Hi I'm an EMR from Alberta and will be training as an EMT-A. I see a lot of different qualifications for different states. How does the training differ in the U.S. from Canada. Here an EMT diploma is 10 months and a Paramedic is two years. Average wage for an EMT is about $23/hr (as per job listings). How does this compare and does each state have its own scope of practice and level of EMS? Just wondering because a lot of the acronyms are confusing. Thanks.