Emergency Medical Services

(a)   The EMT-Basic course of training shall be as follows:

(1)   The course of training shall be based on, but not limited to, the national Emergency Medical Technician Ambulance
        (EMT-A) curriculum of the United States department of transportation;
(2)   The course shall include the minimum theoretical knowledge necessary to provide for the application of basic life
        support skills in the delivery of prehospital emergency services in the following subjects for a minimum of one hundred
        eighty hours:

(A)   Standards and policies of the emergency medical services system;
(B)   Human systems and patient assessment;
(C)   Respiratory emergencies;
(D)   Cardiovascular emergencies;
(E)   Neurological emergencies;
(F)   Musculoskeletal injuries;
(G)   Obstetrical and gynecological emergencies;
(H)   Pediatric emergencies;
(I)   Medical emergencies;
(J)   Trauma;
(K)   Shock;
(L)   Basic knowledge of behavioral disorders;
(M)   Extrication and rescue techniques; and
(N)   Introduction to communications;

(3)   The course shall include both hospital and emergency ambulance clinical experience to enable the student to demonstrate
        competency in basic life support skills required for certification. The course of clinical experience shall be for a minimum
        of one hundred thirty-five hours; and
(4)   The course of training shall include the following skills:

(A)   Perform cardiopulmonary resuscitation;
(B)   Obtain basic patient history and physical examination;
(C)   Obtain and monitor vital signs;
(D)   Establish and maintain airways;
(E)   Administer free-flow one hundred percent oxygen;
(F)   Ventilate with bag-mask;
(G)   Apply and use mechanical automatic heart and lung resuscitator;
(H)   Control hemorrhage;
(I)   Apply bandages;
(J)   Immobilize or splint fractures, dislocations, and sprains;
(K)   Immobilize and extricate automobile injury victims;
(L)   Perform light rescue and triage;
(M)  Perform emergency delivery of baby, and provide newborn care;
(N)   Initiate intervention with behavioral disorders;
(O)   Apply antishock trousers (MAST);
(P)   Operate a medical communications system;
(Q)   Operate an emergency medical vehicle; and
(R)   Perform twelve-lead electrocardiogram (EKG);

(b)   The EMT-Paramedic course of training shall be as follows:

(1)   The course of training shall be based on, but not limited to, the national Emergency Medical Technician-Paramedic
        (EMT-P) curriculum of the United States department of transportation;
(2)   The course shall include all knowledge and skills required at the EMT-Basic level in addition to the minimum theoretical 
         knowledge necessary to provide advanced life support skills in the delivery of prehospital emergency medical services in 
         the following subjects, for a minimum of four hundred hours:

(A)   Standards and policies of the emergency medical services system;
(B)   Human systems and detailed patient assessment;
(C)   Respiratory emergencies;
(D)   Cardiovascular emergencies;
(E)   Neurological emergencies;
(F)   Musculoskeletal injuries;
(G)  Obstetrical and gynecological emergencies;
(H)   Neonatal and pediatric emergencies;
(I)   Medical emergencies;
(J)   Trauma;
(K)   Shock and fluid therapy;
(L)   Behavioral disorders;
(M)  Extrication and rescue techniques;
(N)   Communication with base station and physicians; and
(O)   Pharmacology;

(3)   The course shall include a hospital and an emergency ambulance clinical internship to enable the student to demonstrate
        competency in advanced life support skills required for certification. The course of clinical internship shall be for a
        minimum of eight hundred fifteen hours; and
(4)   The course of training shall include the following skills:

(A)   Perform all skills included in EMT basic life support skills in subsection (a)(4);
(B)   Perform adult and pediatric advanced cardiac life support;
(C)   Perform history taking and physical exam assessing illness or degree of injury of patient;
(D)   Communicate with emergency physicians at designated MEDICOM hospitals;
(E)   Perform procedures, and administer medications included in board-approved EMT-Paramedic course of training 
         and as published in protocols, via the following routes:

(i)    Oral;
(ii)   Sublingual;
(iii)  Subcutaneous;
(iv)  lntramuscular;
(v)   Intravenous;
(vi)  Endotracheal; and
(vii) Intraosseous;

(F)   Perform tracheal intubation;
(G)   Perform intravenous therapy to include:

(i)   Intravenous fluids; and
(ii)  lntravenous medications;

(H)   Perform twelve-lead electrocardiogram (EKG), interpret life-threatening arrhythmias and recognize abnormalities;
(I)   Perform defibrillation and cardioversion; (J) Administer appropriate medications to treat:

(i)    Shock;
(ii)   Poisoning;
(iii)  Severe pain;
(iv)  Hypotension;
(v)   Anaphylaxis;
(vi)  Hypoglycemia;
(vii) Acidosis;
(viii) Asthma;
(ix)  Cardiac arrhythmias;
(x)   Acute myocardial infarction;
(xi)  Fluid overload; (xii) Seizure;
(xiii) Post-partum hemorrhage;
(xiv) Tetany;
(xv) Congestive heart failure;
(xvi) Pulmonary edema; and
(xvii) Hyperkalemia;

(K)   Apply and use rotating tourniquets;
(L)   Insert nasogastric tubes;
(M)   Perform gastric lavage;
(N)   Perform closed chest needle thoracostomy;
(O)   Perform pericardiocentesis;
(P)   Perform cricothyroid needle insertion;
(Q)   Perform direct laryngoscopy for McGill forcep removal of foreign body;
(R)   Perform techniques for reflex vagocardiac stimulation; and
(S)   Operate medical communications system.

       [Eff. 12/17/82, am and comp 7/27/87; am and comp 10/28/89; comp 8/25/90; am and comp 12/22/97]
       (Auth: HRS §453-33) (Imp: §§ 453-31, 453-32)