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EMS Provider Quick Reference Guide
This document provides a quick reference guide for ER staff on the medications and skills of different levels of EMS providers, including EMT-Basic, EMT-Intermediate, EMT-I Advanced, and Paramedic. It lists the specific medications each level is allowed to administer and the skills they can perform, with italicized words indicating additions beyond the prior level. The guide is intended to help ER staff understand the capabilities of incoming EMS teams.
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EMS Provider Quick Reference Guide
- 1. EMS Provider QuickReference Guide for ER Staff Members Provided by: Utah EMS for Children Program © 2008 Utah Department of Health, Salt Lake City, UT
- 2. EMT-Basic (EMT-B) Medications Assists withself- administration of patient prescribed medications: Acetaminophen Elixir NOTE: Medications and skills may vary by local ■ Activated Charcoal EMS agencies. All ambulances may ■ Aspirin not carry this medication. ■ Epinephrine by auto-injector ■ Metered dose inhalers Nerve Antidote Kits (Mark 1™ or DuoDote™) ■ Nitroglycerin ■ Oral glucose
- 3. Skills Patient Assessment ■ Stoma patient ■ Initial assessment ventilation ■ Vital signs Cardiovascular/ Airway / Ventilation / Circulation Oxygenation ■ CPR ■ Bag valve mask ■ Control bleeding ventilation ■ Semi-automatic ■ Flow restricted oxygen defibrillation powered ventilation device Immobilization EMT BASIC ■ Nasopharyngeal airway ■ Spinal immobilization insertion ■ Stabilize/immobilize ■ Oral suctioning fractures ■ Oropharyngeal airway insertion Miscellaneous ■ Emergency childbirth ■ Oxygen administration, ■ Measuring blood sugar nasal cannula, masks levels ■ Pocket mask artificial ventilation
- 4. EMT-Intermediate (EMT-I) Medications Appropriately determine ■ Isotonic need for, and administer the Solutions following: (NS or LR) Acetaminophen Elixir ■ Lidocaine, NOTE: Medications and ■ Activated Charcoal Lidocaine IV skills may vary by local Adenosine drip EMS agencies. All ambulances may ■ Albuterol Sulfate or Midazolam / not carry this equivalent Versed medication. ■ Aspirin ■ Morphine Sulfate ■ Atropine Sulfate ■ Naloxone / Narcan Cyanokits Nerve Antidote Kits (Mark 1™ ■ Dextrose 50% or DuoDote™) ■ Epinephrine 1:1000 ■ Nitroglycerine (tablets or spray) ■ Epinephrine 1:10,000 Phenergan / Promethazine Fentanyl Zofran Glucagon
- 5. Skills Can provide allskills that ■ Interpretation of basic an EMT-B can provide plus: cardiac dysrythmias Patient Assessment ■ Intraosseous needle Focused physical exams placement and infusions in EMT INTERMEDIATE ■ infants and children Airway / Ventilation / ■ Newborn resuscitation Oxygenation ■ End-tidal CO2 detection Miscellaneous ■ Extubation ■ Measuring blood sugar ■ Newborn resuscitation levels ■ Orotracheal intubation ■ Administer medications orally, intramuscularly, ■ Pulse-oximetry subcutaneously, intravenously, endotracheal Cardiovascular/ Circulation ■ Cannulation of peripheral veins ■ Defibrillation ■ Drawing blood samples
- 6. EMT-I Advanced (EMT-IA) Medications Appropriatelydetermine Glucagon need for, and administer the ■ Isotonic following: Solutions Acetaminophen Elixir (NS or LR) NOTE: Medications and ■ Activated Charcoal ■ Lidocaine, skills may vary by local Adenosine Lidocaine IV drip EMS agencies. All ambulances may ■ Albuterol Sulfate or ■ Midazolam / Versed not carry this equivalent ■ Morphine Sulfate medication. ■ Aspirin ■ Naloxone / Narcan Italicized words indicate additional ■ Atropine Sulfate ■ Nerve Antidote Kits administrations Cyanokits (Mark 1™ or beyond an EMT-I. ■ Dextrose 50% DuoDote™) ■ Epinephrine 1:1000 ■ Nitroglycerine (tablets or spray) ■ Epinephrine 1:10,000 ■ Phenergan / Promethazine ■ Fentanyl ■ Zofran Furosemide / Lasix
- 7. Skills Can provide allskills that an ■ Cannulation of external jugular EMT-I and EMT-B can provide veins plus: ■ Defibrillation Patient Assessment ■ Drawing blood samples ■ Focused physical exams ■ Interpretation of basic cardiac EMT-I ADVANCED Airway / Ventilation / dysrythmias Oxygenation ■ Intraosseous needle placement ■ End-tidal CO2 detection and infusions in infants and ■ Extubation children ■ Foreign body removal in ■ Needle chest decompression obstructed airways ■ Newborn resuscitation ■ Newborn resuscitation Miscellaneous ■ Oral Intubation (with ET tube ■ Measuring blood sugar levels and dual lumen airways) ■ Administer medications orally, ■ Placement of NG and OG tubes rectally, intramuscularly, ■ Pulse-oximetry intravenously, subcutaneously, ■ Replace trach tube through endotracheal stomas Cardiovascular/Circulation Italicized words indicate additional skills beyond an EMT-I. ■ Cannulation of peripheral veins
- 8. Paramedic (EMT-P) Medications Appropriately determineneed for, Furosemide / Lasix and administer the following: Glucagon Acetaminophen Elixir Haldol ■ Activated Charcoal ■ Isotonic Solutions (NS or LR) Adenosine ■ Lidocaine, Lidocaine IV drip NOTE: Medications and ■ Albuterol Sulfate or equivalent Lorazepam skills may vary by local EMS agencies. ■ Ammonia Capsules Magnesium Sulfate Midazolam / Versed All ambulances may Amiodarone not carry this ■ Aspirin ■ Morphine Sulfate medication. ■ Atropine Sulfate ■ Naloxone / Narcan Italicized words Atrovent Nerve Antidote Kits (Mark 1™ or indicate additional Calcium Chloride DuoDote™) administrations beyond an EMT-IA. Cyanokits ■ Nitroglycerine (tablets or spray) ■ Dextrose 50% Oxytocin ■ Diphenhydramine ■ Phenergan / Promethazine ■ Dopamine ■ Sodium Bicarbonate ■ Epinephrine 1:1000 Vasopressin ■ Epinephrine 1:10,000 Zofran ■ Fentanyl
- 9. Skills Can provide allskills that all EMTs Cardiovascular/Circulation can provide plus: ■ Cannulation of external jugular Patient Assessment veins ■ Focused physical exams ■ Cannulation of peripheral veins ■ Defibrillation Airway / Ventilation / Oxygenation ■ Drawing blood samples ■ Cricothyrotomy ■ Interpretation of basic cardiac ■ End-tidal CO2 detection dysrythmias ■ Extubation ■ Intraosseous infusions in infants and ■ Foreign body removal in obstructed children airways ■ Intraosseous needle placement and PARAMEDIC ■ Nasal intubations infusion ■ Needle jet insufflation ■ Newborn resuscitation ■ Newborn resuscitation ■ Subclavian IV access ■ Oral Intubation (with ET tube and Miscellaneous dual lumen airways) ■ Needle chest decompression ■ Orotracheal intubation ■ Measuring blood sugar levels ■ Placement of NG and OG tubes ■ Administer medications orally, ■ Pulse-oximetry rectally, intramuscularly, ■ Replace trach tube through stomas intravenously, subcutaneously, Italicized words indicate additional skills beyond an EMT-IA. endotracheal
- 10. “For patients whocannot breathe, are in hemorrhagic shock, or are in cardiac arrest, the decisions made and actions taken by EMS personnel may determine the outcome as much as the subsequent hospital-based care – and may mean the difference between life and death.” —Emergency Medical Services: at the Crossroads 2006 Institute of Medicine Board on Health Care Services Graphic design courtesy of: Utah EMS for Children Program Primary Children’s Bureau of EMS Utah EMSC Intermountain Injury Control Research Center Medical Center Cannon Health Building Cannon Health Building National EMSC Data Analysis Resource Center 100 North Medical Drive 288 N 1460 W 288 N 1460 W 295 Chipeta Way Salt Lake City, UT 84113 Salt Lake City, UT 84114 Salt Lake City, UT 84114 Salt Lake City, UT 84158 801-662-1000 801-538-6435 801-538-6011 801-213-3216