TASK

B

I

C

P

*

1. Perform comprehensive patient assessments.

2. Taking and recording of vital signs.

3. Basic airway management, including but not limited to:

   A. open and maintain airway using head-tilt, chin-lift, tongue and jaw lift, and modified jaw thrust

   B. Oropharyngeal and nasopharyngeal airways

   C. Pharyngeal suctioning

4. Advanced airway management, including, but not limited to:

   A. Supraglottic ventilation devices

1

   B. Endotracheal intubation

   C. Needle cricothyrotomy

   D. Tracheal suctioning

5. Perform gastric decompression (NG of OG tube-suctioning by gastric intubation)

6. Use of oxygen units with cannulas or masks

7. Use of bag-valve-mask ventilation devices

8. Use of barrier devices

9. Use of positive pressure devices

10. Transport ventilator management

   A. chronic home ventilators

2

   B. Acute use ventilators

2

11. CPAP/BiPAP administration and management

2

12. Obstructed airway management/cardiopulmonary resuscitation-infants, children and

3

13. Manage soft tissue injuries

14. Manage suspected fractures

15. Utilization of pneumatic anti-shock garment (PASG)

16. Managing suspected medical emergencies, including:

     A. Obtaining a peripheral blood specimen for blood glucose monitoring (finger-stick, heel-stick or earlobe stick)

   B. Hypoglycemia - administration of anti-hypoglycemic medication

4,5

   C. Anaphylactic shock - administration of epinephrine by parenteral routes

   D. Poisons – administration of activated charcoal

   E. Ischemic chest pain – administration of aspirin

2

   F. Narcotic overdoes – narcotic antagonist

   G. Febrile emergency – oral antipyretic medications as approved by medical direction

2

17. Emergency childbirth management

18. Cardiac defibrillation (AED only for EMT-B, EMT-I)

7,8

19. Emergency cardioversion, to include vagal maneuvers

2

20. Initiate electrocardiograph monitoring and interpret presenting rhythms

21. Transcutaneous cardiac pacing

2

22. Initiate and maintain peripheral intravenous therapy

23. Initiate saline locks/NT

24. Initiate intraosseous infusion

   A. Pediatric

2

   B. Adult

2

25. Access in-dwelling catheters and implanted central IV ports for fluid and medication administration

26. Infuse the following intravenous fluids, or combinations thereof, including:

   A. Dextrose 5%

   B. Lactated Ringers

   C. Normal Saline

   D. Any physiologic isotonic crystalloid solution

27. Draw peripheral intravenous blood specimens

28. Initiate or administer the following medications, including but not limited to:

   A. Anti-arrhythmics

   b. Vagolytic agents

   C. Chronotropic agents

   D. Alkalizing agents

   E. Parenteral Analgesic agents

9

   F. Vasopressor agents

   G. Inhaled (nebulized) respiratory agents

2

   H. Mark I Plus Kit

29. Maintain intravenous medication infusions and other procedures to include blood or blood by-products initiated in a medical facility with appropriate written instructions from the sending facility

2

30. Initiate needle decompression for tension pneumothorax

31. Assist patient in taking their own prescribed medications (prescribed by a physician, carried by the patient and not carried on the EMS unit) if approved by medical direction

   A. nitroglycerin

   B. metered dose inhalers

   C. epinephrine auto-injector

   D. inhaled (nebulized) respiratory agents

2

*

NOTES

1

Suparglottic devices include dual-lumen airways, as well as laryngeal airway devices. May include more recent medical technology not included in initial education. All devices must have approval of the local EMS Medical Director.

2

More recent medical technology/recommendations that may not have been included in initial education; procedure/medication must also have approval of the local EMS Medical Director.

3

To include manual removing using direct visualization techniques.

4

EMT-Basic can only administer oral glucose.

5

Oral glucose; or, adult administration of D₅₀; pediatric administration of D₂₅ or pediatric administration of D₁₀ . May include additional training not previously included in initial education. Requires approval of the local EMS Medical Director.

6

EMT-Basic and EMT-Intermediate can use only Epinephrine auto-injector.

7

EMT-Basic and EMT-Intermediate can use AED after successfully completing and AED training program.

8

Cardiac Technician can only perform these procedures on a pulseless and non-breathing patient.

9

Cardiac Technicians can administer morphine for cardiac emergencies only.