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![]() | This article was nominated for merging with Emergency medical services in the United States on 12 March 2012. The result of the discussion was This article will be merged.. |
This article was the subject of a Wiki Education Foundation-supported course assignment, between 9 November 2021 and 10 December 2021. Further details are available
on the course page. Student editor(s):
Kaylacoughlin5. Peer reviewers:
Kyragrace21.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 02:06, 18 January 2022 (UTC)
This article was the subject of a Wiki Education Foundation-supported course assignment, between 25 January 2021 and 3 May 2021. Further details are available
on the course page. Student editor(s):
Nikolasm1999.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 06:07, 17 January 2022 (UTC)
A major rewrite of this article is currently in progress, and is intended to move the article from 'C' to 'B' or beyond. Information that is removed from the article will be placed here temporarily, so that it is not lost. Eventually, it may be relocated to another spot in the article, rewritten, or just discarded. Emrgmgmtca ( talk) 12:46, 7 November 2008 (UTC)
Occasionally, paramedics treat conditions that do not require hospitalization, such as during public gatherings or other large events ("event standby"). They derive the legal authority to practice pre-hospital medical care in the field through the license of a physician, who serves as the "medical director". Paramedics serve as an out-of-hospital extension of emergency services typically offered by medical doctors within the hospital emergency department. In some states, Paramedics are also called 'Mobile Intensive Care Paramedics' or MICPs and staff ambulances or other vehicles known as Mobile Intensive Care Units, or MICUs, further emphasizing the advanced treatment modalities employed by the paramedic.
Wouldn't a better title for this article be "Paramedics in the United States of America"? First of all, "Paramedics in United States", isn't really gramatically correct. It should be "Paramedics in the United States" since that's how the country is referred to. If you live in the U.S. you wouldn't say "I live in United States", you would say "I live in the United States". And secondly, just saying "United States" is ambiguous. There are many places where states are united for one reason or another but this article is referring to the United States of America specifically. I'm just going to be bold and move the article. Dismas| (talk) 04:12, 6 March 2006 (UTC)
Some of the more recent additions to this page seem to be very much opposed to the IAFF in particular and fire-based EMS in general. Aside from the fact that such opinions are far from universal, they are inappropriate for an encyclopedia. Comments about the pro/anti fire-based EMS are for a more political forum. -- catseyes 18:22, 22 May 2007 (UTC)
Hey all, I am the one probably responsible for the recent edits in question, and would be open to discussion. Certainly the wording is open to debate, but the facts of the changes I wrote, and their impact on EMS I dont think are. For example: The statements that recent attempts to mandate degrees for US paramedics were opposed by IAFF, and IAFC (through their opposition of the National Scope of Practice Draft, and the resultant removal of the degree requirement aqnd the advance practice paramedics because of that opposition) are fact, and are pertinent to the discussion of paramedics in the US as in many other countries they are degreed. The recent opposition by the IAFC and IAFF to oppose a parallel administration similar to the NFA, as recommended by a report from George Washington University, is also fact, and pertinent to the difficulties advancing the EMS profession in the US (as is the position by the various fire service interest groups in a public letter that such an administration would deprive them of HS funding). That non-fire EMS gets less than 4% of HS monies, is also appropriate because it demonstrates the difficulties facing EMS systems, and paramedics working for these agencies. Also pertinent to the discussion, IMHO. In addition the change to reflect that the "freedom house" project was the first true ALS EMS in the nation is a fact, so therefore is also appropriate to the article even though (if my memory serves me correctly) earlier versions listed the Miami project.
Basically, the changes are pertinent to provide an accurate description of the paramedic profession, not a description that was purely biased to the fire service/IAFF view of the paramedic profession. If we are speaking of neutrality, than this page should not reflect only the fire service view, or serve the fire services propaganda efforts (which is what previous versions seemed to do, IMHO) , but must be reflective of the profession itself. So the comments are more reflective of the difficulties facing EMS in the nation today, than simply the Fire vs Non fire debate. BTW, I am a 17 year EMS professional (12 as a paramedic), teach EMS classes, and have worked for both sides of the fence. Thank you. - (croaker260)14 June 2007—Preceding unsigned comment added by Croaker260 ( talk • contribs) 07:42, 14 June 2007
Wow, this article is really opinionated and slanted. It seriously needs to be edited so there is only facts represented.
I propose to 1) Focus on "in the United States of America" and delete information covered by the global topic Paramedics. 2) Edit word choice, tighten sentences, improve consistency.
I offer edits in small increments. Stevecalloway 12:05, 1 August 2007 (UTC)
...exploitation of EMS by the fire service.
Are not fire service agencies part of the emergency medical services? Who or what is being exploited? Stevecalloway 19:28, 16 August 2007 (UTC)
...registered nurses and physician assistants are not permitted to provide patient care without training at the EMT-Basic level...
The sentence above should be removed. Nursing and medical doctor curriculum teach subjects and skills well beyond EMT-B. Consider this equally irrelevant example: Paramedics are not permitted to operate an ambulance without a driver's license. Stevecalloway 19:28, 16 August 2007 (UTC)
Stevecalloway, Tennessee's EMS code specifically excludes anyone but an EMT, Paramedic, RN, RT or MD from working on an ambulance. It also states that ANY ambulance transport, reguardless of the mode or team makeup, must have an EMT to be in code. Many states also adopt this model of the law. PAs, MAs, LPNs, and other healthcare providers are not allowed without express permission from Medical Control Physicians. Many state laws also state that even if someone identifies themselves as an MD to you on a scene, it's meaningless until certian steps and criteria are met, which vary from state to state. Just because someone is an MD, doesn't mean they can tell YOU what to do. 198.254.16.200 ( talk) 14:59, 10 April 2008 (UTC)Chance Gearheart, EMT-IV, Lebonheur Children's Medical Center Pedi-Flite Critical Care Team
Multiple paragraphs removed August 2007 can be found in Talk History dated before April 26, 2008.
JPINFV ( talk) 04:59, 4 March 2008 (UTC)
I feel that the caption to the patch is misleading. Numerous states (California and Texas, for example. Albeit Texas also has a "Licensed Paramedic" level for college educated medics (2 year EMS degree or any 4 year degree)), as well as the National Registry, officially recognize the level as EMT-Paramedic. As well, numerous state patches reflect this designation. State and/or agency patches differ between them as to design, including the designation of the levels (EMT-Paramedic vs Paramedic or EMT vs EMT-Basic). As this is supposed to be more of a national article, I feel that the current wording and caption are out of place in the article. JPINFV ( talk) 05:16, 4 March 2008 (UTC)
In the following excerpt:
Paramedics in the United States, working independently and under the direction of emergency medical control physicians, generally provide the most advanced level of emergency medical care available to the general public outside of a hospital setting (flight crews utilizing registered nurses, mid-level providers (PA, NP) or physicians being the primary exception).
I'm not sure that it is universally agreed that registered nurses constitute a higher level of care than paramedics. With due respect to nurses and paramedics alike, I'd like to remove "registered nurses" from the example of when a higher level of care is available. Thoughts on this? Alexfox29 ( talk) 01:40, 6 March 2008 (UTC)
198.254.16.200 ( talk) 14:48, 10 April 2008 (UTC) Chance Gearheart, EMT-IV, LeBonheur Childrens Medical Center Pedi-Flite Critical Care Team
RN v Paramedics part 2. Simply put, licensed physicians do make up parts of flight teams in plenty of systems with emergency medicine residencies. The physicians in these cases can very well be fully licensed physicians, and as such, represent the highest level of medical care. Furthermore, there are systems that only use paramedics. In terms of medical control, the system's medical director (again, physician) ultimately determines what paramedics can and can't do and what they have to call in to do, if they even need base hospital permission at all. Out side of systems (cough, Southern California, cough) that extremely limit any degree of latitude in patient care without base hospital contact, it is very probable that a paramedic will be talking to a physician, not a registered nurse. JPINFV ( talk) 03:28, 14 May 2008 (UTC)
I am an RN, and I have a humble suggestion: what do you think of eliminating any "Paramedic vs RN" language from the article? This is really a case of comparing apples and oranges. Paramedics are the most qualified practitioners to provide emergency medical care, especially in the field, though some paramedics provide vital services in hospitals. RNs are the most qualified practitioners to deliver NURSING care, which is usually provided in hospital, but sometimes provided in the field (such as air ambulances). These two professions use different bodies of knowledge to provide different services to patients. Quibbling about which profession is most qualified is like arguing over whether the pitcher or the catcher is the most qualified to play baseball. Both are equally qualified to do their jobs, but their jobs are different. I support mentioning the presence of RNs on flight crews because, while most pre-hospital care is provided by EMTs of varying levels, that care is sometimes provided by a team of practitioners with different knowledge and skills. I also think that readers of this article should know that hospital care, while provided primarily by nurses, is also provided by paramedics in some cases (such as paramedics staffing emergency departments) and both are properly trained to do their jobs. In an "alligators up to the elbows" situation, the differences may not be clear to an untrained observer. In fact, in some cases we may perform functions usually performed by a different team member. So what? This has nothing to do with the definitions of paramedicine or nursing. Our roles should not be viewed as a hierarchy or a chain of command, but rather, as the work of colleagues with training in separate and distinct areas of healthcare, attempting to meet related, but different patient needs, independently in some cases, and as team mates in others. —Preceding unsigned comment added by Ex89158 ( talk • contribs) 16:41, 27 August 2009 (UTC)
Image:NYCEMS paramedic.jpg is being used on this article. I notice the image page specifies that the image is being used under fair use but there is no explanation or rationale as to why its use in this Wikipedia article constitutes fair use. In addition to the boilerplate fair use template, you must also write out on the image description page a specific explanation or rationale for why using this image in each article is consistent with fair use.
Please go to the image description page and edit it to include a fair use rationale. Using one of the templates at Wikipedia:Fair use rationale guideline is an easy way to ensure that your image is in compliance with Wikipedia policy, but remember that you must complete the template. Do not simply insert a blank template on an image page.
If there is other fair use media, consider checking that you have specified the fair use rationale on the other images used on this page. Note that any fair use images lacking such an explanation can be deleted one week after being tagged, as described on criteria for speedy deletion. If you have any questions please ask them at the Media copyright questions page. Thank you.
BetacommandBot ( talk) 14:58, 8 March 2008 (UTC)
The photograph of the "NYC Paramedics" is actually a photo of NYC EMT-Basics. The unit is 4-Charlie based out of Beth Israel hospital in the lower East side. —Preceding unsigned comment added by Pohlea ( talk • contribs) 13:50, 28 September 2008 (UTC)
I added some information on Critical Care Team certification and Flight paramedic certifications to the Professional Discrepancies section. Feel free to move it or give it it's own section if you'd like. I'm ashamed of you EMS people out there. There are actually SEVERAL different professional branches for Medics, like Tactical Operations, Wilderness Ops, Flight Medicine, and many other! 198.254.16.200 ( talk) Chance Gearheart, EMT-IV, LeBonheur Childrens Medical Center Pedi-Flite Critical Care Team. —Preceding comment was added at 14:45, 10 April 2008 (UTC)
I did some rearranging of the introduction paragraphs, and made some clarifications. Please discuss.
This article is insufficiently referenced to meet B class standards. Additionally, here's a short list of some current problems that should be easy to fix:
Hope this helps, WhatamIdoing ( talk) 05:23, 8 November 2008 (UTC)
To mirror the description of the paramedic put forth by the EMS Agenda for the Future, as supported by the NREMT, NASEMSO, DOT/NHTSA, and individual states, I have redone the introduction section of this page. The former content lead readers to glean inaccurate information regarding role of the paramedic in the United States. A standard, widely accepted description should takes its place. Additionally, the term "skills" is antiquated; in medicine, the word "procedure" is universal to describe any mechanical medical interventions. As the movement towards a more normative education standard for EMS grows, we should use terminology that matches what our counterparts use in the hospital and clinic. For precedent, see the national standard curricula where a concerted effort is obvious to revert terminology to that of all other medical professions. Arguing that the term "skills" is widely used shows failure to understand contemporary practice.
I've just rewritten the table to reflect the current National EMS Scope of Practice Model as defined by the NHTSA and endorsed by the NREMT. At present, the table needs considerable cleanup. Also, the following sections could use review to remove any redundancy. While I think that the NHTSA's format does outline the basic foundation of what skills are available to various levels of EMS, I find it to be inadequate as far as illustrating common medications and therapies ("Physician Approved Medications" is rather vague). I propose we keep a section below to list some of the common or otherwise available medications and procedures used by EMS as well as outline what the CC-EMT-P standards and expanded scope entails. Any thoughts? WarwulfX ( talk) 01:04, 12 March 2012 (UTC)
Realistically the scope of practice portion is incredibly important. Scope of practice differs from standing orders though. Scope of practice refers to what paramedics have been trained to do at the national level competency. Standing orders (which differ based on protocols) limit a paramedic's practical application by reducing what they are allowed to do without medical direction. Nikolasm1999 ( talk) 19:59, 20 February 2021 (UTC)
In the United States I've only heard the term Paramedic to refer to a service provided by the fire department's ambulance service. The term "ambulance" generically to refer to any type of ambulance. — Preceding unsigned comment added by RobertGary1 ( talk • contribs) 23:03, 14 May 2012 (UTC)
Hello fellow Wikipedians,
I have just added archive links to 2 external links on
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Cheers.— cyberbot II Talk to my owner:Online 02:19, 15 January 2016 (UTC)
For this industry, one of the most common issues seen on salary reporting websites is the fact that they lump EMTs and paramedics into the same category, distorting the average salaries. While paramedics don't make great money, they still generally make a lot more than what is mentioned here without citation, especially post-COVID. I'd appreciate an accurate citation or removing this section. — Preceding unsigned comment added by 75.174.143.99 ( talk) 19:37, 30 October 2021 (UTC)
The Scottish photo of paramedics in training seems odd, is this here for a good reason? TheMouseMen ( talk) 17:46, 30 March 2022 (UTC)
![]() | This article is rated B-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | |||||||||||||
|
![]() | This article was nominated for merging with Emergency medical services in the United States on 12 March 2012. The result of the discussion was This article will be merged.. |
This article was the subject of a Wiki Education Foundation-supported course assignment, between 9 November 2021 and 10 December 2021. Further details are available
on the course page. Student editor(s):
Kaylacoughlin5. Peer reviewers:
Kyragrace21.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 02:06, 18 January 2022 (UTC)
This article was the subject of a Wiki Education Foundation-supported course assignment, between 25 January 2021 and 3 May 2021. Further details are available
on the course page. Student editor(s):
Nikolasm1999.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 06:07, 17 January 2022 (UTC)
A major rewrite of this article is currently in progress, and is intended to move the article from 'C' to 'B' or beyond. Information that is removed from the article will be placed here temporarily, so that it is not lost. Eventually, it may be relocated to another spot in the article, rewritten, or just discarded. Emrgmgmtca ( talk) 12:46, 7 November 2008 (UTC)
Occasionally, paramedics treat conditions that do not require hospitalization, such as during public gatherings or other large events ("event standby"). They derive the legal authority to practice pre-hospital medical care in the field through the license of a physician, who serves as the "medical director". Paramedics serve as an out-of-hospital extension of emergency services typically offered by medical doctors within the hospital emergency department. In some states, Paramedics are also called 'Mobile Intensive Care Paramedics' or MICPs and staff ambulances or other vehicles known as Mobile Intensive Care Units, or MICUs, further emphasizing the advanced treatment modalities employed by the paramedic.
Wouldn't a better title for this article be "Paramedics in the United States of America"? First of all, "Paramedics in United States", isn't really gramatically correct. It should be "Paramedics in the United States" since that's how the country is referred to. If you live in the U.S. you wouldn't say "I live in United States", you would say "I live in the United States". And secondly, just saying "United States" is ambiguous. There are many places where states are united for one reason or another but this article is referring to the United States of America specifically. I'm just going to be bold and move the article. Dismas| (talk) 04:12, 6 March 2006 (UTC)
Some of the more recent additions to this page seem to be very much opposed to the IAFF in particular and fire-based EMS in general. Aside from the fact that such opinions are far from universal, they are inappropriate for an encyclopedia. Comments about the pro/anti fire-based EMS are for a more political forum. -- catseyes 18:22, 22 May 2007 (UTC)
Hey all, I am the one probably responsible for the recent edits in question, and would be open to discussion. Certainly the wording is open to debate, but the facts of the changes I wrote, and their impact on EMS I dont think are. For example: The statements that recent attempts to mandate degrees for US paramedics were opposed by IAFF, and IAFC (through their opposition of the National Scope of Practice Draft, and the resultant removal of the degree requirement aqnd the advance practice paramedics because of that opposition) are fact, and are pertinent to the discussion of paramedics in the US as in many other countries they are degreed. The recent opposition by the IAFC and IAFF to oppose a parallel administration similar to the NFA, as recommended by a report from George Washington University, is also fact, and pertinent to the difficulties advancing the EMS profession in the US (as is the position by the various fire service interest groups in a public letter that such an administration would deprive them of HS funding). That non-fire EMS gets less than 4% of HS monies, is also appropriate because it demonstrates the difficulties facing EMS systems, and paramedics working for these agencies. Also pertinent to the discussion, IMHO. In addition the change to reflect that the "freedom house" project was the first true ALS EMS in the nation is a fact, so therefore is also appropriate to the article even though (if my memory serves me correctly) earlier versions listed the Miami project.
Basically, the changes are pertinent to provide an accurate description of the paramedic profession, not a description that was purely biased to the fire service/IAFF view of the paramedic profession. If we are speaking of neutrality, than this page should not reflect only the fire service view, or serve the fire services propaganda efforts (which is what previous versions seemed to do, IMHO) , but must be reflective of the profession itself. So the comments are more reflective of the difficulties facing EMS in the nation today, than simply the Fire vs Non fire debate. BTW, I am a 17 year EMS professional (12 as a paramedic), teach EMS classes, and have worked for both sides of the fence. Thank you. - (croaker260)14 June 2007—Preceding unsigned comment added by Croaker260 ( talk • contribs) 07:42, 14 June 2007
Wow, this article is really opinionated and slanted. It seriously needs to be edited so there is only facts represented.
I propose to 1) Focus on "in the United States of America" and delete information covered by the global topic Paramedics. 2) Edit word choice, tighten sentences, improve consistency.
I offer edits in small increments. Stevecalloway 12:05, 1 August 2007 (UTC)
...exploitation of EMS by the fire service.
Are not fire service agencies part of the emergency medical services? Who or what is being exploited? Stevecalloway 19:28, 16 August 2007 (UTC)
...registered nurses and physician assistants are not permitted to provide patient care without training at the EMT-Basic level...
The sentence above should be removed. Nursing and medical doctor curriculum teach subjects and skills well beyond EMT-B. Consider this equally irrelevant example: Paramedics are not permitted to operate an ambulance without a driver's license. Stevecalloway 19:28, 16 August 2007 (UTC)
Stevecalloway, Tennessee's EMS code specifically excludes anyone but an EMT, Paramedic, RN, RT or MD from working on an ambulance. It also states that ANY ambulance transport, reguardless of the mode or team makeup, must have an EMT to be in code. Many states also adopt this model of the law. PAs, MAs, LPNs, and other healthcare providers are not allowed without express permission from Medical Control Physicians. Many state laws also state that even if someone identifies themselves as an MD to you on a scene, it's meaningless until certian steps and criteria are met, which vary from state to state. Just because someone is an MD, doesn't mean they can tell YOU what to do. 198.254.16.200 ( talk) 14:59, 10 April 2008 (UTC)Chance Gearheart, EMT-IV, Lebonheur Children's Medical Center Pedi-Flite Critical Care Team
Multiple paragraphs removed August 2007 can be found in Talk History dated before April 26, 2008.
JPINFV ( talk) 04:59, 4 March 2008 (UTC)
I feel that the caption to the patch is misleading. Numerous states (California and Texas, for example. Albeit Texas also has a "Licensed Paramedic" level for college educated medics (2 year EMS degree or any 4 year degree)), as well as the National Registry, officially recognize the level as EMT-Paramedic. As well, numerous state patches reflect this designation. State and/or agency patches differ between them as to design, including the designation of the levels (EMT-Paramedic vs Paramedic or EMT vs EMT-Basic). As this is supposed to be more of a national article, I feel that the current wording and caption are out of place in the article. JPINFV ( talk) 05:16, 4 March 2008 (UTC)
In the following excerpt:
Paramedics in the United States, working independently and under the direction of emergency medical control physicians, generally provide the most advanced level of emergency medical care available to the general public outside of a hospital setting (flight crews utilizing registered nurses, mid-level providers (PA, NP) or physicians being the primary exception).
I'm not sure that it is universally agreed that registered nurses constitute a higher level of care than paramedics. With due respect to nurses and paramedics alike, I'd like to remove "registered nurses" from the example of when a higher level of care is available. Thoughts on this? Alexfox29 ( talk) 01:40, 6 March 2008 (UTC)
198.254.16.200 ( talk) 14:48, 10 April 2008 (UTC) Chance Gearheart, EMT-IV, LeBonheur Childrens Medical Center Pedi-Flite Critical Care Team
RN v Paramedics part 2. Simply put, licensed physicians do make up parts of flight teams in plenty of systems with emergency medicine residencies. The physicians in these cases can very well be fully licensed physicians, and as such, represent the highest level of medical care. Furthermore, there are systems that only use paramedics. In terms of medical control, the system's medical director (again, physician) ultimately determines what paramedics can and can't do and what they have to call in to do, if they even need base hospital permission at all. Out side of systems (cough, Southern California, cough) that extremely limit any degree of latitude in patient care without base hospital contact, it is very probable that a paramedic will be talking to a physician, not a registered nurse. JPINFV ( talk) 03:28, 14 May 2008 (UTC)
I am an RN, and I have a humble suggestion: what do you think of eliminating any "Paramedic vs RN" language from the article? This is really a case of comparing apples and oranges. Paramedics are the most qualified practitioners to provide emergency medical care, especially in the field, though some paramedics provide vital services in hospitals. RNs are the most qualified practitioners to deliver NURSING care, which is usually provided in hospital, but sometimes provided in the field (such as air ambulances). These two professions use different bodies of knowledge to provide different services to patients. Quibbling about which profession is most qualified is like arguing over whether the pitcher or the catcher is the most qualified to play baseball. Both are equally qualified to do their jobs, but their jobs are different. I support mentioning the presence of RNs on flight crews because, while most pre-hospital care is provided by EMTs of varying levels, that care is sometimes provided by a team of practitioners with different knowledge and skills. I also think that readers of this article should know that hospital care, while provided primarily by nurses, is also provided by paramedics in some cases (such as paramedics staffing emergency departments) and both are properly trained to do their jobs. In an "alligators up to the elbows" situation, the differences may not be clear to an untrained observer. In fact, in some cases we may perform functions usually performed by a different team member. So what? This has nothing to do with the definitions of paramedicine or nursing. Our roles should not be viewed as a hierarchy or a chain of command, but rather, as the work of colleagues with training in separate and distinct areas of healthcare, attempting to meet related, but different patient needs, independently in some cases, and as team mates in others. —Preceding unsigned comment added by Ex89158 ( talk • contribs) 16:41, 27 August 2009 (UTC)
Image:NYCEMS paramedic.jpg is being used on this article. I notice the image page specifies that the image is being used under fair use but there is no explanation or rationale as to why its use in this Wikipedia article constitutes fair use. In addition to the boilerplate fair use template, you must also write out on the image description page a specific explanation or rationale for why using this image in each article is consistent with fair use.
Please go to the image description page and edit it to include a fair use rationale. Using one of the templates at Wikipedia:Fair use rationale guideline is an easy way to ensure that your image is in compliance with Wikipedia policy, but remember that you must complete the template. Do not simply insert a blank template on an image page.
If there is other fair use media, consider checking that you have specified the fair use rationale on the other images used on this page. Note that any fair use images lacking such an explanation can be deleted one week after being tagged, as described on criteria for speedy deletion. If you have any questions please ask them at the Media copyright questions page. Thank you.
BetacommandBot ( talk) 14:58, 8 March 2008 (UTC)
The photograph of the "NYC Paramedics" is actually a photo of NYC EMT-Basics. The unit is 4-Charlie based out of Beth Israel hospital in the lower East side. —Preceding unsigned comment added by Pohlea ( talk • contribs) 13:50, 28 September 2008 (UTC)
I added some information on Critical Care Team certification and Flight paramedic certifications to the Professional Discrepancies section. Feel free to move it or give it it's own section if you'd like. I'm ashamed of you EMS people out there. There are actually SEVERAL different professional branches for Medics, like Tactical Operations, Wilderness Ops, Flight Medicine, and many other! 198.254.16.200 ( talk) Chance Gearheart, EMT-IV, LeBonheur Childrens Medical Center Pedi-Flite Critical Care Team. —Preceding comment was added at 14:45, 10 April 2008 (UTC)
I did some rearranging of the introduction paragraphs, and made some clarifications. Please discuss.
This article is insufficiently referenced to meet B class standards. Additionally, here's a short list of some current problems that should be easy to fix:
Hope this helps, WhatamIdoing ( talk) 05:23, 8 November 2008 (UTC)
To mirror the description of the paramedic put forth by the EMS Agenda for the Future, as supported by the NREMT, NASEMSO, DOT/NHTSA, and individual states, I have redone the introduction section of this page. The former content lead readers to glean inaccurate information regarding role of the paramedic in the United States. A standard, widely accepted description should takes its place. Additionally, the term "skills" is antiquated; in medicine, the word "procedure" is universal to describe any mechanical medical interventions. As the movement towards a more normative education standard for EMS grows, we should use terminology that matches what our counterparts use in the hospital and clinic. For precedent, see the national standard curricula where a concerted effort is obvious to revert terminology to that of all other medical professions. Arguing that the term "skills" is widely used shows failure to understand contemporary practice.
I've just rewritten the table to reflect the current National EMS Scope of Practice Model as defined by the NHTSA and endorsed by the NREMT. At present, the table needs considerable cleanup. Also, the following sections could use review to remove any redundancy. While I think that the NHTSA's format does outline the basic foundation of what skills are available to various levels of EMS, I find it to be inadequate as far as illustrating common medications and therapies ("Physician Approved Medications" is rather vague). I propose we keep a section below to list some of the common or otherwise available medications and procedures used by EMS as well as outline what the CC-EMT-P standards and expanded scope entails. Any thoughts? WarwulfX ( talk) 01:04, 12 March 2012 (UTC)
Realistically the scope of practice portion is incredibly important. Scope of practice differs from standing orders though. Scope of practice refers to what paramedics have been trained to do at the national level competency. Standing orders (which differ based on protocols) limit a paramedic's practical application by reducing what they are allowed to do without medical direction. Nikolasm1999 ( talk) 19:59, 20 February 2021 (UTC)
In the United States I've only heard the term Paramedic to refer to a service provided by the fire department's ambulance service. The term "ambulance" generically to refer to any type of ambulance. — Preceding unsigned comment added by RobertGary1 ( talk • contribs) 23:03, 14 May 2012 (UTC)
Hello fellow Wikipedians,
I have just added archive links to 2 external links on
Paramedics in the United States. Please take a moment to review
my edit. If necessary, add {{
cbignore}}
after the link to keep me from modifying it. Alternatively, you can add {{
nobots|deny=InternetArchiveBot}}
to keep me off the page altogether. I made the following changes:
When you have finished reviewing my changes, please set the checked parameter below to true to let others know.
This message was posted before February 2018.
After February 2018, "External links modified" talk page sections are no longer generated or monitored by InternetArchiveBot. No special action is required regarding these talk page notices, other than
regular verification using the archive tool instructions below. Editors
have permission to delete these "External links modified" talk page sections if they want to de-clutter talk pages, but see the
RfC before doing mass systematic removals. This message is updated dynamically through the template {{
source check}}
(last update: 5 June 2024).
Cheers.— cyberbot II Talk to my owner:Online 02:19, 15 January 2016 (UTC)
For this industry, one of the most common issues seen on salary reporting websites is the fact that they lump EMTs and paramedics into the same category, distorting the average salaries. While paramedics don't make great money, they still generally make a lot more than what is mentioned here without citation, especially post-COVID. I'd appreciate an accurate citation or removing this section. — Preceding unsigned comment added by 75.174.143.99 ( talk) 19:37, 30 October 2021 (UTC)
The Scottish photo of paramedics in training seems odd, is this here for a good reason? TheMouseMen ( talk) 17:46, 30 March 2022 (UTC)