 thumb|emts loading an injured skier into an ambulance emergency medical technician (emt) or ambulance technician are terms used in some countries to denote a health care provider of emergency medical services. emts are clinicians, trained to respond quickly to emergency situations regarding medical issues, traumatic injuries and accident scenes. emts are most commonly found working in ambulances, but should not be confused with "ambulance drivers" â ambulance staff who in the past were not trained in emergency care or driving. emts are often employed by ambulance services, governments, and hospitals, but are also sometimes employed by fire departments (and seen on fire apparatus), in police departments (and seen on police vehicles), and there are many firefighter/emts and police officer/emts. emts operate under a limited scope of practice. emts are typically supervised by a medical director, who is a physician.handbook for ems medical directors, united states department of homeland security office of health affairs and u.s. fire administration.handbook for ems medical directors, march 2012, united states department of homeland security, federal emergency management agency. some emts are paid employees, while others (particularly in rural areas) are volunteers. ==canada== of considerable relevance to understanding the nature of canadian paramedic practice, the reader must appreciate the considerable degree of inter-provincial variation. although a national consensus (by way of the national occupational competency profile) identifies certain knowledge, skills, and abilities as being most synonymous with a given level of paramedic practice, each province retains ultimate authority in legislating the actual administration and delivery of emergency medical services within its own borders. for this reason, any discussion of paramedic practice in canada is necessarily broad, and general. specific regulatory frameworks and questions related to paramedic practice can only definitively be answered by consulting relevant provincial legislation, although provincial paramedic associations may often offer a simpler overview of this topic when it is restricted to a province-by-province basis. in canada, the levels of paramedic practice as defined by the national occupational competency profile are: emergency medical responder (emr), primary care paramedic, advanced care paramedic, 
Emergency_medical_responders Emergency_medical_services Healthcare_occupations Technicians