Talk:Emergency medical technician

message: This article starts its history of US EMS in the 70's, when it is clear that EMS as we know it started well before that. I point to 1966 The white paper "Accidental Death and Disability: The Neglected Disease of Modern Society" , The freedom House project in the mid 1960's too. Then there is the Seattle Medic One project, the Miami FF programs, and many many more examples. For that matter, there were fire departments running "resuscitator" calls in the 1930's. This completely neglects the role of military medicine in WWII on to influencing the development of EMS.  The discussion of the "alexander" program is based more on "Emergency Medicine" as a professional specialty of physicians rather than any history of EMS. Croaker260 (talk) 18:16, 7 April 2012 (UTC)
thread_title: Incomplete History

message: All EMT-B students learn under National Registry guidelines how to assist the patient with the administration of his or her own EpiPen, nitroglycerin, and MDI.  They may also administer glucose and activated charcol.  Medicines can be administered either when ordered by medical control or where standing orders are in place.   
EMTs have not been trained to use MAST pants for at least a decade. They were never supportied by sciencific evidence, and anyone using them is in danger of being exposed to malpractice. 
https://www.nremt.org/nremt/about/psychomotor_exam_emt.asp Nstanaway (talk) 02:56, 11 September 2016 (UTC)
replies: text: Feel free to begin adding this information. Don't forget to cite sources. While the NREMT has their standards, local medical directors don't always allow for what you stated. If your PMD doesn't allow it then you can't do it- no matter how you're trained. I know this feeling and it's frustrating. Bstone 04:56, 9 March 2007 (UTC)
replies: text:  just as a follow up, most protocols (those standing orders we are allowed to do) are NOT developed by a single overseeing medical director (one that allows EMTs to practice) but usually developed by a group of medical directors (Council) for that specific area, like this one that I'm a part of Susquehanna Regional EMS Council.  But Bstone is correct in stating that what ever is authorized is only what can be practiced in the field. Medicellis (talk) 03:10, 23 June 2008 (UTC)
thread_title: Incorrect information

message: Hello,
can someone tell a poor french boy whether there is a difference between a CFR and an EMT-B? I read that "The first responder training is intended to fill the gap between First Aid and EMT-Basic", but what are these differences?
Cdang 12:59, 5 Oct 2004 (UTC)
replies: text: I'll use New York State as an example, because that's where I'm certified.  A CFR does not receive the depth of training for initial patient assessment that an EMT receives.  Also, a CFR may not apply a traction splint for a fractured femur, nor may they give or assist in the administration of medications that an EMT-Basic may give or assist in, such as epinephrine for anaphylaxis or Nitroglycerine tablets for heart-related chest pain.  Other variations may exist in other areas or jurisdictions; for specific differences, query the certifying agency for your area. --N5iln 19:28, 15 May 2006 (UTC)
thread_title:  CFR and EMT-B 

message: It appears that with some/most classes of EMT within the US, if you get certified, you are entered into the NREMT .  More details on this?
Also, I've seen a designation EMT-LP referenced, anyone know what that means?
~ender 2006-05-10 19:59:PM MST
:Some states use the NREMT as their examining and certifying body; Oklahoma is one example.  There, prospective EMTs are tested using the NREMT standards, and on successfully passing the practical and written examinations are both issued their state certifications and enrolled in the Registry.--N5iln 19:11, 15 May 2006 (UTC)
replies: text: While I know it's from a few years ago, there might as well be an answer in here. Without knowing which state you are talking about, it's hard to give an answer. Some states (Texas, for example, has an EMT-Paramedic level and a Licensed Paramedic level. The difference being post-secondary education (AA in an EMS field or a BS in anything) use the term "Licensed Paramedic" which could be your EMT-LP. JPINFV (talk) 15:03, 10 March 2008 (UTC)
thread_title:  Other stuff 

message: Its most people agree the article has enough span.  I'm removing the tag.  If you disagree after look through the discussion, please contact me.  St.isaac 23:21, 8 August 2006 (UTC)
thread_title:  Removing world wide view tag 

message: I added information about the NREMT, including the frustrations felt by EMTs who have had to deal with them. Bstone 09:02, 3 December 2006 (UTC)
replies: text: Sorry, just being WP:BOLD and removing defamatory, libelous personal opinion which was not backed up with WP:RS. Leuko 19:32, 3 December 2006 (UTC)

text: I made some minor edits to this section, including stating that the NREMT is a private, for-profit organization. This statement is factual, indisputable and pertinent. I again ask that when an editor makes changes to a section they PLEASE make a note of it here. I have twice but there have been two more edits by Leuko which have not been noted. Bstone 20:36, 3 December 2006 (UTC)
replies: text: Actually, it's very disputable, since it is not cited with a WP:RS.  I've requested a citation of the material, and if not provided it will removed it in accordance with WP:V and WP:NOR. Also, there is no wikipedia requirement to note all edits made to an article in its talk page.  That would become quite cumbersome and useless - that's what the article's history is for.  The talk page is used for discussing disputed changes, not removing unreferenced POV material.  Leuko 22:00, 3 December 2006 (UTC)
replies: text:  Here is a link which states, quite plainly, that the NREMT is a private organization. "In sum, the National Registry is a private certifying organization." http://nremt.org/about/Legal_Opinion.asp I will update the description. As for your other statement, while it is not required to note here what your edits are, when you delete and make significant changes to an entire section it is considered good form. Bstone 05:46, 4 December 2006 (UTC)
replies: text: Yes, the reference you provided states the NREMT is a private organization, not a "for-profit company."  I don't see any mention of that in there.  The fact that the reference provided is an opinion by some random lawyer, and thus amounts to WP:OR is another issue entirely, but I don't really care enough to pursue it further. Leuko 20:49, 4 December 2006 (UTC)

text:  It cannot be possible that you reject a statement concerning a company's functioning when it comes from their contracted legal counsel. It certainly does not amount to WP:OR. As for the "for-profit" issue, while that source does not indicate the for-profit or not-for-profit status of the NREMT, a simple search of Ohio's Sec of State's website would reveal they are a for-profit company. Would this be acceptable to you? Bstone 05:48, 5 December 2006 (UTC)
replies: text:  Yes, of course a governmental website would be a WP:RS, and therefore acceptable for citation.  Feel free to add it, don't have the time to look for it. Leuko 03:36, 6 December 2006 (UTC)

text: True, I've edited it to be more in line with that reality.  Thank you for your suggestion! When you feel an article needs improvement, please feel free to make those changes.  Wikipedia is a wiki, so anyone can edit almost any article by simply following the  link at the top. You don't even need to log in (although there are many reasons why you might want to).  The Wikipedia community encourages you to be bold in updating pages. Don't worry too much about making honest mistakes — they're likely to be found and corrected quickly. If you're not sure how editing works, check out how to edit a page, or use the sandbox to try out your editing skills.  New contributors are always welcome. Leuko 22:00, 3 December 2006 (UTC)

text: I am a little confused why you seem to be lecturing me on the basic points of editing in wikipedia. I am an experienced editor. As well, this is best for my talk page. Bstone 05:50, 4 December 2006 (UTC)
replies: text: Didn't mean to lecture, just educate.  Sorry, but the type of edits which were made are generally made by new users unaware of Wikipedia policies such as WP:V, WP:NOR and WP:NPOV.  Leuko 20:49, 4 December 2006 (UTC)

text: I am sure there are.  You are welcome to add such a section if 1) you do so in a WP:NPOV manner, and 2) WP:CITE the fact that the opinions you would like to add are in fact widespread by using published articles from a WP:RS.  Something like an article from JEMS would be an acceptable source, but posts on web forums are not acceptable.  Leuko 20:49, 4 December 2006 (UTC)
thread_title:  NREMT 

message: In looking over this and other EMS related articles (consider ambulance, for example) I'm seeing a lot of information that is country-specific. I also note that some articles are becoming lengthy, in part due to the inclusion of country-specific information, but fail to adequately cover common aspects of their subjects. What do people think about culling the country-specific information from the EMS, EMT, ambulance &c articles and placing this info in country-specific emergency_medicine/ EMS/ title to-be-determined articles? --Badger151 21:16, 8 December 2006 (UTC)
thread_title:  Country-specific EMS 

message: Be careful when citing NFPA standards as "regulations".  NFPA is not a regulatory agency.  To be fair, though, (US) regulatory agencies such as PESH, NIOSH, and OSHA often cite NFPA standards when developing or reviewing regulations, because NFPA's standards are developed through a peer-reviewed process and (arguably) not subject to business or political pressures. Alan 20:16, 2 April 2007 (UTC)
thread_title:  NFPA 

message: I/O Systems is a competitor to the NREMT. Mass, Kansas and Illinois have switched from the NREMT exam to the I/O Systems one. A JEMS article on it is here: http://www.jems.com/emsinsider/23-9/13358/  We may want to consider adding in that there is another certification agency, albeit much smaller than the NREMT. Bstone 04:19, 7 May 2007 (UTC)
replies: text: I'm opposed to adding information on I/O Systems as a certification agency, as they are a company that provides computer-adaptive testing, not an organization that sets and maintains standards of training.  Based on a review of their web site, their sole goal is to compete directly with NREMT to provide testing services and sites to states.  Alan 12:50, 7 May 2007 (UTC)
replies: text:  I/O Systems is indeed a private certification company. They develop their own exams and offer certification credentials to those who successfully pass. Indeed, at least three states rely upon I/O Systems certification as a means to licensure in those states. If I took Illinois' EMT-Intermediate exam (written by I/O Systems) I would be able to travel to Mass and get a license there based on the fact that the two states use the same certification service. That said, I am going to work on how to add I/O Systems to the article, but will wait until their website comes back up (it currently says "More to come soon. Please stay tuned."). Bstone 12:08, 10 May 2007 (UTC)
replies: text: Their website has been down for construction for a very long period of time. Guess I won't be updating the article with this information for a while. Bstone 10:42, 24 October 2007 (UTC)
thread_title: I/O Systems

message: I would like opinion on whether there should be a paragraph at the end on the efforts of the EMS community to increase educational and professional standards in the field as to better be recognized as health professionals. It would satisfy those who are leading the efforts and communicate the efforts to other EMTs to may read the article...it can only be good for EMS. AnthonyM83 05:19, 14 November 2007 (UTC)
thread_title: Movement to increase education and professionalism

message: I have done some work on the main article and have added a UK section and have made a US section out of what was there. I've made two new articles called EMT Basic and EMT Intermediate which can now be used to provide a solely US point of view on those certifications which are US alone. We now need to work on getting the article up to scratch as an article in an encyclopedia. I'll come back later and rework the references and add them for the UK section. Can some helpful Canadian do likewise and can those from countries with EMT's do the same? Comments? Thanks Fr33kMan (talk) 02:02, 17 February 2008 (UTC)
replies: text: I've added an abbreviated Canadian Paramedic section, to cover "Emergency Response Technician" (ERT) which is roughly the equivalent of EMT-B. I have also removed the global marker. I am not sure what the terms and legal positions are for "EMTs" throughout the rest of the Anglophone world. I know it is an incredible headache to keep track of the different English and French terms and different Province laws and rules WITHIN Canada alone. Canadian paramedic websites still aren't bilingual. So this is probably as "global" as this article is going to get for the near future, although the Canadian section here could use more citations(Please!).  I think its likely other countries also use the term "Paramedic" generically and their Emergency Medical Professionals can fit into those articles. Cuvtixo (talk) 21:12, 5 October 2008 (UTC)
thread_title: Global article now in place

message: Before I attempt to start adjusting the page, I want to be able to get rid of the copy edit and clean up tags. I've already gone through the introduction and consolidated and reworded it while keeping the general essence and structure. Any feed back before I move further into the article? JPINFV (talk) 22:36, 6 March 2008 (UTC)
thread_title:  Copy Edit 

message: Is there even a reason for this section, or can I delete it? It seems painfully obvious that they (we) do that and paperwork isn't referenced in the section for physicians, nurses, or respiratory therapists, all of which do much more documentation than any EMS crew. If I don't get a response by next Friday (3/14/08), then I'm going to assume that no one objects and either agrees with it or doesn't care.  JPINFV (talk) 03:19, 8 March 2008 (UTC)
thread_title:  Paperwork Section 

message: Don't copy and paste original sources into the article, especially one that is already referenced (first reference in this case, US DOL Bureau of Labor Statistics profile). If you want to edit, feel free to do so. Also feel free to take up any ideas or issues to the talk page.JPINFV (talk) 23:29, 10 March 2008 (UTC)
thread_title:  [[Wikipedia:Don't include copies of primary sources]] 

message: With the rewrite of the employment section, almost the entire page has received a face lift. Due to that, I felt that removal of the copy edit and cleanup tags were justified. Tomorrow (Friday 3/14/08), I'm going to remove the paper work section seeing as there hasn't been any objections since I posted about it last Friday. Pending expanding the EMT-I85/99 sections (examples of procedures, education class hours), I will be submitting this to Wikiprojects: Medicine for a reevaluation. JPINFV (talk) 20:41, 13 March 2008 (UTC)
thread_title:  Rewrote Employment section and other goodies 

message: Does anyone have any links to a SOP to source this section? There's no more information about training programs or SOP on the NHTSA website for the I/85 now.
EMT-I/85 is slowly going away.  In the US, there is a big effort on the national level to go the "National Scope of Practice" model for levels of certification.  The new AEMT level is likely to replace EMT-I/85 and EMT-I/99 in many states.75.213.68.34 (talk) 19:13, 1 April 2012 (UTC)
thread_title:  EMT-I/85 

message: What the article really needs is to have other countries represented.  I see that you've been making an effort in that direction, and I know that it's difficult.  
I did a bit of minor copyediting.  Personally, I would reduce the number of sub-sub-sections like "EMT-B", primarily to make the Table of Contents easier to parse.  I'd merge them with the bullets under "Levels of EMTs".  Also, the "See also" section would benefit from half-sentence explanations of how each item relates.  For example "* NREMT, a certification used in several US states."  I'd also shorten the "See also" section so that it doesn't include anything that's explained in the main text (like paramedic), or, if you want to keep a longer list, perhaps I'd reorganize it into groups:  all the US-specific stuff together, all the general information alphabetized.
Just my thoughts:  you don't have to agree with me or implement them.  WhatamIdoing (talk) 22:12, 15 March 2008 (UTC)
replies: text: I think its likely other countries also use the term "Paramedic" generically and their Emergency Medical Professionals can fit into those articles. I've added an abbreviated Canadian Paramedic section, to cover "Emergency Response Technician" (ERT) which is roughly the equivalent of EMT-B. I have also removed the global marker. I am not sure what the terms and legal positions are for "EMTs" throughout the rest of the Anglophone world. I know it is an incredible headache to keep track of the different English and French terms and different Province laws and rules WITHIN Canada alone. Canadian and specifically Quebec paramedic websites still aren't bilingua! So this is probably as "global" as this article is going to get for the near future, although the Canadian section here could use more citations(Please!). Cuvtixo (talk) 21:16, 5 October 2008 (UTC)
thread_title: Assessment

message: Those were removed upon suggestion to keep the table of contents organized. Since this is an international article, there is no reason to clutter the table of contents with sub groups that hold all of 4 sentences.JPINFV (talk) 02:20, 21 March 2008 (UTC)
thread_title:  EMT-B, EMT-I, EMT-I/85&99, EMT-P sub headings 

message: We just had an IP editor add a blurb about MICUs in the US staffing section. While I've heard of the term before, the term itself wasn't in use where I worked. I've always taken the term to essentially mean the same as a paramedic unit, but when I did a Google search on the term the results were less definate. At least one website used the term to describe an ambulance in general, regardless of BLS or ALS staffing level. Another website used it to describe paramedic intercept units. Still a third used it to describe a pediatric/neonate specialty transport unit. So, is there enough consensus out there to label a particular level (i.e. synonym for ALS), type of unit (i.e. paramedic staffed ambulances only), or type of service (critical care units versus 911 units versus interfacility versus specialty care) to include it on the page? -JPINFV (talk) 02:16, 2 April 2008 (UTC)
replies: text: In the UK, I would understand this to be an ambulance used solely for urgent transfers between hospitals, carrying critical patients. OwainDavies (about)(talk) edited at 12:08, 2 April 2008 (UTC)
thread_title:  Mobile Intensive Care Unit (MICU) 

message: Please consider adding a link to the Health Workforce Information Center guide on EMTs and Paramedics - http://www.healthworkforceinfo.org/topics/introduction.php?id=77.  HWIC provides links to funding programs, organizations, publications and news related to the EMT workforce. HWIC is a free, federally funded service to help people find information about health workforce. More on HWIC’s selection guidelines here: http://www.healthworkforceinfo.org/other/disclaimer.php Mrsand (talk) 15:54, 15 December 2009 (UTC)
thread_title:  consider adding a link to the Health Workforce Information Center guide on EMTs and Paramedics  

message: Ambulance Technician Attendant or even  Emergency Medical Technicians  for First care giver Rescuers whoud be much better than the confuse  "Para Medic" , neologic term comming from Militar Vietnam  Medic that is a despreciative informal term in US English (Longman) and even in US Spanish (medico) (Longman). The better international english terminology to be worldwide Understood and Traduisible would be for Public Health Registered Ambulance Care givers should or Paramemedical Ambulance Professionals. This new Care Paraprofessional has to be integrated in other Parmedical Professions as Registered Nurses  that can be also used as Ambulance Professions. 
"Emergency Medical Services" "EMS"  as used in US and UK Services are not traduisible if they do not integrate all other Care Givers and Services that are in charge of all Emergency Medical Care steps even ilf renapmed Prehospital EMS because Primary care professions treat many medical emergencies. For eviting these misunderstandings induced by EMS with US UK restricted signification  it could be  by  used Integrated Medical Emergency Services IEMS that is the exact traduction of SIUM Servicios Integrados de Urgencias Medicas  used first by Cuban Public Health.  --90.24.186.168 (talk) 13:03, 18 August 2010 (UTC)
replies: text: It would be helpful if you could keep your argument to a single talk page place, making it easier for editors to follow.  For any editors here - this is a continuation of a discussion at Talk:Emergency medical services, where any opinions would be welcomed.  OwainDavies (about)(talk) edited at 07:35, 19 August 2010 (UTC)
thread_title: About US and Uk English Terms in Emergency Care imprecise Terminology and Ambulance Personals calling induced confusion

message: What is the difference between an EMT and a paramedic? Are they same thing? Or is one a special type of the other? I get the impression "EMT" is primarily a North American term, and "paramedic" is more global. Should this article be merged to paramedic? Or paramedic merged to this article? Or at least, at the start of each article, explain the difference between them, and why we have separate articles for each? SJK (talk) 11:18, 16 January 2013 (UTC)
replies: text: EMT is a general term for the people working on the ambulance. A paramedic is an EMT with a specific education. --|EPO| da: 13:53, 16 January 2013 (UTC)
replies: text: Absolutely no. A paramedic is NOT an EMT in any way.  — Preceding unsigned comment added by 84.229.36.190 (talk) 19:47, 10 February 2018 (UTC)

text: In that case, it should be stated clearly in the first paragraph of each article. Also, if we are to keep separate EMT and paramedic articles, the section in this article entitled "Paramedics in Canada", should either be moved to the paramedic article, or have its title changed. SJK (talk) 07:56, 17 January 2013 (UTC)
thread_title:  EMT vs [[paramedic]] 

message: "Emergency Medical Technician", "Ambulance Technician" etc are not proper nouns so why are we using initial caps?--ukexpat (talk) 13:37, 26 March 2015 (UTC)
replies: text: I have reverted those recent changes.--ukexpat (talk) 15:13, 26 March 2015 (UTC)
thread_title:  Proper nouns 

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thread_title:  External links modified 

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thread_title:  External links modified 

message: EMTs do not exist in Canada - only EMRs and Paramedics 
Canadian licensing material will be moved to "EMS in Canada" article, and Canadian section will be replaced with common EMT skills. B46778848 (talk) 18:57, 28 December 2019 (UTC)
thread_title:  EMTs in Canada