EMS Provider Quick Reference Guide, published by the Utah Department of Health for ER Staff Members

1. EMS Provider
Quick Reference
Guide
for ER Staff
Members
Provided by:
Utah EMS
for Children
Program
© 2008 Utah Department of Health, Salt Lake City, UT

2. EMT-Basic (EMT-B)
Medications
Assists with self-
administration of patient
prescribed medications:
Acetaminophen Elixir NOTE: Medications and
skills may vary by local
■ Activated Charcoal EMS agencies.
All ambulances may
■ Aspirin not carry this
medication.
■ Epinephrine by auto-injector
■ Metered dose inhalers
Nerve Antidote Kits (Mark 1™ or DuoDote™)
■ Nitroglycerin
■ Oral glucose

3. Skills
Patient Assessment ■ Stoma patient
■ Initial assessment ventilation
■ Vital signs
Cardiovascular/
Airway / Ventilation / Circulation
Oxygenation ■ CPR
■ Bag valve mask ■ Control bleeding
ventilation ■ Semi-automatic
■ Flow restricted oxygen defibrillation
powered ventilation
device Immobilization
EMT BASIC
■ Nasopharyngeal airway ■ Spinal immobilization
insertion ■ Stabilize/immobilize
■ Oral suctioning fractures
■ Oropharyngeal airway
insertion Miscellaneous
■ Emergency childbirth
■ Oxygen administration,
■ Measuring blood sugar
nasal cannula, masks
levels
■ Pocket mask artificial
ventilation

4. EMT-Intermediate (EMT-I)
Medications
Appropriately determine ■ Isotonic
need for, and administer the Solutions
following: (NS or LR)
Acetaminophen Elixir ■ Lidocaine,
NOTE: Medications and
■ Activated Charcoal Lidocaine IV skills may vary by local
Adenosine drip EMS agencies.
All ambulances may
■ Albuterol Sulfate or Midazolam / not carry this
equivalent Versed medication.
■ Aspirin ■ Morphine Sulfate
■ Atropine Sulfate ■ Naloxone / Narcan
Cyanokits Nerve Antidote Kits (Mark 1™
■ Dextrose 50% or DuoDote™)
■ Epinephrine 1:1000 ■ Nitroglycerine (tablets or spray)
■ Epinephrine 1:10,000 Phenergan / Promethazine
Fentanyl Zofran
Glucagon

5. Skills
Can provide all skills that ■ Interpretation of basic
an EMT-B can provide plus: cardiac dysrythmias
Patient Assessment ■ Intraosseous needle
Focused physical exams placement and infusions in
EMT INTERMEDIATE
■
infants and children
Airway / Ventilation / ■ Newborn resuscitation
Oxygenation
■ End-tidal CO2 detection Miscellaneous
■ Extubation ■ Measuring blood sugar
■ Newborn resuscitation levels
■ Orotracheal intubation ■ Administer medications
orally, intramuscularly,
■ Pulse-oximetry subcutaneously,
intravenously, endotracheal
Cardiovascular/
Circulation
■ Cannulation of peripheral
veins
■ Defibrillation
■ Drawing blood samples

6. EMT-I Advanced (EMT-IA)
Medications
Appropriately determine Glucagon
need for, and administer the ■ Isotonic
following: Solutions
Acetaminophen Elixir (NS or LR)
NOTE: Medications and
■ Activated Charcoal ■ Lidocaine, skills may vary by local
Adenosine Lidocaine IV drip EMS agencies.
All ambulances may
■ Albuterol Sulfate or ■ Midazolam / Versed not carry this
equivalent ■ Morphine Sulfate medication.
■ Aspirin ■ Naloxone / Narcan Italicized words
indicate additional
■ Atropine Sulfate ■ Nerve Antidote Kits administrations
Cyanokits (Mark 1™ or beyond an EMT-I.
■ Dextrose 50% DuoDote™)
■ Epinephrine 1:1000 ■ Nitroglycerine (tablets or spray)
■ Epinephrine 1:10,000 ■ Phenergan / Promethazine
■ Fentanyl ■ Zofran
Furosemide / Lasix

7. Skills
Can provide all skills that an ■ Cannulation of external jugular
EMT-I and EMT-B can provide veins
plus: ■ Defibrillation
Patient Assessment ■ Drawing blood samples
■ Focused physical exams ■ Interpretation of basic cardiac
EMT-I ADVANCED
Airway / Ventilation / dysrythmias
Oxygenation ■ Intraosseous needle placement
■ End-tidal CO2 detection and infusions in infants and
■ Extubation
children
■ Foreign body removal in ■ Needle chest decompression
obstructed airways ■ Newborn resuscitation
■ Newborn resuscitation
Miscellaneous
■ Oral Intubation (with ET tube
■ Measuring blood sugar levels
and dual lumen airways)
■ Administer medications orally,
■ Placement of NG and OG tubes
rectally, intramuscularly,
■ Pulse-oximetry
intravenously, subcutaneously,
■ Replace trach tube through endotracheal
stomas
Cardiovascular/Circulation Italicized words indicate additional skills beyond
an EMT-I.
■ Cannulation of peripheral veins

8. Paramedic (EMT-P)
Medications
Appropriately determine need for, Furosemide / Lasix
and administer the following: Glucagon
Acetaminophen Elixir Haldol
■ Activated Charcoal ■ Isotonic Solutions (NS or LR)
Adenosine ■ Lidocaine, Lidocaine IV drip NOTE: Medications and
■ Albuterol Sulfate or equivalent Lorazepam skills may vary by local
EMS agencies.
■ Ammonia Capsules Magnesium Sulfate
Midazolam / Versed All ambulances may
Amiodarone not carry this
■ Aspirin ■ Morphine Sulfate medication.
■ Atropine Sulfate ■ Naloxone / Narcan
Italicized words
Atrovent Nerve Antidote Kits (Mark 1™ or indicate additional
Calcium Chloride DuoDote™) administrations
beyond an EMT-IA.
Cyanokits ■ Nitroglycerine (tablets or spray)
■ Dextrose 50% Oxytocin
■ Diphenhydramine ■ Phenergan / Promethazine
■ Dopamine ■ Sodium Bicarbonate
■ Epinephrine 1:1000 Vasopressin
■ Epinephrine 1:10,000 Zofran
■ Fentanyl

9. Skills
Can provide all skills that all EMTs Cardiovascular/Circulation
can provide plus: ■ Cannulation of external jugular
Patient Assessment veins
■ Focused physical exams ■ Cannulation of peripheral veins
■ Defibrillation
Airway / Ventilation / Oxygenation ■ Drawing blood samples
■ Cricothyrotomy ■ Interpretation of basic cardiac
■ End-tidal CO2 detection dysrythmias
■ Extubation ■ Intraosseous infusions in infants and
■ Foreign body removal in obstructed children
airways ■ Intraosseous needle placement and
PARAMEDIC
■ Nasal intubations infusion
■ Needle jet insufflation ■ Newborn resuscitation
■ Newborn resuscitation ■ Subclavian IV access
■ Oral Intubation (with ET tube and Miscellaneous
dual lumen airways) ■ Needle chest decompression
■ Orotracheal intubation ■ Measuring blood sugar levels
■ Placement of NG and OG tubes ■ Administer medications orally,
■ Pulse-oximetry rectally, intramuscularly,
■ Replace trach tube through stomas intravenously, subcutaneously,
Italicized words indicate additional skills beyond an
EMT-IA.
endotracheal

10. “For patients who cannot breathe, are in hemorrhagic
shock, or are in cardiac arrest, the decisions made and
actions taken by EMS personnel may determine the
outcome as much as the subsequent hospital-based care
– and may mean the difference between life and
death.”
—Emergency Medical Services: at the Crossroads
2006 Institute of Medicine
Board on Health Care Services
Graphic design courtesy of:
Utah EMS
for Children Program
Primary Children’s Bureau of EMS Utah EMSC Intermountain Injury Control Research Center
Medical Center Cannon Health Building Cannon Health Building National EMSC Data Analysis Resource Center
100 North Medical Drive 288 N 1460 W 288 N 1460 W 295 Chipeta Way
Salt Lake City, UT 84113 Salt Lake City, UT 84114 Salt Lake City, UT 84114 Salt Lake City, UT 84158
801-662-1000 801-538-6435 801-538-6011 801-213-3216