standardized psychomotor and cognitive assessment before they can be certified.

EMT-I/85 is a level of EMT-I training formulated by the National Registry of Emergency Medical Technicians in 1985. This training level includes more invasive procedures than are covered at the EMT-Basic level, including IV therapy, the use of advanced airway devices, and provides for advanced assessment skills. The EMT-I/85 typically administered the same medications as an EMT-B (oxygen, oral glucose, activated charcoal, epinephrine auto-injectors (Epi-Pens), nitroglycerin, and metered-dose inhalers such as albuterol). However, in some states they were also allowed to administer Narcan, D50, glucagon. Like all other EMT levels, their scope of practice was governed by the State and/or their Medical Director.


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