Approved procedures
EMT-INTERMEDIATE
(in addition to EMT-Basic skills) -so AED
Establish intravenous access
Establish intraosseous access
Blood sugar testing
Medication administration from approved list
King Airway insertion
Defibrillation (manual mode with ALS provider / SAED mode otherwise)
PARAMEDIC
(in addition to EMT-Intermediate skills)
ECG rhythm interpretation
Defibrillation and cardioversion
Transcutaneous pacing
Medication administration from
approved list
Umbilical vein cannulation
Oral and Nasal Intubation
NG tube insertion
Needle Thoracostomy
Needle Cricothyrotomy
Surgical Cricothyrotomy
Medications
EMT-INTERMEDIATE
Activated Charcoal
Acetaminophen (Tylenol)
Aspirin
Dextrose 50%
Naloxone
Nitrous oxide (Nitronox)
Thiamine
Proparacaine eye drops
May assist the ALS provider, under direct supervision, with the administration of:
Albuterol, Atrovent, Nitroglycerin.
May assist the ALS provider in the setting of cardiac arrest with the administration of:
Atropine & Epinephrine.
PARAMEDIC
All approved Intermediate medications PLUS the following, may be given per
protocol:
Adenosine (Adenocard)
Afrin (Oxymetazoline Hydrochloride)
Albuterol
Albuterol/Ipratroprium (Duo-Neb)
Racemic Epinephrine
Amiodarone
Atropine
Calcium Chloride
Diphenhydramine (Benadryl)
Dopamine
Epinephrine (including continuous
infusion with base MD order per
bradycardia protocol)
Fentanyl
Furosemide (Lasix)
Monitor IV antibiotics
Glucagon
Haloperidol (Haldol)
Lidocaine (Xylocaine)
Magnesium sulfate
Midazolam (Versed)
Morphine Sulfate
Nitroglycerin (sublingual and topical)
Oxytocin (Pitocin)
Ondansetron (Zofran)
Potassium (40meq or less in one liter)
Promethazine (Phenergan)
Sodium Bicarbonate