Medical professionals?

As far as professionalism is concerned: First Responder ___An Emergency Medical Technician (EMT) is an emergency responder trained to provide emergency medical services to the critically ill and injured. Once thought of as an "ambulance driver or attendant," the modern EMT performs many more duties than in the past, and responds to many types of emergency calls, including medical emergencies, hazardous materials exposure, childbirth, child abuse, fires, rescues, injuries, trauma and psychiatric crises. As National Fire Protection Association regulations state that Rescuers be medically certified, many EMT's are also part of Technical Rescue teams, such as Extrication, Rope Rescue, Water Rescue, etc.They may be part of an EMS, Fire, or independent rescue team.

EMTs are trained in practical emergency medical knowledge and skills that can be deployed within a rapid time frame. Patient treatment guidelines are described in protocols following both national guidelines and local medical policies. The goal of EMT intervention is to rapidly evaluate a patient's condition and to maintain a patient's airway, breathing and circulation by CPR and defibrillation.

In addition, EMT intervention aims to control external bleeding, prevent shock, and prevent further injury or disability by immobilizing potential spinal or other bone fractures, while expediting the safe and timely transport of the patient to a hospital emergency department for definitive medical care. ___A paramedic is an Emergency medical technician certified to the highest level of training who responds to medical and trauma emergencies in the pre-hospital setting ("in-field") for the purpose of stabilizing a patient's condition before and during transportation to an appropriate medical facility, usually by ambulance. Paramedics work in a variety of other environments, including providing advanced care to patients being transferred between facilities, working as part of a healthcare team in a facility (usually in the emergency department), or providing emergency and sometimes primary care at high-traffic or remote locations (casinos, sporting events, oil rigs, etc. ).

Paramedics most often will transport patients to an emergency department, but "treat-and-release" practice does occur in some systems. Paramedics practice under the supervision of a physician, both through standing protocols ("off-line medical control") or through direct physician consultation via phone or radio ("on-line medical control"). Paramedics derive the legal ability to provide care through a medical doctor's license in much the same way nurses do.

(At present, in the United States, there is no paramedic equivalent to the nurse practitioner; i.e. , a provider able to practice independent of a physician's direct or indirect supervision. ) Paramedics are employed by a variety of emergency medical services agencies, including cities or municipalities, a private companies, or hospitals.

Sources: Multiple websites .

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