Emt-d

EMS25

Forum Crew Member
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Recently I hear a lot about EMT-D. I couldn't find anything online about it. Does anybody know about this? Is this a real cert?
 

JPINFV

Gadfly
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Technically speaking (as in statute), the only three levels in California is the EMT-1 ("EMT-I", aka EMT-Basic), EMT-2 ("EMT-II," aka EMT-Intermediate), and EMT-P. Some counties have the defib optional local scope of practice option that allows EMT-Bs to do manual defibrillation under direct supervision by an EMT-II, EMT-P, RN, or physician. The local counties sometimes call the EMT-Bs who have been certified in the local optional scope of practice as "EMT-Defibrillators."
 

NomadicMedic

EMS Educator
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Back in the day (1989) that was was my first cert upgrade in Connecticut. We took a course on rhythm analysis, maybe 20 hours, and we became EMT-D certified. The monitor we had to use was a Lifepack 5 with the cassette recorder module. Huge. Weighed a ton. Batteries always died.

Now, this was before AEDs, so I guess it got electricity out on the street sooner. I did shock several VF codes. ROSC? Not so much.

Now with AEDs everywhere, it seems like a moot point. :)

I think I may still have my CT EMT-D pin somewhere.
 

EMSLaw

Legal Beagle
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At one point, New Jersey EMT-Bs who were trained in using an AED were identified as EMT-Ds. They wore the same patch, but under the big EMT it said "Defibrillation" in red letters. You still see them kicking around, and the statute still refers to EMT-Ds and FR-Ds, even though neither level exists anymore (NJ OEMS no longer certifies first responders).

Anyway, it's dependent on what state you're in as to whether that's a valid cert or not. I'm not aware of any states that still have it, but who knows.
 

MrBrown

Forum Deputy Chief
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Way back in the day the EMT-Defibrillator was a level that allowed EMT-Bs to defib manually.

This was really a stop-gap measure because AEDs weren't round (talkin like the 80s here) and defib was an ALS only skill.

Washington state had the EMT-D level back in the eighties where you could manually defib VF (but not VT) up to eight times. One of my colleagues has an old book on it.
 

JPINFV

Gadfly
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Looking into it further, it also looks like it's used as a designation for EMT-Bs working with for an "AED service provider." If an agency isn't licensed as an "AED service provider," then they aren't allowed to carry an AED on the ambulance. I just found the following memo from Kern County LEMSA that kinda of sheds a sad light on the current state of California's EMS regulations.

http://www.co.kern.ca.us/ems/defibclarification.pdf
 
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