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'''[[Emergency Medical Technician]]-Basic''' (EMT-B) is the entry level of prehospital emergency medical provider in the [[Emergency medical services in the United States|United States]]. EMT-Bs are employed in a variety of industries. EMT-Bs are not trained to provide definitive medical care, but instead focus on rapid in-field treatment and transport to higher medical providers. EMT-Bs work in conjunction with other medical providers such as [[paramedics]], [[nurses]], and [[physicians]], as well as with other EMT-Bs. When operating in the prehospital environment, their actions are governed by protocols and procedures set by their system's physician [[medical director]]. 

===Education and training===
EMT-B training is regulated at both the state and federal level. At the federal level, the [[National Highway Traffic Safety Administration]] (NHTSA) has developed a minimum content and hour requirement that all states must at least meet. This requirement is known as the ''National Standard Curriculum''.<ref name=NHTSA_NSC>{{cite web |url= http://www.nhtsa.dot.gov/people/injury/ems/pub/emtbnsc.pdf |title= Emergency Medical Technician-Basic National Standard Curriculum|accessdate=2008-03-10 |format= PDF|publisher= National Highway Transportaiton Safety Administration}}</ref> Under the NHTSA curriculum, students receive 110 hours of lecture and lab time covering anatomy, physiology, legal aspects of medical care, assessment, and treatment of [[medical emergency|medical]], [[Physical trauma|trauma]], [[Emergency psychiatry|behavioral]], and [[obstetric]] emergencies. In addition to class time, the NHTSA recommends clinical rotations on board [[ambulances]] and in [[emergency departments]], but these experiences are less regulated due to local variations.

Utilizing NHTSA guidelines, the [[National Registry of Emergency Medical Technicians]] have developed and implemented a certification tests for the NHTSA EMT levels, including the EMT-Basic level.<ref>{{cite web |url=http://www.nremt.org/about/about_exams.asp |title=About NREMT Examinations |accessdate=2008-03-17 |format=HTML |publisher=National Registry of Emergency Medical Technicians }}</ref> As of 2006, 39 US states utilize the NREMT EMT-Basic exam as part of the state licensing and/or certification procedure.<ref>{{cite web |url= http://www.nremt.org/downloads/2006_Annual_Report.pdf|title= 2006 Annual Report|accessdate=2008-03-17 |format= PDF|publisher=National Registry of Emergency Medical Technicians |pages=11|quote=50 states minus non-registry states minus paramedic only states}}
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Once certified, EMT-Basics are required to obtain continuing education hours to recertify at the end of the certification period. Recertification requirements and conditions vary from state to state. Continuing education courses can cover a variety of topics, provided that they cover material relevant to the work performed by EMT-Basics. This can include background material, such as college courses covering anatomy, physiology, or psychology, to more applied courses that are either standardized, such as a [[PHTLS|Prehosptial Trauma Life Support (PHTLS)]], or tailored to the needs of an individual EMS system or region. <ref>{{cite web |url=http://www.nremt.org/downloads/EMT.basic.pdf |title= EMT-Basic Re-registration Requirements|accessdate=2008-03-25 |format=PDF |publisher=National Registry of Emergency Medical Technicians}}</ref>

===Scope of practice===

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The scope of medical practice for EMT-Bs is regulated by state law, and can very significantly both among states as well as inside states. In general, EMT-Bs provide what is considered [[basic life support]] and are limited to essentially non-invasive procedures. Besides employing basic medical assessment skills, typical procedures provided by EMT-Bs include [[CPR]], [[Automated external defibrillator|Automated external defibrillation,]] mechanical ventilation using a bag-valve mask, placement of air way adjuncts such as [[oropharyngeal airway|oropharyngeal]] and [[Nasopharyngeal airway|nasopharyngeal]] airways, splinting (including spinal immobilization and [[traction splint]]s), and suctioning. In addition, EMT-Bs are trained to assist patients with administration of preprescribed nitroglycerin, [[Metered-dose inhaler]] such as albuterol, and epinephrine auto injectors such as the [[EpiPen]].<ref name=NHTSA_NSC/>

Individually, each state is free to add or subtract to their EMT-Bs scope of practice as they please. For example, EMT-Bs working in California (known as EMT-Is (one)) are not allowed to administer activated charcoal, an NHTSA approved intervention, under a standard certification. Local EMS systems (i.e. counties in California) can apply to the state to implement an extended scope of practice for EMT-Basics that includes activated charcoal as well as other pharmaceutical interventions not normally allowed to be administered by EMT-Basics.<ref>{{cite web |url=http://www.emsa.ca.gov/legislation/FinalApprovedChapter3242007.pdf |title=Emergency Medical Technician I |accessdate=2008-04-02 |format=PDF |publisher=California Emergency Medical Services Authority|pages=16 }}</ref> Oregon, though, allows EMT-Bs to utilize a type of advanced airway known as a pharyngeal esophageal airway device.<ref>{{cite web |url=http://egov.oregon.gov/DHS/ph/ems/certific/scope.shtml |title=Scope of Practice |accessdate=2008-04-02 |format= html|publisher=Oregon Department of Human Services, Emergency Medical Services and Trauma Systems }}</ref> An example of such a device is the [[Combitube]].

===Employment of EMT-Bs===
{{Expand-section|date=May 2008}}

== References ==
{{reflist|2}}

== See also ==
* [[Emergency medical responder levels by state]]
* [[National Association of Emergency Medical Technician]]
* [[Emergency Medical Services in the United States]]
* [[Medic]]
* [[Combat medic]]
* [[Rescue squad]]
* [[Wilderness emergency medical technician]]

==External links==
* [http://www.ems.gov National Highway Traffic Safety Agency, Office of Emergency Medical Services]
* [http://firstaid.about.com/od/emergencymedicalservices/qt/06_EMTBvsP.htm The Difference Between an EMT and a Paramedic]

{{Emergency medicine}}

[[Category:Emergency medical responders]]
[[Category:Emergency medical services in the United States]]

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