EMT-Intermediates can administer IV fluids and use advanced techniques to start a stopped heart or assist a patient's breathing. EMT-Paramedics may also administer drugs, interpret electrocardiograms, perform intubations, and use monitors or other complex equipment. EMTs need to be quick thinkers with the emotional and physical strength to calm patients, react to unpredictable environmental factors, and diagnose and treat victims in a variety of situations. To advance to the next level, EMT-Intermediate, students must complete an additional 35 to 55 hours of study. The highest level of responsibility is EMT-Paramedic, which requires completion of 750 to 2000 additional hours of classroom instruction and clinical training.
All states require EMTs to be certified.