Medical Services and Level of Care
EMR Emergency Medical Responders
EMR is the first level of pre-hospital care. EMRs can perform patient assessments, bandaging and wound care, splinting, assess vital signs (blood pressure, pulse oximetry, and blood glucometry), oxygen therapy and the use of oropharyngeal airways, patient extrication, spinal immobilization and CPR/AED skills.
EMT Emergency Medical Technicians
EMTs (PCPs) are the second level of pre-hospital care. In addition to the skills of an EMR, EMTs can also perform traction splinting, Nitrous Oxide therapy, oropharyngeal suctioning, airway adjuncts such as the LMA and administer the basic symptomatic relief medications epinephrine, glucose, glucagon (for diabetic emergencies) and ASA.
Paramedics are the highest level of pre-hospital care. At the ALS level, paramedics are able to perform various advanced skills such as endotracheal intubation, nasogastric tube insertion, deep tracheal suctioning, rapid sequence induction, cricothyrotomy, percutaneous transtracheal ventilation, needle thoracostomy, cardioversion, manual defibrillation, transcutaneous pacing, 12 lead monitoring and suturing.