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How do I become an EMT or a paramedic?

Becoming an emergency medical technician (EMT) or paramedic is a rewarding but challenging career in the medical field.EMTs and paramedics play a vital role in the health and welfare of their local community.Both of these professions provide emergency care to sick and injured patients requiring immediate care.Training to become an EMT or paramedic takes anywhere between six months and four years.If an EMT wishes to advance further in their training, they will then move on to more advanced paramedic training.EMTs save lives and intervene during crises to take care of sick and injured people.When an ambulance is called, EMTs and/or paramedics are often the first to arrive on scene.From aiding an elderly person suffering from a heart attack to administering first aid at a crime scene, EMTs have to be prepared for any emergency situation.EMTs work in hospitals, clinics, and emergency rooms, and often arrive to trauma scenes in an ambulance.Tasks can range from administering life-saving first aid to assisting in childbirth to performing CPR.DutiesRespond quickly to emergency calls and keep calm in a crisisAssess patient and implement vital carePerform CPR, administer first aid, or alleviate choking in a swift mannerPerform testing when appropriateStabilize broken bones and transport on a stretcher when necessaryInteract with fire fighters, law enforcement and other health care personnelProvide emotional support to family and friends of patientsMaintain equipment and vehicles to ensure everything is ready for the next patientExtricate patients trapped in vehicles or buildingsAdminister medications when necessary.Salary The average hourly rate is $15.38. The national average salary for an EMT-Basic is $33,647.The average annual pay for an Advanced EMT in the United States is $43,775 a year.The average salary for a Paramedic ranges fromEntry-level: $29,549 - $58,209Mid-career: $33,471 - $65,462Experienced: $34,844 - $71,290Late-career: $35,411 - $80,080Paramedics, on average, will earn more than EMTs due to having a higher degree of training and expertise.Some EMTs work on a volunteer basis with a local volunteer ambulance association.Volunteer EMTs may earn a tax abatement on their local property taxes in exchange for their services.EMTs and paramedics with more experience and training will generally be paid at a higher rate.Paramedic firefighters typically receive the highest rates of pay.Private ambulance services pay out higher wages than hospitals and governmental entities.Unionized EMT and paramedic workers enjoy wage security under a negotiated contract.To be an EMT, you must complete a state-approved educational program in emergency medical technology. Community colleges, vocational schools, and technical institutes offer short EMT programs that include a mix of classroom study and hands-on training in the lab and in the field.You generally must be at least 18 years old to enroll in an EMT program. In some states, special programs allow high school students as young as 16 to complete basic EMT training. However, you cannot take the national certification exam until you turn 18.You must complete your EMT training and become certified before you can take the additional training to become a paramedic. Some paramedic training programs require a certain amount of EMT work experience. And in the state of Washington, you must hold EMT certification for at least a year before you can pursue paramedic training.In some areas, associate degree programs include the full range of training, from EMT up to paramedic. In order to qualify for AEMT- or paramedic-level courses, you must first acquire your EMT certification. You don't usually need any work experience, though.The cost of becoming an EMT varies widely depending on the program you choose and the type of institution you attend. Tuition can range from less than $1,000 to more than $10,000. Training for higher-level positions such as Advanced EMT and paramedic is more involved and thus costs more than training to become a basic EMT.Here are some other expenses you may need to budget for. (These figures are estimates only; contact your training institution for specific details.)Textbooks—$150 to $500 or moreUniform (pants, polo shirt, boots)—$100 to $300Stethoscope—$20 to $75Background check and drug screening—$60 to $100Physical and immunizations—varies depending on your healthcare planCPR certification for healthcare providers—$40 to $85Application fees for the NREMT cognitive exams (see below)—$80 to $125State licensing—$80 to $200Most states require prospective EMTs and paramedics to be certified by the National Registry of Emergency Medical Technicians (NREMT). All NREMT certifications are restricted to candidates who are at least 18 years old. The process involves passing both a cognitive (knowledge) exam and a psychomotor (skills) exam.Becoming certified as an EMTThe cognitive exam has between 70 and 120 multiple-choice questions. Ten of the questions do not count toward your final score, but you won't know which ones those are. The exam is a computer-adaptive test, which means the questions you receive are tailored to your ability level based on your responses (i.e., the more correct answers you give, the harder the questions get).There are two key things to know about a computer-adaptive test: (1) There is one "best" answer (even if all of them look right or all of them look wrong), and (2) you can't change an answer once you give it. So it's important to read each question carefully and consider your response.To pass, you must demonstrate entry-level proficiency in five areas:Medical, obstetrics, and gynecologyCardiology and resuscitationAirway, respiration, and ventilationTraumaEMS operationsIf you don't pass the first time, you get two more opportunities to re-take the test, but you must wait 15 days between attempts. If you are still unsuccessful after three tries, you must take remedial training.The psychomotor exam evaluates your practical abilities in areas like patient assessment, bleeding control, spinal immobilization, and cardiac arrest management during simulated encounters with injured people. At the basic EMT level, psychomotor exams are run by state EMS offices rather than the NREMT. However, the NREMT does offer skill sheets that list the tasks you will be expected to perform. The skill sheets also outline the actions that result in an automatic fail for that test, so be sure to review those in detail when you are preparing for the exam.Generally, certification levels are as follows:EMT-1 or EMT-Basic Certification: Certifies that you are capable of providing basic care to sick and injured patients. Basic EMT courses take about six months to complete.EMT-11 and EMT 111 Certifications: Provides more advanced training to administer IV fluids and medications, operate advanced airway devices, and use manual defibrillators.NREMT Certification: Required by most states for individuals wanting to work or volunteer as an EMT or paramedic.Becoming certified as an Advanced EMTYou must hold EMT certification and complete an Advanced EMT training program before you can be certified at this level. The cognitive exam for the Advanced EMT is a straightforward linear test with 135 questions, 35 of which do not affect your final score. It covers the same five areas as the basic EMT exam. The psychomotor exam tests your hands-on skills in areas such as establishing IVs and inserting advanced airway devices.Becoming certified as a paramedicYou must be certified as an EMT (though not necessarily an Advanced EMT) in order to be certified as a paramedic. You must also successfully complete a paramedic training program that has been:accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP); orissued a "letter of review" by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).Like the cognitive test for basic EMTs, the cognitive exam for paramedics is a computer-adaptive test. This one uses 80 to 150 multiple-choice questions, including 20 that you won't actually be assessed on.The psychomotor exam includes a scenario-based test of your ability to manage a patient, a scene, and a team. Working with a trained partner, you will demonstrate your skills in trauma patient assessment, cardiac arrest management, EKG interpretation, and more. You will also be evaluated on your interpersonal skills, so it's critical to behave professionally toward both your patients and your partner.Certification alone does not authorize you to work as an EMT or paramedic. You still need to get a state license. However, licensing requirements vary from state to state. Being certified by the NREMT is usually enough, but a few states require you to pass a state-specific exam.EMTs and paramedics must recertify regularly, typically every two to three years. Check with your state EMS registry for details,You've learned how to become an EMT or paramedic, so now it's time to focus on getting the training you need to start enjoying a fulfilling career in pre-hospital emergency care. Relevant, focused programs are widely available at trade schools and vocational colleges.now!

What is the proper technique for carrying a large unconscious person downstairs in a medical emergency when you are the only person and you are feeble yourself?

This question has already been answered fairly well. I can add some personal experience to it. As a layperson, in a situation like this you just don’t. One of the first things you will be taught in a basic first aid class or even an EMT or Paramedic course is to not become a victim. Scene safety, personal safety ect. Call 911 and if you know their weight it maybe worth informing the dispatcher that as it can alert the responding crew what to expect. You’ll find out that very rarely will a firefighter or EMS worker take a larger person alone unless it’s a matter of urgency. Where I work for example if it’s a situation that isn’t going to change in the next 2–3 minutes (i.e a fire) and become dangerous anyone over 200 lbs is a mandatory two person lift. Anything over 300–325 we consider three to four. We’re trained on how to safely move people in a variety of ways. A layperson isn’t especially when it comes to stairs which is a whole different case. Number of stairs, the incline, amount of room relative to when the patient is on the stairs are all things we take into account.We would likely use a modified sheet drag method to move them to an area where we can get them loaded on the stretcher. Then attempt to load them with a team lift. I have done this with a 950lb person, 14 stairs and tight turns and it is a long process that took 8 people, 4 hours and two of us hurt our backs. That’s to do it safely and to minimize injury to us and the patient when time isn’t a consideration. We can do it faster if we had to for an emergency but the method would likely remain more or less the same just not as slow since a true emergency time vs patient risk is evaluated differently.

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