Approved procedures
EMT-INTERMEDIATE 
(in addition to EMT-Basic skills) -so AED
Establish intravenous access 
Establish intraosseous access 
Blood sugar testing 
Medication administration from approved list 
King Airway insertion 
Defibrillation (manual mode with ALS provider / SAED mode otherwise) 
 
PARAMEDIC 
(in addition to EMT-Intermediate skills) 
 
ECG rhythm interpretation                                                 
Defibrillation and cardioversion 
Transcutaneous pacing 
Medication administration from 
approved list 
Umbilical vein cannulation 
Oral and Nasal Intubation 
NG tube insertion 
Needle Thoracostomy 
Needle Cricothyrotomy 
Surgical Cricothyrotomy 
Medications
EMT-INTERMEDIATE 
Activated Charcoal  
Acetaminophen (Tylenol) 
Aspirin  
Dextrose 50% 
Naloxone  
Nitrous oxide (Nitronox) 
Thiamine  
Proparacaine eye drops   
 
May assist the ALS provider, under direct supervision, with the administration of: 
Albuterol, Atrovent, Nitroglycerin.  
 
May assist the ALS provider in the setting of cardiac arrest with the administration of: 
Atropine & Epinephrine. 
 
PARAMEDIC 
 
All approved Intermediate medications PLUS the following, may be given per 
protocol: 
 
Adenosine (Adenocard) 
Afrin (Oxymetazoline Hydrochloride) 
Albuterol 
Albuterol/Ipratroprium (Duo-Neb) 
Racemic Epinephrine  
Amiodarone 
Atropine 
Calcium Chloride 
Diphenhydramine (Benadryl) 
Dopamine 
Epinephrine (including continuous 
infusion with base MD order per 
bradycardia protocol) 
Fentanyl 
Furosemide (Lasix) 
Monitor IV antibiotics 
Glucagon 
Haloperidol (Haldol) 
Lidocaine (Xylocaine) 
Magnesium sulfate 
Midazolam (Versed) 
Morphine Sulfate 
Nitroglycerin (sublingual and topical) 
Oxytocin (Pitocin) 
Ondansetron (Zofran) 
Potassium (40meq or less in one liter) 
Promethazine (Phenergan) 
Sodium Bicarbonate