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Emergency Medical Technician - Intermediate

EMT–Intermediates provide all the care authorized at the EMT-Basic (EMT-B) level as well as limited advanced life support (ALS) interventions.

The Maine EMS EMT-Intermediate curriculum includes: advanced airway management, single lead electrocardiogram (ECG) monitoring, medical emergencies, trauma management, intravenous/intraosseous (IV/IO) therapy, basic pharmacology, and ALS operations.

Clinical rotations occur both in the hospital and field. Hospital clinical includes rotations in the ED, OR, ICU, IV team, and Respiratory Therapy. Hospital clinical time is designed to build on skills learned in the classroom and lab settings, as students begin to apply newly learned therapies under the supervision of a preceptor.

Field clinical time focuses on developing the student into a functioning field ALS provider. Decision-making, skill performance, and team management skills are assessed during this phase.

The focused nature of the curriculum allows the EMT-Intermediate to perform the following low risk, high benefit ALS skills in the prehospital setting:

  • ECG monitoring (limited rhythms)
  • Manual defibrillation
  • Oral endotracheal intubation
  • Other advanced airway management options (per protocols)
  • Limited medication administration (most with On-line Medical Control direction)
  • Intravenous (IV) insertion
  • Intraosseous (IO) insertion
  • Continuous positive airway pressure (CPAP) *
  • 12-lead ECG acquisition *

* For those who have successfully completed this Maine EMS approved upgrade training