Hey Sam, I wanted to share something regarding your channel and message. I have been an IT professional making an exceptionally good living in NYC for over 20 years. I was hit with a few health issues which are resolved for the time being. I have been into preparedness all my life and I have always felt First Aid is a critical skill everyone should know. I started with several certs from the red cross (first aid, cpr, aed, severe bleeding etc) which I maintain till this day. But then I was in a “pay it forward” moment and wanted to volunteer which I did. However, that turned into something deeper and your channel played a role. So; I am now a certified EMT and am pursuing paramedic status at age 50. I get its young man’s area; but I’m sure I can contribute. So just wanted to say thanks. Pay it forward brother!
My service in Wisconsin first went to the I-99 you mentioned. After only a couple of years the decision was made to go paramedic. Interestingly, my I-99 instructor was probably one of the very best teachers I have ever had, and I have a master's degree. So, with the I-99 hours and the paramedic hours I had over 2000 hours of advanced EMS coursework, having to pass through two national registries that were identical in almost every regard. I think it made me a better paramedic. I did all this in retirement, starting at age 55. I retired two years ago at age 70, at which time I was a critical care paramedic, taught ACLS and PALS, and was a station examiner at several National Registry's. Loved it all.
So getting my advanced was the best decision I made. It made paramedic so easy. Second advanced and do way more than stated in this video. He definitely down playing advanced. And anyone will tell you advanced is way harder to get than paramedic. Advanced can give different benzodiazepines , fentanyl and morphine. Now there is advanced to paramedic bridge programs. Passed paramedic practicals and national registry first time and I definitely say having my advanced and the experience with having my advanced and being the primary care giver on the truck helped so much. Food for thought
In New Mexico AEMT is a program worth going to before medic. State scope allows AEMTs to Start IVs/IOs and give a huge array of meds including corticosteroids, narcs, Naloxone, Cardiac Epi, IV Diphenhydramine and a few others. Usually AEMTs in NM run call for call with Medics unless the call needs a dart, cric, or cardioversion etc.
I’m currently getting my emt cert in El Paso then will try to go to las cruces should I get my Aemt ASAP or is it a good idea to do emt for a bit in New Mexico
@@brianaguirre8197 Hey man sorry about the late reply I don't check this very often. I am personally a firm believer that a strong EMT-B is worth their weight in gold especially in a rural or semi rural setting where there's not a ton of Medics, I also believe there is really no better teacher than field experience. So to answer your question I would work in the field as an EMT -B and get your foot in the door. I will also say if you're planning to work Private EMS in Las Cruces I believe they require you to be dual licensed in NM and Texas as the closest Level 1 Trauma Center is in El Paso, but that may have changed, I'd ask your employer. Additionally, I would say talk to your employer and make sure they will actually utilize you if you do go get an AEMT license. Some places really don't like that license as its not common and the protocols are usually written to EMT-B or Medic level. In summation, Work for a bit as an EMT-B, if your employer will allow you to utilize the full AEMT scope (called EMT-Intermediate in NM, don't let that confuse you its just how the AEMT national license is recognized in the state) then go for it. If you're really only going to be an EMT-B that can start IVs just go to medic school. Hope this helps. If anyone has anything to add or disagrees I'd love to hear everyone's thoughts.
In NJ, we have EMS physicians which I think is very cool. They are literally a mobile ER. They have blood, surgical kit, reboa, mobile ultrasound (which I think will be available to medics soon) and more. I made a video about it if you're interested.
Here in Suffolk County NY, we have 2 mobile stroke units. They’re literally massive ambulances with CAT scan machines in them. Stony Brook University Hospital owns and manages them
In Newark we have MD 1 I think it’s like privately run, it used to be through MONOC, but when they shut down the docs wanted to keep the program running.. I’ve never had them on a job but they come in a chase car and do some wild stuff..
in my region, EMT-Is (aemt) can do alot of stuff. Intubation, pacing, cardioversion, manual defib, 12-lead interpretation, needle decompression, etc.. and they can give a plethora of medications, they have full ACLS drugs and protocols, ketoralac, fentanyl, versed, Lasix etc. I worked as an AEMT at my company and ran 911 with a basic, we were able to get a staffing waiver, it helped me tremendously when it came to getting my medic
@@coover65 RI used to have cardiac EMTs (may still but I think they have adopted the DOT standard) who were not super well trained and were known for missing lots of et tube placements (into esophagus).
I started nursing school before my first child but only got a few semesters in before realizing I would have to put it on pause while I raised my kids, I would like to get back into the medical field but thinking more along the lines of emergency services. Once my youngest kid is a little older and my husband can stay home I would like to start my EMT course and work my way up from there. Thank you for this!
I’m 14. I want to become an EMT when I am 16, which is the minimum age for certification in my state. I also want to get the local EMS to do Stop the Bleed and CPR training at my church, which they offer for free.
Hi, i'm 16 and i'm first responder (Firefighter) in France. It's the most young you can start in France and it's only if you do a type of "formation" that start at your 12 yo and end at yours 16yo. That's what i have do now i do intervention. in France Firefighter do people rescue, fire,animals rescue and other things. So that what i do. Have a good day.
@Joseph Bates Do it man, but I can guarantee the move and fees associated will cost far more than the 30,000 pounds for your degree. there are also so many cool routes that you can take. and best of all that certification will transfer almost anywhere
@Joseph Bates hello matey you can jump on the frec 3 course at 17 and work as responder for events, homeless medical and can dip your toes into stuff in currently frec trained and I love it. I plan on doing the frec 5 next year to become a tech then studying para science
@Joseph Bates if you get the chance look at the trust entry as you don’t have to pay for anything but your c1 so go in as an Eca, tech or aap then after a year or 2 internally progress to student para and the trust pays your degree
It’s really amazing how much certification levels vary between states. Here in NY we have EMR which are PD and FD, EMS are Fire are separated and we have EMT-B and Paramedic. That’s it
@@littlemillerog I’ll rephrase, here in NYC we have CFR/EMR, EMT-B and EMT-P as recognized licenses since to be a paramedic here you need to have NYS EMT-P licensing from NYS and you need NYC EMT-P licensing from NYC which is a parallel process that involves having to pass another certification exam. Outside of that though we do have rescue medics, and flight medics but from they have paramedic certifications from NYS DOH and have agency trainings and certifications that give them their rescue and flight qualifications.
been a software engineer for 9 years. money is great but i hate it. so here goes nothin. ive always wanted to do something that helps people instead of just make rich people richer. idk why in never thought of this before. i’m pumped.
@@rootbeer9908 been a full time EMT since august! my coworkers think i'm weird for being stoked to show up lol. thinking about nursing school since we have phrn here. that will allow me to work in the ER and on the booboo bus.
A few interesting things about EMRs in Wisconsin. First, in rural areas with an ambulance service, depending on the population size, they have the option to run an EMR/EMT ambulance crew, with the EMT being the PCP during transport. This is where I got my start in ems. Second, EMRs are allowed to use supraglottic airways and certain IM medications at the discretion of the medical director. I went to school for my EMT certification, but unfortunately I had to leave the class a week before our final tests. It was a complicated situation, and it's by far one of my biggest regrets. I will return someday though.
Heads up for those of you looking to move to a different state within the U.S. I recommend New Mexico, to try and not be biased the NMEMSB, is very flexible in scope of practice. Most states allow only medics to do any invasive procedures. As an EMR in NM you can give ASA, Oxygen, Albuterol without “assisting” or without med control. As an EMT/B you can preform Supraglottics, as well as administer Naloxone & EPI self drawn. To add to the basic scope if you’re contracted with border patrol or other rural parts you can have access to IV special skills. EMT-I within the state give practically everything besides most cardiac drugs, antidotes, etc. EMT-I’s can also interpret some rhythms and give narcotics with medical direction. Medics in NM can do everything in addition with some special skills, such as AMR allowing the ability to give TXA or certain drugs for special situations. New Mexico is one of the best to really utilise your scope and not have to put up within as much bureaucracy like other states.
For those wondering, RNs have an EMS component in many states. It would be more in line with the critical care paramedic cert. This is a great video and gives a good over view of things though.
not true at all.. PHRNs in a majority of states/systems to a paramedic scope. Flight nurses are more in line with the CCEMT-P scope, but that's a higher certification
In Florida we only have two Levels EMT & Paramedic. The FD I worked for put me through a classes/training for what we called EMT-R (Rescue) was basically design for us to be able to help the paramedics in the back of the units if we ever had to ride with them. Starting IV’s and working with manual defibrillators.
If you have a degree in EMS and you're an Australian citizen, you'll have to have sponsorship to work in the US. The company that hired you would probably help negotiate the licensure requirements and you'd have to make contact with the State regulatory agency to be cleared to take the National Registry. Health professions are managed state to state, not federally. It would take some time and effort but I doubt they would actually require you to "retake" the entire program-- probably take and pass the national registry examination (or state exam if the state isn't NR).
Cheers. I’m actually not an Aussie and I’m in the states now. I reckon I’m going to still do a bit with EMS, dip my toes in it up to AEMT (because I want to try my hand with EMS) after a year or so of working I’ll reevaluate if I want to continue to get my paramed or if I want to transfer over to fire/police/other career.
In Canada we have: - EMR which can work on an ambulance depending on the province/territory. - Primary Care Paramedic (1 or 2 years depending on the school/province), which has a scope of practice similar to AEMT but can do 12/15 leads, semi-auto defib, needle thoracostomy, cpap, IVs (seperate certification), medications like but not limited to nitroglycerin, glucose, ketorolac, ASA, and salbutamol. - Advanced Care Paramedic (depending on the province/how many years you did for the PCP program but a general rule of thumb is if you did 1 year PCP then you will do 2 years ACP and if you did 2 years PCP then you would do 1 year ACP. Required to have 3k hours as PCP to qualify for ACP school) basically, a paramedic/EMT-P can intubate, RSI, cricothyrotomy, IVs, IOs, pacing, synchronized cardioversion. can give medication like adenosine, amiodarone, atropine, dopamine, fentanyl, ketamine, midazolam, morphine, and more that I didn't list. - Critical Care Paramedic (1 more year of school. required to have ACP and no hours requirments) very similar to the American Critical Care Paramedic. The Ontario Paramedics Association says their scope of practice is "consistent with the level of care provided by Intensive Care Units", which would make sense as they are pretty much exclusively used for mobile ICU. From what I know they can interpret imaging, gastric intubation and suction, lab blood value interpretation, manage chest tubes, insert urinary catheters, provide IV blood products, and more that I dont know. Pay in Ontario are as follows: EMR can only work for non emergent transport and event medical and the get paid around $20-30 an hour, PCP gets paid around $40-50 an hour starting, ACP gets paid around $45-60 an hour starting, and a CCP can make around $60-100 an hour starting. This is unfortuantly in Canadian Roubles. This information is mostly from myself as I'm a PCP student in Ontario in a 2 year program. Just like the states, there will be changes to scope of practice and schooling from province to province, but generally they are the same. If anyone is interested in Ontario paramedics' scope of practice, you can look up the BLS and ALS standards, and Ontario Regulation 257/00 from the Ontario MOHLTC.
Where I live in Texas it is a requirement to get your AEMT before going into the Paramedic certifications course. Starting EMT in January and should be done with Paramedic school with associates by May 23!
In CT, EMT's can administer epinephrine through IM, since we don't carry EpiPens (unless the patient has one we'll use it). We also can use a CPAP and Duo.
In the UK you need a BSc (Hons) in Paramedic Science, a 3 year university degree. This is for the the national standard for all UK paramedics - to get HCPC registration (Health & Care Professions Council). Then there's about 1100-1500hrs 3rd manning on ambulances with 180-200hrs hospital placement too. On our course, we spent time in a paediatric ward, maternity unit, operating theatres, ED (ER for you), Orthopaedic ward and CCU (Coronary Care Unit). All UK ambulances are NHS (public sector) ambulances - no private EMS. You call 999 (your 911) and its an NHS ambulance with HCPC registered paramedic on board. We have ECA (your EMR) > EMT (varying levels between each service) > Paramedic. We also have slight variations. All UK paramedics are trained to the same BSc curriculum. Though some services will permit cardioversion, whereas other can't. Some also have non-medical prescribing and can issue antibiotics like a doctor, others can't. Just for comparison in case anyone was curious :)
Interesting to see how it's done in the States! At least where I am in Canada (BC), the scope jumps right from EMR to Primary Care Paramedic, and that's the basic level on an ambulance. We consider 2 paramedics to be a BLS crew. Then above that theres Advanced Care Paramedics which are on ALS trucks, and Critical Care Paramedics, Infant Transport Team Paramedics, and a couple other certificates beyond the PCP level.
Some adjustments have been made in many schools due to COVID. In Washington, EMT's were allowed to train the bare minimum hours, mostly via Zoom, and clinical hours were cut entirely.
In my area an AEMT can give some cardiac meds without supervision, as well as a host of others, interpret 4 leads and use the computer interpretation of 12 leads, call STEMI alerts, etc. They are the primary level for 911, and medics are primarily intercept. Great level to get solid ALS experience in.
In Malaysia, we have a similar profession but slightly different. It is called Assistant Medical Officer (Pembantu Perubatan). It is a combination of a Paramedic and a Physician Assistant. 3 years of Diploma in Medical Assistant consist of 3 semester of theory and 3 semester of clinical practice.
@@MrJedi5150 My State has about 40 Million people, not a rural state and a couple of years ago AEMT started here. It is slowly catching on. It is on the National Curriculum and there are jobs here both volunteer and paid that have it. If you want to talk about uncommon, that would be the I-99 EMT-CC.
IVs are pretty simple to begin with i don’t believe it would be at all necessary to go the AEMT route but then again my state only recognizes EMT and Paramedics
Your head will spin! It's a career you either love or will hate and bomb out in second year. In 23 years in the job I've seen many students go on to become paramedics I would trust with my family, and the odd one who has been told to consider a career change-which is hard to say to somebody who's invested time and money into university.
You also as a paramedic can transport medicated fluids, blood products, etc. Here in Ohio we label those transports as SCT Specialty Care Transport Medics. I work for a hospital based system and this is technically my job title. In addition I operate as a paramedic in the traditional sense running primary 911 in the city we are based in.
It's interesting to see. I'm currently a UK student paramedic at university. It's now a 3 year degree and depending on where in the UK you work now has a further 2 years of validation. It looks like the US and UK national frameworks are very similar in scope of practice
@@timneji Im not aware of any trust that doesn't have an NQP process in England, I can't speak for Scotland, Wales and NI. Even some private companies offer NQP. I think the UK offers a lot of scope of practice for paramedics.
Happy to be corrected by any US paramedics but I think British, Irish and Australian paramedics have greater autonomy than US ones. Also, the concept of "bring hospital to patient" doesn't really exist to the degree it does elsewhere. You'll probably have greater experience practicing scope of practice in the UK. Career progression with a government owned service would probably be greater than with a county/private run agency.
On the East Coast, at least in NYS the I-99 E.M.T.-C.C., notice 2 CC's, it is an abreviation for Critical Care, I have never heard the I-99 referred to as a Cardiac (one C). The I-99 has already been phased out here and can only be refreshed thru CME and skill sign off by your Medical Director, no more refresher classes for the I-99.The I-99 was replaced by the AEMT.
Absolutely great vid. Very similar here in Ontario. We have 3 levels of Paramedic (the EMT name was dropped long ago), as well Critical Care, HUSAR, CBRNE, Tactical, etc.
In BC, for the longest time an EMR was considered a “paramedic” because the general public wouldn’t know the difference. But it’s gonna be dropped soon. BC also had Primary Care Paramedic / PCP-IV, and Advanced Care Paramedic and Critical care paramedic. BCEHS has its own paramedic specialists who do the CBRNE stuff, etc. No tactical medics though (with the going away of BCEHS’s ITSU), I think police services have that like RCMP.
I highly appreciate you addressing the need for an associates degree for becoming a paramedic. I started out with a tech school certificate (lived my tech school) but transferred to a university and got my associates. I love EMS soooo much but we need the increased education level to be taken seriously in the healthcare field.
@@PrepMedic growing ? Evolving?? Have you not seen the drastic emt/ medic shortage nationwide??? Progressive???I’ve been in ems 13 years and this “growth” you speak of is non existent lol. That worthless degree does nothing but get you a nice gold and red patch. There is no pay increase as the majority of ambulance companies and fire depts don’t acknowledge the difference between licensed and certified medics. You’re scope of practice does not expand with that degree neither. Soo all that time you spent in school just to graduate to be a box jockey you should’ve just went to nursing school done the two year rn program……pretty silly when I see a medic with their “ licensed paramedic” patch……makes me giggle 🤭
@@PrepMedic it’s not short sighted. Compare us to the rest of the world. The UK and Australia require bachelors degrees and they are respected as highly as their RN counterparts. Paramedics and RN’s are considered the same level, just in different fields. Maybe if we standardized a higher education (associates level would be more ideal for the US) for ourselves, our profession would get more respect from other healthcare professionals for the level of skill that we possess. With more recognition, should come better pay because the healthcare field will value us as professionals and not just transport. It’s a positive chain reaction that we are holding ourselves back from.
The national standards allow for AEMTs to intubate unconscious patients and also allow for I/O access; and in Texas most medical directors allow the AEMT's to do that. I was an AEMT before being a paramedic I felt like it was definitely helpful in increasing my IV and intubation skills for paramedic school. I feel like i am a better paramedic because of the experience I had as an AEMT. Also, alot of services will hire a AEMT before they hire an EMT-B all day. AEMT's are vital to the pre-hospital system. I urge people to advance to AEMT if they are not willing to go to paramedic school.
As an AEMT in Ga we can not give epi for cardiac but can for anaphylaxis. We also can not interpret a 12 lead but we can transmit one . We can give D50, nitro, glucagon, aspirin, epi for anaphylaxis and narcan. We can do IO and IV and of course superglotic airways. I do not want the responsibility of being a paramedic so I will stick with AEMT.
In the several states (TN,GA,KY,AL) I have worked in they will almost never hire a basic EMT and require you to be an AEMT for ambulance services. I have never seen a college that allows you to skip advanced EMT and go straight to paramedic. I have worked at every level this industry offers over the last 10 years. Currently working as a critical care paramedic on the aircrafts.
Advanced level is such a weird one because it changes from state to state drastically. In some states like Ar it's recognized as a license, but hardly any service will utilize it and it's a waste of time to get.
I wish we could all get in the same page. Its pretty frustrating honestly. There are a lot of people that want to work in different areas for various reasons whether out of necessity or for their own edification. Sometimes they find it very difficult to relocate and maintain their level of licensure and/or pay.
Depending where you are volunteer departments have EMT's due to what's called jurisdiction having authority. Also EMR's are limited to treatment on their own state. In my experience Paramedicine degrees are 4 years degrees and you have to have your EMT for 1 year.
There is also the mobile intensive care nurse which is an ALS provider and is becoming more and more popular as people realize the pay and job opportunities for medics is subpar
I really wish the country could standardize the scope of practice. Here in Oklahoma AEMTs have to be able to intubate... Nevermind that it is kind of needless with fewer field intubations happening. Spending the time needed to teach intubation could be spent teaching ekg which would make a much bigger difference. I'm sure there's some state out there doing just that. Fwiw there are some medic schools that offer aemt as half of the paramedic program. You can get the aemt and keep going to medic, take a break and return for the second half later, or just stop there. I love that model and wish it was more prevalent. If nothing else it would have more AEMTs in the world so that skill level would be more likely to be used.
Another, potential, option to dip your toes in EMS to see if it's something you can/want to do is as an EMS Driver. I say potential because it seems many states, counties, and even specific cities require NREMT to drive an emergency vehicle, but it'd be worth a look. I did have to spend something less than $150 and a day of my time to get the state specific training and certification I needed to drive the boo boo bus. I wanted to throw this out there because I'm using this time to get comfortable with EMS life before actually dropping money and time on a course, and that might work for other people on the fence about joining EMS
@@Jibbz707 no, I drive an actual ambulance with a paramedic as my partner. I am on call no less than 48 hours a week and assist the medic in rendering care. I'm only about 3 months into it, but I'm pretty sure I'll be going to EMT school next year since I seem to have no issues with the gore, smells, or schedule
I had to get my EMT by law to maintain my fire lic and discovered 3 things: I'm gifted at it, I absolutely hate it, and I use it pretty frequently in my job as a trucker. What advice do you have to hate it less? I can't walk past hurting people knowing I can do something about it, but it tears me up inside afterwards; my grandma had to sit up with me all night after my first one to keep my gun away from my head. I need the skills for my job, I'm really good at it intuitively, but I don't want to lay awake all night because I watched someone die.
Great Video! I'm looking at taking the Wilderness Emergency Medical Technician course provided by NOLS which would provide me with the EMT and WEMT certification. I just wondered where the WEMT certification fit into these levels of certification. Thank you for providing us with your experience and education!
A WEMT is still an EMT, but has training in remote/austere environments and the extended transport times that come with that environment, also to make due with what you have on hand, since you won't have help or supplies coming immediately. OEC, Outdoor Emergency Care would also be a similar specialty cert to WEMT.
So this is a really interesting video, I'm quite curious about EMS provision in different countries and being from the UK, it always seemed the US had a bit of a disjointed training system depending on states and local requirements, so being able to see a comprehensive overview is really interesting! It does seem there is quite a skills gap between the EMTs and Paramedics which surprises me to be honest. There also seems to not be much of a gap between EMR & EMT and then EMT & AEMT, which is also very curious. I'm a bit confused about the course length for EMR though, over here that sounds equivalent to a first aider/first aid at work role equivalent (bar trauma training which hasn't made its way into wider first aid just yet, thanks covid...), and I've covered much of that in a 4 day course in my voluntary life, so 3 weeks is very odd to me! Police medics in the UK go on a separate specialised course I believe although, I'm not sure exactly what they cover but it seems an extended FAW course. EMT and AEMT sound relatively similar to Emergency Ambulance Crew in the UK, but it sounds like there's less of a training burden for EMT/AEMT. In the UK (generally, not all ambulance trusts - nationally run ambulance services - do things the same) you are a trainee EAC (TEAC) and do ~12 weeks classroom training, ~6 weeks on the job placement, and ~4 weeks emergency driving (blue light course) from what I know. Paramedics in the UK generally have to complete a 3 year Bachelors degree (we don't have Associate degrees) but it sounds like the skill set is relatively similar - in a couple of trusts you can still do vocational training to get the degree I believe. We also have things like Advanced Paramedics (solo responders with extended drug and intervention skill set) with critical care paramedics and HEMS paras being separate. I suppose the other difference in the UK is that most of our ambulances are a Paramedic and EAC, you do get some BLS/ILS double EAC crews but most often it's a Para/EAC crew. I know in the US you rely more on EMT/AEMT crews than we do though.
Our training is certainly disjointed. Each one of our states sets their own guidelines and rules. You have to remember that while America is a unified nation, we have a federal system of government meaning that we are basically a tightly knit confederacy of 50 individual republics. What works for one state (such as mine which is Florida with a populatin of over 20 million) will likely not work as well for another which is why each one sets their own standards and guidelines. I am very lucky to be in my state. As a general rule, our paramedics can mostly do anything that our physician authorizes and we show proficiency in. EMS is advancing so quickly in the United States that most state curriculums cannot keep up with the changes. Many of our schools are producing undertrained paramedics. They often come out of school with no understanding of capnography (reading CO2 producition), and limited understanding of things such as ultrasound, CPAP/BIPAP, antibiotic, etc. In just five years my service has added many interventions that can better outcomes for our patients. We are also a MINIMUM of 30 minutes (usually 45) from the nearest hospital so the more we can do for our patients, the better! I am really excited to watch and participate in this rapid advance of prehospital medicine!
Hi and greetings from Germany. ; ) Thank you for the great video. Can you do a video about the role of emergency physicians and the medical directors in the US? Stay safe!
I forgot to mention that nursing did the same thing in the early 2000s where they were required to have a Bachelors degree for new nurses. Of course, different degree programs fought each other for a while (BN vs BScN etc.).
What path would you recommend for someone who wants to be certified as a paramedic for the knowledge..but not actually as a career? With as crazy as the world is getting right now..seems like a useful skill to know. As a career it pays significantly less then I currently make..which...after looking at it...is a crying shame and indicative of the current social mentality.
Most paramedic programs are 2 year programs. That’s waste of time and resources if you aren’t going to be a paramedic. You can’t do paramedic level things unless you are licensed
Great post, I’m working on my EMR due to the line of work (non medical) and love the content and information provided. It’s made me rethink and reorganize my kits. Thoughts on further training for those of us that won’t be in the medical field, more for the knowledge such as Wilderness First Aid, TCCC and others for working in areas that waiting on EMS could be 30 minutes to an hour out?
In Minnesota EMT’s have a very broad scope, almost to the AEMT level and MN doesn’t recognize AEMT I believe. An EMT in Minnesota, and where I work can place IV’s, IO’s (unconscious), place a king LT, 12 lead, nitro, ASA, on standing orders, CPAP and a few others. Really carries by the state but EMT’s can be very advanced in a few areas.
Study hard and try to get as many fake scenarios as possible. I was finishing up my EMT class last semester when this all went down and it was hard but studying was a big part. And not just book study. Make sure you can do all your hands on portions, bc that’s what you’re really missing out on.
I agree, study hard, and before you finish your class look into getting on a service. It will be helpful to get right out of school and onto a rig. That way you can practice your skills there and you won’t lose them.
Make sure you know your scope front and back. I would also highly recommend networking. Just try and meet as many people you can that are already in the field. Look into a volunteer fire dept. even if you can only ride along and watch. Time in the field is invaluable.
I mean if you don't want to deal with the alternatives because of COVID, I would wait on starting school and just try and do ride alongs with the fire dept if possible. Depending on where you live EMS agencies might or might not allow you to do that because of COVID restrictions. You can also do an anatomy class to help with emt school, but that is entirely up to you as most classes will probably be online only and in person lab. If you do end up taking an anatomy class remember to give it your best effort because if you plan on going into paramedicine or even med/pa school, your grades matter. If you plan on working local in the future, get to know your area in which you live. Look up ways to get to different hospitals in each part of town, research the hospitals and their capabilities, and find out where the ambulance bays are at each hospital. This will be extremely helpful to you when starting out and make your job alot easier. When I got hired with my agency, I drove to every hospital we could possibly transport to and found out where all the bays were. Good luck to you!
I’m takening my NREMT test for my advanced on the 30th it’s gonna a fun but unfortunately due to COVID my state didn’t do clinics or ride alongs. For my basic or advanced. As long as we passed the written test and skills test we got our license.
In the late 90's, I was an NREMT-Basic in Delaware. I was also one of the first 100 state-level EMT-Basics. After over 15-years - at age 53 - I'm returning to school in January to regain my EMT credentials. Paramedic? Only time will tell.
Im an EMR working in an Ambulance mind you its not 911 it's just IFT. But its really been a good career for me and i believe more EMS Agencies should hire EMRs more. Thats just my opinion.
@@PrepMedic Thank you I am hoping to go back to EMT school and get my certification. I did challenge the EMR test two years ago in hopes to use it at my Fire Department, but where I live I found some companies that hire EMR. I found one fortunately and I have no regrets I really enjoy my job. It's not the exciting 911 Emergencies for the company I work is just IFT but It still does get my feet wet and I get enough interesting calls out of it.
Definitely would hope to get my Paramedic soon I am going to be looking into getting my EMT this winter hopefully if i can find any classes. Would be a huge dream of mine to eventually get up to working in a helicopter like what you do.
Doing a quick scan of your videos, I don't see a cost/benefit discussion of pursuing EMS. It's a very noble and necessary field, but from what I hear not always well compensated. Your thoughts on that topic would be of interest.
I was a medic for 6 years eventually became a nurse. Pay as a medic is good because of the overtime but is not a lifetime career back injuries and burnout is very common
I'm a Paramedic from germany and for me this is really interesting. I always thought it's much more different in the US from germany, but it's acutally pretty much the same which amazes me a bit :D I was always interested if it's possible to work as a paramedic from germany in the US, would that work ?
I start my paramedic training this may, can you do a video on the immunizations you need to start because I had to be up to date on a lot of different vaccines
The scope of practice really must vary from state to state cause where I live AEMT can intubate and do CPAP but were not allowed to give any cardiac meds
At least with AMR in Las Vegas they want you to have a year of street experience as an EMT/AEMT before going to paramedic school. AMR will pay for your schooling
Same in Cali. They want you to have like 200 hours or something like that could be more idk. So a lot of ppl I know just did a bunch of overtime to jump straight to paramedic school. AEMT is non existent in Cali.
Anaesthesiologist from Germany, on the way to be a prehospital emergency physician asking... Do yo have any systems in the USA with prehospital doctors/physician in the ambulance/helicopter? Here in Germany we have usually an ambulance with 2 crew members (1 EMT, 1 "Paramedic"), and a response car with 1 EMT or "Paramedic" an a physician, especialy trained in emergency medicine. Nice channel and greetings from Leipzig!
Usually air ambulance can staff physicians and doctors. My local air ambulance company staffs doctors on their helicopters but it is rare to see one, it’s usually just nurses and paramedics.
Awesome video and a good explanation on the levels. I have been a EMT for 20 years with the military and civilian world and currently work as a nurse. The one question I have always had was wy do you think many states don't utilize the AEMT? Florida for example it is EMT then Paramedic. WIth a lot of interfacility transport the AEMT would be bale to take some patients that don't actually require a Paramedic but have to since we don't use that level of certification.
Hello Sam, Can you update or enhance this video, please. What about bachelor degree in Paramedic Sciences or Master degree in Paramedic Sciences??? What if you are paramedic and push further into physician assistant??? How you expand your scope to the top of the game??? Thanks.
While degrees are great and I recommend providers get them to future proof themselves, getting a bachelor’s degree or masters in the US doesn’t change your scope of practice or “level”. PA, while often adapted to the prehospital environment is a in-hospital provider and does not pertain to levels of EMS discussed within the video.
It's pretty crazy that the US medical system is like that. In my country, all of the care providers that work in any ambulance are AT LEAST paramedic equivalent and most are critical care certification equivalent.
Not really. Most jurisdictions have ALS only or BLS responders with ALS intercept available it is all down to choice of local government. In many rural areas they may have BLS providers for minor calls and ALS available through mutual aid or contracted private service.
@@janisbanis6882 oh it’s not. EMS is an undervalued profession and our healthcare system is an absolute dumpster fire but there are merits to BLS units and they are becoming less common. Also curious- what country are you in? Sounds like your prehospital care is pretty cool.
@@eastwardExpansion I'm from the EU, Latvia. Our EMS has room for improvement, but no part is privately owned or commercialized, and all providers are highly certified.
I disagree on the degree comment. The US has a major paramedic shortage nationwide. They’ll never make it harder to achieve. It would kill the profession. I would agree with you if they paid medics at the same rate as RN’s. I also recommend working as a EMT before going to medic. I went straight to medic and the lack of experience showed.
I love telling people what get to do and see their faces light up. like..."yeah. You wouldn't believe what we're allowed to do to people in the back of those trucks."
Yeah TCCC is a certification that lasts only two years then you'd have to recertify. Currently in the Reserves and me and my unit have to recertify soon
Most states offer a critical care endorsement for youre license that expands your scope. Some places require you to meet a certain set criteria throughout your career and some require a test or course to get that licensure. In addition to that there is a board within EMS called IBSC that offers several very difficult tests that will certify you as a flight paramedic (FP-C) and/or critical care paramedic (CCP-C). Any self respecting flight service will require one of those two IBSC certifications within a year or two of being hired if not before.
Hi Sam, I'm not sure if this is the right forum to ask this, but here's the deal. I'm 41, and have wanted to be a medic for a very long time. However I've had some life obstacles that have got in the way of fulfilling that dream. I do have some physical limitations with previous knee and shoulder surgeries. And I also had an NSTEMI a couple years ago. My question is this: Can I do it? Is it to late in life, am I getting to old to consider going thorugh the classes and getting certified/licensed? Is it something I can do with my limitations? Again, sorry if this is the wrong forum to ask this, but I'd appreciate your feedback
Not exactly related to this video, but since it's your most recent I figured to ask here, in hopes that you still see it. I recently read that wound cleaning with iodine, silver or similar things is no longer seen as helpful to prevent infection. That got me a bit confused, as thats what I've been told for years: Rinse if needed, iodine, cover it, all golden. (Not from a professional background, obviously) What is the most up-to-date way for wound-cleaning for "major wounds that you'd still treat as amateur" like a deep abrasion on the knee or a bigger cut that doesn't bleed dangerously? Or even just for your small everyday cut that got dragged through dirt?
So I live in South Carolina, and Im in the process of getting my ducks in a row to get into school for EMT. From what im gathering from this video, I should just continue straight on through to Paramedic? Wont I learn more being out in the field getting first hand experience? Also, another question I have is what are some of the other options for a career route you can take as an EMT or Paramedic that isnt the "standard" or regular route most people go down. I guess what I mean are are there other options you can have like a traveling EMT or traveling Paramedic? Contracted Paramedic and go oversees? thank you for your time, and thank you for the videos! they are extremely informative!
I became a security officer a couple years ago without any certs. Not saying you shouldn't get certified but I don't think it's necessary depending on who hired you and what you're trying to do etc
@@Anonymous_Eyeballs respect man was going to work at one of are local reserve smoke shop, but things didn't work out because the owner went owner went to jail, so I didn't get the job,
Hey Sam,
I wanted to share something regarding your channel and message. I have been an IT professional making an exceptionally good living in NYC for over 20 years. I was hit with a few health issues which are resolved for the time being. I have been into preparedness all my life and I have always felt First Aid is a critical skill everyone should know. I started with several certs from the red cross (first aid, cpr, aed, severe bleeding etc) which I maintain till this day. But then I was in a “pay it forward” moment and wanted to volunteer which I did. However, that turned into something deeper and your channel played a role. So; I am now a certified EMT and am pursuing paramedic status at age 50. I get its young man’s area; but I’m sure I can contribute. So just wanted to say thanks. Pay it forward brother!
We appreciate you contributing to the service!
I had people in their 50s in my medic class and all did phenomenal. Age is just a number.
Incroyable.
@@firemedic-86 Sure. Until they are required to get a patient out of a house on the second floor.
@@mph5896 I've had 20 year olds that can't lift the first in bag. It's the person not the age.
Starting my school in January. Wish me luck guys
Same here! Good luck!
good luck
Me to!
Same here! Hoping we all make it
January 13, 2021 is my first day of paramedic school. Just finished my EMT I and EMT II as well as A&P. What a ride with more to go!
1:37 EMR
3:03 EMT
5:04 AEMT
6:41 Paramedic
9:58 CC Paramedic
My service in Wisconsin first went to the I-99 you mentioned. After only a couple of years the decision was made to go paramedic. Interestingly, my I-99 instructor was probably one of the very best teachers I have ever had, and I have a master's degree. So, with the I-99 hours and the paramedic hours I had over 2000 hours of advanced EMS coursework, having to pass through two national registries that were identical in almost every regard. I think it made me a better paramedic. I did all this in retirement, starting at age 55. I retired two years ago at age 70, at which time I was a critical care paramedic, taught ACLS and PALS, and was a station examiner at several National Registry's. Loved it all.
So getting my advanced was the best decision I made. It made paramedic so easy. Second advanced and do way more than stated in this video. He definitely down playing advanced. And anyone will tell you advanced is way harder to get than paramedic. Advanced can give different benzodiazepines , fentanyl and morphine. Now there is advanced to paramedic bridge programs. Passed paramedic practicals and national registry first time and I definitely say having my advanced and the experience with having my advanced and being the primary care giver on the truck helped so much. Food for thought
In New Mexico AEMT is a program worth going to before medic. State scope allows AEMTs to Start IVs/IOs and give a huge array of meds including corticosteroids, narcs, Naloxone, Cardiac Epi, IV Diphenhydramine and a few others. Usually AEMTs in NM run call for call with Medics unless the call needs a dart, cric, or cardioversion etc.
I’m currently getting my emt cert in El Paso then will try to go to las cruces should I get my Aemt ASAP or is it a good idea to do emt for a bit in New Mexico
@@brianaguirre8197 Hey man sorry about the late reply I don't check this very often. I am personally a firm believer that a strong EMT-B is worth their weight in gold especially in a rural or semi rural setting where there's not a ton of Medics, I also believe there is really no better teacher than field experience. So to answer your question I would work in the field as an EMT -B and get your foot in the door. I will also say if you're planning to work Private EMS in Las Cruces I believe they require you to be dual licensed in NM and Texas as the closest Level 1 Trauma Center is in El Paso, but that may have changed, I'd ask your employer. Additionally, I would say talk to your employer and make sure they will actually utilize you if you do go get an AEMT license. Some places really don't like that license as its not common and the protocols are usually written to EMT-B or Medic level. In summation, Work for a bit as an EMT-B, if your employer will allow you to utilize the full AEMT scope (called EMT-Intermediate in NM, don't let that confuse you its just how the AEMT national license is recognized in the state) then go for it. If you're really only going to be an EMT-B that can start IVs just go to medic school. Hope this helps. If anyone has anything to add or disagrees I'd love to hear everyone's thoughts.
In Minnesota there EMTs already do that
In NJ, we have EMS physicians which I think is very cool. They are literally a mobile ER. They have blood, surgical kit, reboa, mobile ultrasound (which I think will be available to medics soon) and more. I made a video about it if you're interested.
Isn’t this the rwj guys or is it different
We do?
Here in Suffolk County NY, we have 2 mobile stroke units. They’re literally massive ambulances with CAT scan machines in them. Stony Brook University Hospital owns and manages them
@@aac2500 Heard about them, also have heard about them in reality being pretty useless
In Newark we have MD 1 I think it’s like privately run, it used to be through MONOC, but when they shut down the docs wanted to keep the program running.. I’ve never had them on a job but they come in a chase car and do some wild stuff..
in my region, EMT-Is (aemt) can do alot of stuff. Intubation, pacing, cardioversion, manual defib, 12-lead interpretation, needle decompression, etc.. and they can give a plethora of medications, they have full ACLS drugs and protocols, ketoralac, fentanyl, versed, Lasix etc. I worked as an AEMT at my company and ran 911 with a basic, we were able to get a staffing waiver, it helped me tremendously when it came to getting my medic
Bruh. What’s the point in being a paramedic if you can do those lol
@@ethanjackson3061 Better pay I guess lol
Cardiac is a Rhode Island thing.
They get taught how to miss tubes..
came here to say that specifically. Screw those guys, what a disgrace
Confused Australian here; can you elaborate? Disregard the fact that Rhode Island isn't even an island, but the whole sentence.
@@coover65 RI used to have cardiac EMTs (may still but I think they have adopted the DOT standard) who were not super well trained and were known for missing lots of et tube placements (into esophagus).
@@eastwardExpansion That's terrible. How the hell any training department can mark such people off as competent with so many misses is incredible.
In 2 weeks I’ll be 1/3 of the way through medic school....so ready to get this done🤣.
Congrats, you're 1/3 of the way through medic school! Good luck for the next 2/3!
@@woofplays medic or medical?
@@salemismail2226 Medic, thanks for correcting me.
@@woofplays no problem sir
I started nursing school before my first child but only got a few semesters in before realizing I would have to put it on pause while I raised my kids, I would like to get back into the medical field but thinking more along the lines of emergency services. Once my youngest kid is a little older and my husband can stay home I would like to start my EMT course and work my way up from there. Thank you for this!
I start EMT schooling in January!!! Cant wait
I’m 14. I want to become an EMT when I am 16, which is the minimum age for certification in my state. I also want to get the local EMS to do Stop the Bleed and CPR training at my church, which they offer for free.
@Joseph Bates Become a paramedic in the UK, they have a much higher scope of practice
Hi, i'm 16 and i'm first responder (Firefighter) in France. It's the most young you can start in France and it's only if you do a type of "formation" that start at your 12 yo and end at yours 16yo. That's what i have do now i do intervention. in France Firefighter do people rescue, fire,animals rescue and other things. So that what i do. Have a good day.
@Joseph Bates Do it man, but I can guarantee the move and fees associated will cost far more than the 30,000 pounds for your degree. there are also so many cool routes that you can take. and best of all that certification will transfer almost anywhere
@Joseph Bates hello matey you can jump on the frec 3 course at 17 and work as responder for events, homeless medical and can dip your toes into stuff in currently frec trained and I love it. I plan on doing the frec 5 next year to become a tech then studying para science
@Joseph Bates if you get the chance look at the trust entry as you don’t have to pay for anything but your c1 so go in as an Eca, tech or aap then after a year or 2 internally progress to student para and the trust pays your degree
Excellent video . A lot has changed since I was a EMT-B
It’s really amazing how much certification levels vary between states. Here in NY we have EMR which are PD and FD, EMS are Fire are separated and we have EMT-B and Paramedic. That’s it
Actually NY has CFR(Certified First Responder(same as EMR)), EMT-B, AEMT, Paramedic and Critical Care Paramedic.
@@littlemillerog I’ll rephrase, here in NYC we have CFR/EMR, EMT-B and EMT-P as recognized licenses since to be a paramedic here you need to have NYS EMT-P licensing from NYS and you need NYC EMT-P licensing from NYC which is a parallel process that involves having to pass another certification exam. Outside of that though we do have rescue medics, and flight medics but from they have paramedic certifications from NYS DOH and have agency trainings and certifications that give them their rescue and flight qualifications.
@@andrewsingh1379 Oh! Very interesting. I did not realize NYC has a separate licensing process but that makes sense. Thanks for clarifying!
Are you an EMT with the FDNY by any chance? I just got my email telling me to get ready for my physical for the FDNY
@@wyattneville7672 no I am not but I know a fair number of people who are including my partner so I may be able to answer your questions
been a software engineer for 9 years. money is great but i hate it.
so here goes nothin. ive always wanted to do something that helps people instead of just make rich people richer. idk why in never thought of this before. i’m pumped.
Well how did it go?
@@rootbeer9908 been a full time EMT since august! my coworkers think i'm weird for being stoked to show up lol.
thinking about nursing school since we have phrn here. that will allow me to work in the ER and on the booboo bus.
A few interesting things about EMRs in Wisconsin. First, in rural areas with an ambulance service, depending on the population size, they have the option to run an EMR/EMT ambulance crew, with the EMT being the PCP during transport. This is where I got my start in ems. Second, EMRs are allowed to use supraglottic airways and certain IM medications at the discretion of the medical director. I went to school for my EMT certification, but unfortunately I had to leave the class a week before our final tests. It was a complicated situation, and it's by far one of my biggest regrets. I will return someday though.
Heads up for those of you looking to move to a different state within the U.S. I recommend New Mexico, to try and not be biased the NMEMSB, is very flexible in scope of practice. Most states allow only medics to do any invasive procedures. As an EMR in NM you can give ASA, Oxygen, Albuterol without “assisting” or without med control. As an EMT/B you can preform Supraglottics, as well as administer Naloxone & EPI self drawn. To add to the basic scope if you’re contracted with border patrol or other rural parts you can have access to IV special skills. EMT-I within the state give practically everything besides most cardiac drugs, antidotes, etc. EMT-I’s can also interpret some rhythms and give narcotics with medical direction. Medics in NM can do everything in addition with some special skills, such as AMR allowing the ability to give TXA or certain drugs for special situations. New Mexico is one of the best to really utilise your scope and not have to put up within as much bureaucracy like other states.
For those wondering, RNs have an EMS component in many states. It would be more in line with the critical care paramedic cert. This is a great video and gives a good over view of things though.
not true at all.. PHRNs in a majority of states/systems to a paramedic scope. Flight nurses are more in line with the CCEMT-P scope, but that's a higher certification
In Florida we only have two
Levels EMT & Paramedic. The FD I worked for put me through a classes/training for what we called EMT-R (Rescue) was basically design for us to be able to help the paramedics in the back of the units if we ever had to ride with them. Starting IV’s and working with manual defibrillators.
Just found out about a month ago that an AUS degree won’t transfer. I’m looking to work in the states and this has helped me a bit. Thanks Prep medic.
If you have a degree in EMS and you're an Australian citizen, you'll have to have sponsorship to work in the US. The company that hired you would probably help negotiate the licensure requirements and you'd have to make contact with the State regulatory agency to be cleared to take the National Registry. Health professions are managed state to state, not federally. It would take some time and effort but I doubt they would actually require you to "retake" the entire program-- probably take and pass the national registry examination (or state exam if the state isn't NR).
Cheers. I’m actually not an Aussie and I’m in the states now. I reckon I’m going to still do a bit with EMS, dip my toes in it up to AEMT (because I want to try my hand with EMS) after a year or so of working I’ll reevaluate if I want to continue to get my paramed or if I want to transfer over to fire/police/other career.
In Canada we have:
- EMR which can work on an ambulance depending on the province/territory.
- Primary Care Paramedic (1 or 2 years depending on the school/province), which has a scope of practice similar to AEMT but can do 12/15 leads, semi-auto defib, needle thoracostomy, cpap, IVs (seperate certification), medications like but not limited to nitroglycerin, glucose, ketorolac, ASA, and salbutamol.
- Advanced Care Paramedic (depending on the province/how many years you did for the PCP program but a general rule of thumb is if you did 1 year PCP then you will do 2 years ACP and if you did 2 years PCP then you would do 1 year ACP. Required to have 3k hours as PCP to qualify for ACP school) basically, a paramedic/EMT-P can intubate, RSI, cricothyrotomy, IVs, IOs, pacing, synchronized cardioversion. can give medication like adenosine, amiodarone, atropine, dopamine, fentanyl, ketamine, midazolam, morphine, and more that I didn't list.
- Critical Care Paramedic (1 more year of school. required to have ACP and no hours requirments) very similar to the American Critical Care Paramedic. The Ontario Paramedics Association says their scope of practice is "consistent with the level of care provided by Intensive Care Units", which would make sense as they are pretty much exclusively used for mobile ICU. From what I know they can interpret imaging, gastric intubation and suction, lab blood value interpretation, manage chest tubes, insert urinary catheters, provide IV blood products, and more that I dont know.
Pay in Ontario are as follows: EMR can only work for non emergent transport and event medical and the get paid around $20-30 an hour, PCP gets paid around $40-50 an hour starting, ACP gets paid around $45-60 an hour starting, and a CCP can make around $60-100 an hour starting. This is unfortuantly in Canadian Roubles.
This information is mostly from myself as I'm a PCP student in Ontario in a 2 year program. Just like the states, there will be changes to scope of practice and schooling from province to province, but generally they are the same. If anyone is interested in Ontario paramedics' scope of practice, you can look up the BLS and ALS standards, and Ontario Regulation 257/00 from the Ontario MOHLTC.
Paramedic from Taiwan, now preparing for my FP-C cert exam.
Where I live in Texas it is a requirement to get your AEMT before going into the Paramedic certifications course. Starting EMT in January and should be done with Paramedic school with associates by May 23!
No its not.
In CT, EMT's can administer epinephrine through IM, since we don't carry EpiPens (unless the patient has one we'll use it). We also can use a CPAP and Duo.
In the UK you need a BSc (Hons) in Paramedic Science, a 3 year university degree. This is for the the national standard for all UK paramedics - to get HCPC registration (Health & Care Professions Council). Then there's about 1100-1500hrs 3rd manning on ambulances with 180-200hrs hospital placement too. On our course, we spent time in a paediatric ward, maternity unit, operating theatres, ED (ER for you), Orthopaedic ward and CCU (Coronary Care Unit).
All UK ambulances are NHS (public sector) ambulances - no private EMS. You call 999 (your 911) and its an NHS ambulance with HCPC registered paramedic on board. We have ECA (your EMR) > EMT (varying levels between each service) > Paramedic.
We also have slight variations. All UK paramedics are trained to the same BSc curriculum. Though some services will permit cardioversion, whereas other can't. Some also have non-medical prescribing and can issue antibiotics like a doctor, others can't.
Just for comparison in case anyone was curious :)
Interesting to see how it's done in the States! At least where I am in Canada (BC), the scope jumps right from EMR to Primary Care Paramedic, and that's the basic level on an ambulance. We consider 2 paramedics to be a BLS crew. Then above that theres Advanced Care Paramedics which are on ALS trucks, and Critical Care Paramedics, Infant Transport Team Paramedics, and a couple other certificates beyond the PCP level.
Some adjustments have been made in many schools due to COVID. In Washington, EMT's were allowed to train the bare minimum hours, mostly via Zoom, and clinical hours were cut entirely.
In my area an AEMT can give some cardiac meds without supervision, as well as a host of others, interpret 4 leads and use the computer interpretation of 12 leads, call STEMI alerts, etc. They are the primary level for 911, and medics are primarily intercept. Great level to get solid ALS experience in.
In Malaysia, we have a similar profession but slightly different. It is called Assistant Medical Officer (Pembantu Perubatan). It is a combination of a Paramedic and a Physician Assistant. 3 years of Diploma in Medical Assistant consist of 3 semester of theory and 3 semester of clinical practice.
EMR 1-3 weeks. The military told me to learn it in 10 days
That’s two weeks
Great video. I would definitely recommend AEMT before Medic. The extra time practice IVs was a huge help for me.
No love for the AEMT in this video thats for sure.
@@centermass3454 agreed, I don't understand the need to rush to medic. Quality over quantity.
@@MrJedi5150
My State has about 40 Million people, not a rural state and a couple of years ago AEMT started here. It is slowly catching on. It is on the National Curriculum and there are jobs here both volunteer and paid that have it. If you want to talk about uncommon, that would be the I-99 EMT-CC.
IVs are pretty simple to begin with i don’t believe it would be at all necessary to go the AEMT route but then again my state only recognizes EMT and Paramedics
@@cop2296 learning IVs apart from having to stat on IVs and IV medications was a lot easier for me. I
I start studying paramedicine in September for UK and can't wait :)
Your head will spin! It's a career you either love or will hate and bomb out in second year. In 23 years in the job I've seen many students go on to become paramedics I would trust with my family, and the odd one who has been told to consider a career change-which is hard to say to somebody who's invested time and money into university.
FP-C is the hardest exam I have ever taken. A huge amount of study material.
Guys guys..... his hair... IS PERFECT!!
Kind of neat to see where the Marines CLS course stacks up against civilian standards.
You also as a paramedic can transport medicated fluids, blood products, etc. Here in Ohio we label those transports as SCT Specialty Care Transport Medics. I work for a hospital based system and this is technically my job title. In addition I operate as a paramedic in the traditional sense running primary 911 in the city we are based in.
It's interesting to see. I'm currently a UK student paramedic at university. It's now a 3 year degree and depending on where in the UK you work now has a further 2 years of validation. It looks like the US and UK national frameworks are very similar in scope of practice
Is there any trust without a NQP program? The UK system is (in my opinion) the best in the World.
@@timneji Im not aware of any trust that doesn't have an NQP process in England, I can't speak for Scotland, Wales and NI. Even some private companies offer NQP. I think the UK offers a lot of scope of practice for paramedics.
Same here in Australia it’s a full three year degree but it’s basically the only way to become a paramedic now
Happy to be corrected by any US paramedics but I think British, Irish and Australian paramedics have greater autonomy than US ones. Also, the concept of "bring hospital to patient" doesn't really exist to the degree it does elsewhere. You'll probably have greater experience practicing scope of practice in the UK. Career progression with a government owned service would probably be greater than with a county/private run agency.
On the East Coast, at least in NYS the I-99 E.M.T.-C.C., notice 2 CC's, it is an abreviation for Critical Care, I have never heard the I-99 referred to as a Cardiac (one C). The I-99 has already been phased out here and can only be refreshed thru CME and skill sign off by your Medical Director, no more refresher classes for the I-99.The I-99 was replaced by the AEMT.
Absolutely great vid. Very similar here in Ontario. We have 3 levels of Paramedic (the EMT name was dropped long ago), as well Critical Care, HUSAR, CBRNE, Tactical, etc.
What's the scope of practice like in Ontario after the COPR?
@@ChilliwackCnd I'm not a paramedic, so I actually don't know, I just really really enjoy Sam's channel.
In BC, for the longest time an EMR was considered a “paramedic” because the general public wouldn’t know the difference. But it’s gonna be dropped soon. BC also had Primary Care Paramedic / PCP-IV, and Advanced Care Paramedic and Critical care paramedic. BCEHS has its own paramedic specialists who do the CBRNE stuff, etc. No tactical medics though (with the going away of BCEHS’s ITSU), I think police services have that like RCMP.
I highly appreciate you addressing the need for an associates degree for becoming a paramedic. I started out with a tech school certificate (lived my tech school) but transferred to a university and got my associates. I love EMS soooo much but we need the increased education level to be taken seriously in the healthcare field.
Literally does nothing for you…..that degree is worthless……should’ve gone RN…..loser 😝
A pretty short sighted view of a growing and evolving field.
@@PrepMedic growing ? Evolving?? Have you not seen the drastic emt/ medic shortage nationwide??? Progressive???I’ve been in ems 13 years and this “growth” you speak of is non existent lol. That worthless degree does nothing but get you a nice gold and red patch. There is no pay increase as the majority of ambulance companies and fire depts don’t acknowledge the difference between licensed and certified medics. You’re scope of practice does not expand with that degree neither. Soo all that time you spent in school just to graduate to be a box jockey you should’ve just went to nursing school done the two year rn program……pretty silly when I see a medic with their “ licensed paramedic” patch……makes me giggle 🤭
@@PrepMedic it’s not short sighted. Compare us to the rest of the world. The UK and Australia require bachelors degrees and they are respected as highly as their RN counterparts. Paramedics and RN’s are considered the same level, just in different fields. Maybe if we standardized a higher education (associates level would be more ideal for the US) for ourselves, our profession would get more respect from other healthcare professionals for the level of skill that we possess.
With more recognition, should come better pay because the healthcare field will value us as professionals and not just transport.
It’s a positive chain reaction that we are holding ourselves back from.
In Kansas EMRs can do NPAs, OPAs, oral glucose, narcan, oxygen, aspirin, and can assist in several other things
Same thing here in CA although we aren't recognized by the state.
My dad and grandpa and grandma where both on the ambulance department for Griswold. Iowa
Crazy, I worked in Atlantic for a bit
The national standards allow for AEMTs to intubate unconscious patients and also allow for I/O access; and in Texas most medical directors allow the AEMT's to do that. I was an AEMT before being a paramedic I felt like it was definitely helpful in increasing my IV and intubation skills for paramedic school. I feel like i am a better paramedic because of the experience I had as an AEMT. Also, alot of services will hire a AEMT before they hire an EMT-B all day. AEMT's are vital to the pre-hospital system. I urge people to advance to AEMT if they are not willing to go to paramedic school.
As an AEMT in Ga we can not give epi for cardiac but can for anaphylaxis. We also can not interpret a 12 lead but we can transmit one . We can give D50, nitro, glucagon, aspirin, epi for anaphylaxis and narcan. We can do IO and IV and of course superglotic airways. I do not want the responsibility of being a paramedic so I will stick with AEMT.
In the several states (TN,GA,KY,AL) I have worked in they will almost never hire a basic EMT and require you to be an AEMT for ambulance services. I have never seen a college that allows you to skip advanced EMT and go straight to paramedic. I have worked at every level this industry offers over the last 10 years. Currently working as a critical care paramedic on the aircrafts.
Advanced level is such a weird one because it changes from state to state drastically. In some states like Ar it's recognized as a license, but hardly any service will utilize it and it's a waste of time to get.
I wish we could all get in the same page. Its pretty frustrating honestly. There are a lot of people that want to work in different areas for various reasons whether out of necessity or for their own edification. Sometimes they find it very difficult to relocate and maintain their level of licensure and/or pay.
I left college to become an EMT, so hearing "You typically need an Associate's degree to become a Paramedic" really just ruined my day 😭
Degrees in EMS is coming. The writing is on the wall but it isn’t a requirement yet.
Im taking creightons class next semester! Im stoked!
Excellent course. Rick is great.
Depending where you are volunteer departments have EMT's due to what's called jurisdiction having authority. Also EMR's are limited to treatment on their own state. In my experience Paramedicine degrees are 4 years degrees and you have to have your EMT for 1 year.
There is also the mobile intensive care nurse which is an ALS provider and is becoming more and more popular as people realize the pay and job opportunities for medics is subpar
I really wish the country could standardize the scope of practice. Here in Oklahoma AEMTs have to be able to intubate... Nevermind that it is kind of needless with fewer field intubations happening. Spending the time needed to teach intubation could be spent teaching ekg which would make a much bigger difference. I'm sure there's some state out there doing just that.
Fwiw there are some medic schools that offer aemt as half of the paramedic program. You can get the aemt and keep going to medic, take a break and return for the second half later, or just stop there. I love that model and wish it was more prevalent. If nothing else it would have more AEMTs in the world so that skill level would be more likely to be used.
Another, potential, option to dip your toes in EMS to see if it's something you can/want to do is as an EMS Driver.
I say potential because it seems many states, counties, and even specific cities require NREMT to drive an emergency vehicle, but it'd be worth a look. I did have to spend something less than $150 and a day of my time to get the state specific training and certification I needed to drive the boo boo bus.
I wanted to throw this out there because I'm using this time to get comfortable with EMS life before actually dropping money and time on a course, and that might work for other people on the fence about joining EMS
You mean like a wheel chair bus driver?
@@Jibbz707 no, I drive an actual ambulance with a paramedic as my partner. I am on call no less than 48 hours a week and assist the medic in rendering care.
I'm only about 3 months into it, but I'm pretty sure I'll be going to EMT school next year since I seem to have no issues with the gore, smells, or schedule
I had to get my EMT by law to maintain my fire lic and discovered 3 things: I'm gifted at it, I absolutely hate it, and I use it pretty frequently in my job as a trucker. What advice do you have to hate it less? I can't walk past hurting people knowing I can do something about it, but it tears me up inside afterwards; my grandma had to sit up with me all night after my first one to keep my gun away from my head. I need the skills for my job, I'm really good at it intuitively, but I don't want to lay awake all night because I watched someone die.
Great Video! I'm looking at taking the Wilderness Emergency Medical Technician course provided by NOLS which would provide me with the EMT and WEMT certification. I just wondered where the WEMT certification fit into these levels of certification. Thank you for providing us with your experience and education!
It doesnt. WEMT is just added knowledge but your scope remains the same.
@@PrepMedic Sounds good! Thank you
A WEMT is still an EMT, but has training in remote/austere environments and the extended transport times that come with that environment, also to make due with what you have on hand, since you won't have help or supplies coming immediately. OEC, Outdoor Emergency Care would also be a similar specialty cert to WEMT.
I just passed NREMT for basic and am not super confident in my knowledge. Hopefully thats a good thing because I'll never stop studying.
So this is a really interesting video, I'm quite curious about EMS provision in different countries and being from the UK, it always seemed the US had a bit of a disjointed training system depending on states and local requirements, so being able to see a comprehensive overview is really interesting!
It does seem there is quite a skills gap between the EMTs and Paramedics which surprises me to be honest. There also seems to not be much of a gap between EMR & EMT and then EMT & AEMT, which is also very curious. I'm a bit confused about the course length for EMR though, over here that sounds equivalent to a first aider/first aid at work role equivalent (bar trauma training which hasn't made its way into wider first aid just yet, thanks covid...), and I've covered much of that in a 4 day course in my voluntary life, so 3 weeks is very odd to me! Police medics in the UK go on a separate specialised course I believe although, I'm not sure exactly what they cover but it seems an extended FAW course.
EMT and AEMT sound relatively similar to Emergency Ambulance Crew in the UK, but it sounds like there's less of a training burden for EMT/AEMT. In the UK (generally, not all ambulance trusts - nationally run ambulance services - do things the same) you are a trainee EAC (TEAC) and do ~12 weeks classroom training, ~6 weeks on the job placement, and ~4 weeks emergency driving (blue light course) from what I know. Paramedics in the UK generally have to complete a 3 year Bachelors degree (we don't have Associate degrees) but it sounds like the skill set is relatively similar - in a couple of trusts you can still do vocational training to get the degree I believe. We also have things like Advanced Paramedics (solo responders with extended drug and intervention skill set) with critical care paramedics and HEMS paras being separate.
I suppose the other difference in the UK is that most of our ambulances are a Paramedic and EAC, you do get some BLS/ILS double EAC crews but most often it's a Para/EAC crew. I know in the US you rely more on EMT/AEMT crews than we do though.
Our training is certainly disjointed. Each one of our states sets their own guidelines and rules. You have to remember that while America is a unified nation, we have a federal system of government meaning that we are basically a tightly knit confederacy of 50 individual republics. What works for one state (such as mine which is Florida with a populatin of over 20 million) will likely not work as well for another which is why each one sets their own standards and guidelines. I am very lucky to be in my state. As a general rule, our paramedics can mostly do anything that our physician authorizes and we show proficiency in. EMS is advancing so quickly in the United States that most state curriculums cannot keep up with the changes. Many of our schools are producing undertrained paramedics. They often come out of school with no understanding of capnography (reading CO2 producition), and limited understanding of things such as ultrasound, CPAP/BIPAP, antibiotic, etc. In just five years my service has added many interventions that can better outcomes for our patients. We are also a MINIMUM of 30 minutes (usually 45) from the nearest hospital so the more we can do for our patients, the better! I am really excited to watch and participate in this rapid advance of prehospital medicine!
Hi and greetings from Germany. ; )
Thank you for the great video.
Can you do a video about the role of emergency physicians and the medical directors in the US?
Stay safe!
The US doesn't really utilize physicians in pre hospital care like most European countries do.
In Alabama EMT’s can administer nasal narcan ,epi pens,glucose cpap/bipap.
I forgot to mention that nursing did the same thing in the early 2000s where they were required to have a Bachelors degree for new nurses. Of course, different degree programs fought each other for a while (BN vs BScN etc.).
The department I work for runs ems and we can give blood products. It’s pretty badass
What path would you recommend for someone who wants to be certified as a paramedic for the knowledge..but not actually as a career? With as crazy as the world is getting right now..seems like a useful skill to know. As a career it pays significantly less then I currently make..which...after looking at it...is a crying shame and indicative of the current social mentality.
Most paramedic programs are 2 year programs. That’s waste of time and resources if you aren’t going to be a paramedic. You can’t do paramedic level things unless you are licensed
Great post, I’m working on my EMR due to the line of work (non medical) and love the content and information provided.
It’s made me rethink and reorganize my kits.
Thoughts on further training for those of us that won’t be in the medical field, more for the knowledge such as Wilderness First Aid, TCCC and others for working in areas that waiting on EMS could be 30 minutes to an hour out?
In Minnesota EMT’s have a very broad scope, almost to the AEMT level and MN doesn’t recognize AEMT I believe. An EMT in Minnesota, and where I work can place IV’s, IO’s (unconscious), place a king LT, 12 lead, nitro, ASA, on standing orders, CPAP and a few others. Really carries by the state but EMT’s can be very advanced in a few areas.
What advice can you give a 17 year old getting into this field with Covid shutting down classes and potential experience opportunities?
Study hard and try to get as many fake scenarios as possible. I was finishing up my EMT class last semester when this all went down and it was hard but studying was a big part. And not just book study. Make sure you can do all your hands on portions, bc that’s what you’re really missing out on.
I agree, study hard, and before you finish your class look into getting on a service. It will be helpful to get right out of school and onto a rig. That way you can practice your skills there and you won’t lose them.
Make sure you know your scope front and back. I would also highly recommend networking. Just try and meet as many people you can that are already in the field. Look into a volunteer fire dept. even if you can only ride along and watch. Time in the field is invaluable.
I mean if you don't want to deal with the alternatives because of COVID, I would wait on starting school and just try and do ride alongs with the fire dept if possible. Depending on where you live EMS agencies might or might not allow you to do that because of COVID restrictions. You can also do an anatomy class to help with emt school, but that is entirely up to you as most classes will probably be online only and in person lab. If you do end up taking an anatomy class remember to give it your best effort because if you plan on going into paramedicine or even med/pa school, your grades matter. If you plan on working local in the future, get to know your area in which you live. Look up ways to get to different hospitals in each part of town, research the hospitals and their capabilities, and find out where the ambulance bays are at each hospital. This will be extremely helpful to you when starting out and make your job alot easier. When I got hired with my agency, I drove to every hospital we could possibly transport to and found out where all the bays were. Good luck to you!
study hard and try to find a local ems company talk to the medics get out there and expand on the people you know in the field
I’m takening my NREMT test for my advanced on the 30th it’s gonna a fun but unfortunately due to COVID my state didn’t do clinics or ride alongs. For my basic or advanced. As long as we passed the written test and skills test we got our license.
In CA, EMTs can do Narcan because of how common of an issue it is...
I start EMT school in Jan🥰
Good luck!
In my state, most if not all paramedic programs require a valid AEMT license as a prereq for admission. I think its a state level thing.
Ive heard rumors that my state may be reverting to that. Cause apparently the use of AEMTs is fairly recent, they used to just go EMT-IV to EMT-P
In the late 90's, I was an NREMT-Basic in Delaware. I was also one of the first 100 state-level EMT-Basics. After over 15-years - at age 53 - I'm returning to school in January to regain my EMT credentials. Paramedic? Only time will tell.
Amazing video! Very thorough and informative, thank you!
Im an EMR working in an Ambulance mind you its not 911 it's just IFT. But its really been a good career for me and i believe more EMS Agencies should hire EMRs more. Thats just my opinion.
Not an opinion I share but I appreciate your input and perspective.
@@PrepMedic Thank you I am hoping to go back to EMT school and get my certification. I did challenge the EMR test two years ago in hopes to use it at my Fire Department, but where I live I found some companies that hire EMR. I found one fortunately and I have no regrets I really enjoy my job. It's not the exciting 911 Emergencies for the company I work is just IFT but It still does get my feet wet and I get enough interesting calls out of it.
Definitely would hope to get my Paramedic soon I am going to be looking into getting my EMT this winter hopefully if i can find any classes. Would be a huge dream of mine to eventually get up to working in a helicopter like what you do.
Good luck, hope you pass!
Where I live EMRs can be on a basic rig with an EMT and can give narcan
Doing a quick scan of your videos, I don't see a cost/benefit discussion of pursuing EMS. It's a very noble and necessary field, but from what I hear not always well compensated. Your thoughts on that topic would be of interest.
I was a medic for 6 years eventually became a nurse. Pay as a medic is good because of the overtime but is not a lifetime career back injuries and burnout is very common
It depends on where you work. I make great money hourly as a medic and dont have to work overtime like I used too at a previous job.
@@tori5257 how much is great pay?
I'm a Paramedic from germany and for me this is really interesting.
I always thought it's much more different in the US from germany, but it's acutally pretty much the same which amazes me a bit :D
I was always interested if it's possible to work as a paramedic from germany in the US, would that work ?
I start my paramedic training this may, can you do a video on the immunizations you need to start because I had to be up to date on a lot of different vaccines
This is a very helpful video even for a nurse that should know all the tiers!
The scope of practice really must vary from state to state cause where I live AEMT can intubate and do CPAP but were not allowed to give any cardiac meds
This video is not the most accurate representation of SoPs, since they vary so widely by jurisdiction.
In PA Emts can do CPAP
At least with AMR in Las Vegas they want you to have a year of street experience as an EMT/AEMT before going to paramedic school. AMR will pay for your schooling
Same in Cali. They want you to have like 200 hours or something like that could be more idk. So a lot of ppl I know just did a bunch of overtime to jump straight to paramedic school. AEMT is non existent in Cali.
Anaesthesiologist from Germany, on the way to be a prehospital emergency physician asking... Do yo have any systems in the USA with prehospital doctors/physician in the ambulance/helicopter? Here in Germany we have usually an ambulance with 2 crew members (1 EMT, 1 "Paramedic"), and a response car with 1 EMT or "Paramedic" an a physician, especialy trained in emergency medicine.
Nice channel and greetings from Leipzig!
Most countries are lucky enough that they don’t have a system like Germany; it’s absolutely terrible.
Usually air ambulance can staff physicians and doctors. My local air ambulance company staffs doctors on their helicopters but it is rare to see one, it’s usually just nurses and paramedics.
Waited for this video ages ago...
Awesome video and a good explanation on the levels. I have been a EMT for 20 years with the military and civilian world and currently work as a nurse. The one question I have always had was wy do you think many states don't utilize the AEMT? Florida for example it is EMT then Paramedic. WIth a lot of interfacility transport the AEMT would be bale to take some patients that don't actually require a Paramedic but have to since we don't use that level of certification.
Missed you last week.
Great information.
Hello Sam,
Can you update or enhance this video, please.
What about bachelor degree in Paramedic Sciences or Master degree in Paramedic Sciences???
What if you are paramedic and push further into physician assistant???
How you expand your scope to the top of the game???
Thanks.
While degrees are great and I recommend providers get them to future proof themselves, getting a bachelor’s degree or masters in the US doesn’t change your scope of practice or “level”. PA, while often adapted to the prehospital environment is a in-hospital provider and does not pertain to levels of EMS discussed within the video.
@@PrepMedic
Thanks bro.
Good luck, great 2023.
🚑🚨🚒
It's pretty crazy that the US medical system is like that. In my country, all of the care providers that work in any ambulance are AT LEAST paramedic equivalent and most are critical care certification equivalent.
Not really. Most jurisdictions have ALS only or BLS responders with ALS intercept available it is all down to choice of local government. In many rural areas they may have BLS providers for minor calls and ALS available through mutual aid or contracted private service.
@@eastwardExpansion Hope it is working out well.
@@janisbanis6882 oh it’s not. EMS is an undervalued profession and our healthcare system is an absolute dumpster fire but there are merits to BLS units and they are becoming less common. Also curious- what country are you in? Sounds like your prehospital care is pretty cool.
@@eastwardExpansion I'm from the EU, Latvia. Our EMS has room for improvement, but no part is privately owned or commercialized, and all providers are highly certified.
I disagree on the degree comment. The US has a major paramedic shortage nationwide. They’ll never make it harder to achieve. It would kill the profession. I would agree with you if they paid medics at the same rate as RN’s. I also recommend working as a EMT before going to medic. I went straight to medic and the lack of experience showed.
You'd be surprised. The UK has a paramedic shortage too and from this year you need a degree to get professional registration as a paramedic.
I love telling people what get to do and see their faces light up. like..."yeah. You wouldn't believe what we're allowed to do to people in the back of those trucks."
lmao
Coming from a military medic background I have Two questions, I thought crit care and flight were separate carts. Is TCCC a cert?
Yeah TCCC is a certification that lasts only two years then you'd have to recertify. Currently in the Reserves and me and my unit have to recertify soon
Most states offer a critical care endorsement for youre license that expands your scope. Some places require you to meet a certain set criteria throughout your career and some require a test or course to get that licensure. In addition to that there is a board within EMS called IBSC that offers several very difficult tests that will certify you as a flight paramedic (FP-C) and/or critical care paramedic (CCP-C). Any self respecting flight service will require one of those two IBSC certifications within a year or two of being hired if not before.
Tccc is a certification that lasts for 3 years, covering movement and care under fire and the PMARCHP algorithm.
I would totally do this as a career super helpful info, thank you sir.
I live in Colorado too! Fort Collins, Larimer county
Hi Sam, I'm not sure if this is the right forum to ask this, but here's the deal. I'm 41, and have wanted to be a medic for a very long time. However I've had some life obstacles that have got in the way of fulfilling that dream. I do have some physical limitations with previous knee and shoulder surgeries. And I also had an NSTEMI a couple years ago. My question is this: Can I do it? Is it to late in life, am I getting to old to consider going thorugh the classes and getting certified/licensed? Is it something I can do with my limitations? Again, sorry if this is the wrong forum to ask this, but I'd appreciate your feedback
Not exactly related to this video, but since it's your most recent I figured to ask here, in hopes that you still see it.
I recently read that wound cleaning with iodine, silver or similar things is no longer seen as helpful to prevent infection. That got me a bit confused, as thats what I've been told for years: Rinse if needed, iodine, cover it, all golden.
(Not from a professional background, obviously)
What is the most up-to-date way for wound-cleaning for "major wounds that you'd still treat as amateur" like a deep abrasion on the knee or a bigger cut that doesn't bleed dangerously? Or even just for your small everyday cut that got dragged through dirt?
That equipment behind you looks like military equipment will I need that gear as an emt or a paramedic?
NYS requires 250 hrs as EMT-B b4 apply to medic school
Some misconception about AEMT but not too bad.
Thanks for the high quality content. Do you think you will release pre-made kits like Skinnymedic in the future?
I agree with u boi
He shows his kits and how to build them up. It’s cheaper this way. I was able to build out 3 bags for the price of a pre-bought.
So I live in South Carolina, and Im in the process of getting my ducks in a row to get into school for EMT. From what im gathering from this video, I should just continue straight on through to Paramedic? Wont I learn more being out in the field getting first hand experience? Also, another question I have is what are some of the other options for a career route you can take as an EMT or Paramedic that isnt the "standard" or regular route most people go down. I guess what I mean are are there other options you can have like a traveling EMT or traveling Paramedic? Contracted Paramedic and go oversees? thank you for your time, and thank you for the videos! they are extremely informative!
Just get your medic if its ultimately what you want, you have to do many hours of clinicals which are there for you to get the 911/ER experience
Respect bro, going for my emergency firstaid, cpr and aed training, thanks for the help bro, want to become a security officer
I became a security officer a couple years ago without any certs. Not saying you shouldn't get certified but I don't think it's necessary depending on who hired you and what you're trying to do etc
@@Anonymous_Eyeballs respect man was going to work at one of are local reserve smoke shop, but things didn't work out because the owner went owner went to jail, so I didn't get the job,
Awesome breakdown. I'd love to add tactical training to my experience!!
Paramount Tactical in West Virginia offers a great Tactical Casualty Response Course that gives you national certification.