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Individually, each state is free to add or subtract to their EMTs scope of practice. For example, EMTs working in
California may not administer activated charcoal, an NHTSA approved intervention, under a standard certification. Local EMS systems (i.e. counties in California) can apply to the state to
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Once certified, EMTs are required to obtain continuing education hours to recertify. Recertification requirements vary from state to state. Continuing education courses can cover a variety of topics, provided that they cover relevant material, including college courses covering anatomy, physiology,
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Some states allow for an already certified EMT from another state to apply for reciprocity in their state. The states that participate in this can be found by contacting the certification boards of each state or on their websites.
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have developed and implemented certification tests for the NHTSA EMT levels, including the EMT level. As of 2006, 39 US states utilize the NREMT EMT exam as part of the state licensing and/or certification procedure.
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EMTs are not trained to provide definitive medical care, but instead focus on rapid in-field treatment and transport to higher medical providers. EMTs work in conjunction with other medical providers such as
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The scope of medical practice for EMTs is regulated by state law, and can vary significantly both among states as well as inside states. In general, EMTs provide what is considered
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implement an extended scope of practice for EMTs that includes activated charcoal as well as other pharmaceutical interventions not normally allowed to be administered by EMTs.
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emergencies. In addition to class time, the NHTSA recommends clinical rotations on board
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EMT training is regulated at both the state and federal level. At the federal level, the
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or psychology, to more applied courses that are either standardized, such as a
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310:"Emergency Medical Technician-Basic National Standard Curriculum"
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50 states minus non-registry states minus paramedic only states
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429:. Network for Public Health Law. Archived from
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133:National Highway Traffic Safety Administration
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518:The Difference Between an EMT and a Paramedic
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835:Asian Society for Emergency Medicine
18:Emergency medical technician - Basic
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359:"2006 Annual Report"
225:metered-dose inhaler
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