In accordance with section 4765.30 of the Ohio Revised Code individuals must be issued a certificate to practice by the State Board of Emergency Medical, Fire, and Transportation Services to provide emergency medical services. The Board issues EMS provider certificates at the following levels:
An Emergency Medical Responder (EMR), also known as a First Responder, is a person trained to provide out-of-hospital care in medical emergencies. Emergency Medical Responders have a very limited scope of practice and have the least amount of comprehensive education, clinical experience or clinical skills of EMS personnel. This individual uses a limited amount of equipment and possesses the basic knowledge and skills necessary to provide lifesaving interventions while awaiting additional EMS response and to assist higher level personnel at the scene and during transport. The specific tasks or procedures EMRs are allowed to perform are specified in the Ohio EMS Scope of Practice.
This level of provider is not intended to be utilized as the minimum staffing for an ambulance. Emergency Medical Responders typically assist in rural regions providing basic life support where pre-hospital health professionals are not available due to limited resources or infrastructure.
An Emergency Medical Technician (EMT), also known as an EMT-Basic, is specially trained and certified to administer basic emergency services to victims of trauma or acute illness. They determine the nature and extent of a patient’s condition and formulate a care plan. Following strict rules and guidelines, called protocols, they give appropriate emergency care and, when necessary, transport the patient to the appropriate medical facility. EMTs operate in emergency medical services systems where a physician provides medical direction and oversight.
EMTs typically work in teams of two or more. During the transport of a patient, one EMT drives, while the other monitors the patient’s vital signs and gives additional care, as needed. The specific tasks or procedures EMTs are allowed to perform are specified in the Ohio EMS Scope of Practice.
EMT or EMT-Basic denotes the first level of the Emergency Medical Technician system.
An Advanced EMT (AEMT), also known as an EMT-Intermediate, is a mid-level provider of pre-hospital emergency medical services. The Advanced EMT has completed the requirements for the EMT level, as well as instruction in more advanced medical procedures, such as administering intravenous fluids and some medications. The specific tasks or procedures AEMTs are allowed to perform are specified in the Ohio EMS Scope of Practice.
Paramedics provide more extensive pre-hospital care than do EMTs. They are advanced providers of emergency medical care and are highly educated in topics such as anatomy and physiology, cardiology, medications, and medical procedures. They build on their EMT education and learn more skills such as administering medications, starting intravenous lines, providing advanced airway management for patients, and learning to resuscitate and support patients with significant problems such as heart attacks and traumas. The specific tasks or procedures paramedics are allowed to perform are specified in the Ohio EMS Scope of Practice.
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