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Hightoweruk

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Hi there

I am new to the forum. I work with the ambulance service in west midlands uk. This probably sounds stupid but i am wondering what is an EMT-B or EMT-I here we only have two grades of staff which are Technician or Paramedic, of which i am the former.

sorry for sounding stupid
looking forward to further posts on fourm

Ade :)
 
Welcome to our own little corner of dysfunction.

As far as the difference between a Basic and Intermediate goes, it can best be summed up by this:

An Intermediate is a Basic that can do some invasive procedures such as IV therapy and such. Most areas (not all) do not allow Intermediates to push drugs but there are some that do.
 
Welcome, and don't feel stupid for asking at all.

A basic, according to the National Registry of EMTs must be able to competently complete the following skils:

1. Patient Assessment/Management - Trauma
2. Patient Assessment/Management - Medical
3. Cardiac Arrest Management/AED
4. Spinal Immobilization (Seated Patient)
5. Spinal Immobilization (Supine Patient)
6. Bag-Valve-Mask Apneic Patient with a Pulse
7. Long Bone Fracture Immobilization
8. Joint Dislocation Immobilization
9. Traction Splinting
10. Bleeding Control/Shock Management
11. Upper Airway Adjuncts and Suction
12. Mouth-to-Mask with Supplemental Oxygen
13. Supplemental Oxygen Administration

An intermediate receives further training and must be able to complete the following:

1. Patient Assessment-Trauma

1. Scene Size-Up
2. Initial Assessment/Resuscitation
3. Focused History and Physical Examination - Rapid Trauma Assessment
4. Detailed Physical Examination

2. Patient Assessment-Medical

1. Scene Size-Up
2. Initial Assessment/Resuscitation
3. Focused History and Physical Examination - Rapid Trauma Assessment
4. On-Going Assessment

3. Ventilatory Management

1. Adult
2. Dual Lumen Airway Device

4. Cardiac Management Skills

1. Dynamic Cardiology
2. Static Cardiology

5. IV and Medication Skills

1. Intravenous Therapy
2. Intravenous Bolus Medications

6. Pediatric Skills

1. Pediatric Ventilatory Management
2. Pediatric Intraosseous Infusion

7. Random Basic Skills

1. Spinal Immobilization (Seated Patient)
2. Spinal Immobilization (Supine Patient)
3. Bleeding Control/Shock Management

Sorry for the long explanation, but I wanted it to be specific to prevent confusion. ^_^
 
Last edited by a moderator:
Thanks for the info, seems we technicians can do more than a basic but less than an intermediate, i.e we cannot canulate or use double lumens (yet). am no longer confussed.

Ade
 
Welcome to EMTlife - we put the Fun in Dysfunction!

I've heard that there is actually an "Ambulance Driving" license in the UK, with some VERY stringent training.... can you expound?
 
Here in Tennessee we have EMT-IV's but do not recognize EMT-Intermediates. EMT-IVs is really the same as a EMT-B except we can start IV's and give fluids...Normal Saline, Dextrose 5%, and Lactated Ringers.
 
Hi Jon there is no "ambulance driving licence" however as part of gaining your professional status you have to complete a two week intensive driving course, hope that is of help

Ade
 
Welcome to EMTLife.
 
Hightoweruk said:
Hi Jon there is no "ambulance driving licence" however as part of gaining your professional status you have to complete a two week intensive driving course, hope that is of help

Ade
Ok... is the driving course federally/regionally mandated, or is it a company policy?

I was under the impression that you needed some form of an "endorsement" on your driver's license to be able to drive emergency vehicles (I like the idea)
 
Jon said:
Ok... is the driving course federally/regionally mandated, or is it a company policy?

I was under the impression that you needed some form of an "endorsement" on your driver's license to be able to drive emergency vehicles (I like the idea)

i like the idea to however to my knowledge you need no special endorsement to drive emergency vehicles.

This may sound long winded but since 1997 the government imposed restrictions relating to soze and weight of vehicles, beforehand anyone could drive anything upto 7.5 tonnes however now you can only drive upto 3.5 tonnes on a normal licence. Therefore you have to gain training and endorsements to drive anything over 3.5 t most A&E vehicles are arround 4.2 tonnes so that might be what you heard i'm only guessing.

I wish there was regulation at a national level there are too many private companies letting idiots race around on blue lights unchecked and that ruins credability for all of us!! rant over
 
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