Emergency Medical Technician - Intermediate

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An Emergency Medical Technician - Intermediate is the level of training between Basic (EMT-B) and Paramedic. There are actually two intermediate levels, the EMT-I/85 and the EMT-I/99 curriculum, with the 1999 level being the higher of the two.

EMT-I/85 is a level of training that will typically allow several more invasive procedures than are allowed at the basic level, including IV therapy, the use of multi-lumen airway devices (even endotrachael intubation in some states), and provides for enhanced assessment skills. The EMT-I/85 is typically allowed only the same medications an EMT-B is allowed to use (these being oxygen administration, oral glucose, activated charcoal, epinephrine auto-injectors (Epi-Pens), nitroglycerine, and Metered-Dose Inhalers (MDIs), though in many states administration of 5 and 50% dextrose in water is also allowed (commonly referred to as D5W and D50 respectively).

The EMT-I/99 level is the closest level of certification to Paramedic, and allows many techniques not available to the EMT-I/85 or below. Some of these techniques include needle-decompression of tension pneumothorax, endotrachael intubation, nasogastric tubes, use of cardiac monitors/ECGs, and medication administration to control certain cardiac Arrhythmias.


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