Aemt

[Porta]

Ok, who's done the course, and passed the exams? I'm not looking for pointers on passing (but that's welcome) I'm looking for opinions on the curriculum and how well it prepared for you the written and practical.
Thanks.
Porta

 

[Porta]

Also, can one of the mods change the title post to all caps?

 

[hogwiley]

Does anyone anywhere even offer an AEMT course? I havent seen anyone offering it, and schools I checked at said they are waiting to see whats going to happen with it. Im not sure what they are waiting on, as the NREMT already seems to have announced their decision and criteria. Maybe it is issues with the state recognizing it, although I wouldnt think so because I have seen Specialist to AEMT bridge courses.

All schools Ive seen now just offer EMT basic and Paramedic. In fact I havent seen an Intermediate or Specialist class offered anywhere Since Ive been an EMT(over 3 years ago).

 

[krtemt]

From what has been explained to me is that even though the National Registery has changed the name for EMT-Intermediate to Advanced EMT states still have to make the decision to change the name of their middle level. That being the case in order for the states to be able to allow their students to test for the middle level then they have to teach the national criteria.

 

[Jambi]

It's also good to know that the AEMT and Intermediate 85 or 99 are vastly different animals...

 

[Porta]

Does anyone anywhere even offer an AEMT course? I havent seen anyone offering it, and schools I checked at said they are waiting to see whats going to happen with it. Im not sure what they are waiting on, as the NREMT already seems to have announced their decision and criteria. Maybe it is issues with the state recognizing it, although I wouldnt think so because I have seen Specialist to AEMT bridge courses.

All schools Ive seen now just offer EMT basic and Paramedic. In fact I havent seen an Intermediate or Specialist class offered anywhere Since Ive been an EMT(over 3 years ago).

I'm in a bridge course at a community college in Alabama. It's about a semester long.

 

[Porta]

It's also good to know that the AEMT and Intermediate 85 or 99 are vastly different animals...

The Advanced is closer to the 85, but yes, they are not to be confused w the 85 or 99.

 

[GoNoles01]

I have taken the course,and yes it is very new but classes are starting to appear I'm from ga and was in one of the first classes (my nremt # is 312 and state is 38 lol ) but yes I feel I was prepared for the test and yes the test is pretty tough mostly because it covers a wide variety of material but my class went pretty in depth but that can vary due to instructor but there are a few differences between I and A mostly in the handful of medications you can give (not just assist) and a little deeper knowledge

 

[dbatk]

I've been searching for this course in the Houston area. No Joy so far. Everything seems to be basic to paramedic. Any info on Texas would be appreciated.

 

[Porta]

GoNoles01, would you mind if I PM'd you some questions?

dbatk- it seems parts of the country are picking it up, and others aren't. For instance, I am in GA also (actually IN the AEMT class), but I'm from Mass, and I'm not sure what level I will be able to practice at if I go home bc Mass doesn't recognize the Advanced level (or Registry).

 

[NYMedic828]

I never took the course but 9/10 ALS providers in my volunteer department are AEMTs.

In my opinion, it is a shortcut to avoiding an already insufficient paramedic certification.

Most of them, don't know a damn thing past how do perform skills. They rarely know anything about biology/pharmacology. Make sure you make yourself better than that, and you will have to do it on your own unfortunately.

 

[GoNoles01]

Yea that's fine ill answer what I can for you.

 

[Porta]

I never took the course but 9/10 ALS providers in my volunteer department are AEMTs.

In my opinion, it is a shortcut to avoiding an already insufficient paramedic certification.

Most of them, don't know a damn thing past how do perform skills. They rarely know anything about biology/pharmacology. Make sure you make yourself better than that, and you will have to do it on your own unfortunately.

Why would you say "insufficient paramedic certification"? I'm not trying to argue, I'm just a little confused as to what you mean.


As far as being adept in skills and pharmocology/biology, would would you suggest? Courses?

I genuinely appreciate the feedback, thank you.

 

[Jambi]

I never took the course but 9/10 ALS providers in my volunteer department are AEMTs.

In my opinion, it is a shortcut to avoiding an already insufficient paramedic certification.

Most of them, don't know a damn thing past how do perform skills. They rarely know anything about biology/pharmacology. Make sure you make yourself better than that, and you will have to do it on your own unfortunately.

I wouldn't be too down on the AEMT. Look at the national scope of practice...
(I think the real issue is that we providers, in general, have a poor grasp on how uneducated we really are)

The following are the minimum psychomotor skills of the AEMT:
• Airway and Breathing
o Insertion of airways that are NOT intended to be placed into the trachea
o Tracheobronchial suctioning of an already intubated patient

• Assessment

• Pharmacological Interventions
o Establish and maintain peripheral intravenous access
o Establish and maintain intraosseous access in a pediatric patient
o Administer (nonmedicated) intravenous fluid therapy
o Administer sublingual nitroglycerine to a patient experiencing chest pain of
suspected ischemic origin
o Administer subcutaneous or intramuscular epinephrine to a patient in anaphylaxis
o Administer glucagon to a hypoglycemic patient
o Administer intravenous D50 to a hypoglycemic patient
o Administer inhaled beta agonists to a patient experiencing difficulty breathing and
wheezing
o Administer a narcotic antagonist to a patient suspected of narcotic overdose
o Administer nitrous oxide for pain relief

 

[Jambi]

Why would you say "insufficient paramedic certification"? I'm not trying to argue, I'm just a little confused as to what you mean.


As far as being adept in skills and pharmocology/biology, would would you suggest? Courses?

I genuinely appreciate the feedback, thank you.

I posted this above: I think the real issue is that we providers, in general, have a poor grasp on how uneducated we really are.

I'd be willing to go on a limb here and say that NYMedic828 has do deal with providers that think more highly of themselves than they should.

 

[Porta]

I posted this above: I think the real issue is that we providers, in general, have a poor grasp on how uneducated we really are.

I'd be willing to go on a limb here and say that NYMedic828 has do deal with providers that think more highly of themselves than they should.

Do you think age has anything to do with that? How do you think we, as providers, can curb that sense of entitlement?

 

[Jambi]

Do you think age has anything to do with that? How do you think we, as providers, can curb that sense of entitlement?

Age certainly does certainly play a role, but it's not really a primary factor in my opinion.

At the root of the issue is the current training model. It's vocational training of technicians, but it's made to be some sort of panacea of medical training. Much of this is perpetuated by those educating the next group of paramedics, which is usually more paramedics.

If we had Physicians and others of high quality training and education, teaching medics and took a more direct and involved role, much of this misguided mindset could be avoided. In my opinion.

 

[Porta]

If we had Physicians and others of high quality training and education, teaching medics and took a more direct and involved role, much of this misguided mindset could be avoided. In my opinion.

My husband actually asked me not too long ago why we weren't trained by actual Physicians. I thought about it and asked "Yeah, why aren't we??"
Aside from cost. I can see the logistics of it - they're not in the ambulance, so they're not going to be seeing exactly what we see as far as pt care and initial treatment. However, wouldn't it make for more consistent patient care if they did train us?

 

[NYMedic828]

I posted this above: I think the real issue is that we providers, in general, have a poor grasp on how uneducated we really are.

I'd be willing to go on a limb here and say that NYMedic828 has do deal with providers that think more highly of themselves than they should.

Someone finally understands my agony!

Age is all relative. I'm 23 years old. I work with 18 year olds who are brilliant and mature and I work with 50 year olds who are idiotic and think they are the sauce.


AEMT in my area Is about 1/3 the length of a paramedic program and they can perform all skills of a paramedic with the exception that almost all medication administration requires MD approval. Medics have standing orders. AEMT here can intubate as well. They learn to tube on a manikin only. Intubating real flesh is not a requirement of the course.

It is a shortcut to having a fun toolbox.

Paramedic, I say insufficient because quite honestly we don't have the knowledge we should. The only way to acquire the necessary knowledge to really understand what you are doing is self education and improvement. The same goes for AEMTs but they have more to learn on their own than a medic does. I know many AEMTs who are better than many medics I know but it is due to work experience and ambition.

As people on this forum can vouch for, other countries like Australia require 2-3 YEARS to be a medic and they can do LESS than an American medic can.

I just think AEMT is a level that needs to be non-existent. There should be clear distinct lines, nationally standardized between who is ALS and who is BLS and we should all be at the same level on both ends.

 

[Jambi]

AEMT in my area Is about 1/3 the length of a paramedic program and they can perform all skills of a paramedic with the exception that almost all medication administration requires MD approval. Medics have standing orders. AEMT here can intubate as well. They learn to tube on a manikin only. Intubating real flesh is not a requirement of the course.

Well that's scary...

Here in California, the AEMT policies are just starting to come down to tube from the state. Prior to that Intermediates were a rare bird in the state and not utilized in most counties. I believe now the use of the AEMT may still be up to the county EMS agency, but the state has made it plain that the scope is to be limited to what I posted above, which is in-line with the National scope.