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Chapter 7: Other Careers in Health Care

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Emergency Medical Technician

Emergency medical technicians (EMT) are often the first qualified medical personnel to arrive at the scene of an emergency. They respond to emergency situation such as near drownings, fires, cardiac arrest, automobile accidents and other trauma, incidents. Since these situations usually occur away from a hospital or clinic, EMTs must work under the direction of a physician through radio communication.

EMTs are trained in recognizing a medical emergency, assessing the situation and in managing the emergency care. This includes the ability to determine-the nature of and extent of the patient's illness or injury and initiate appropriate medical care Emergency medical care may involve administering cardiac resuscitation, restoring breathing, controlling bleeding, treating for shock, immobilizing fractures, assisting in childbirth, or giving initial treatment to poison and burn victims. Using special equipment and techniques, EMTs may also have to extricate trapped victims.

The EMT is responsible for operating the emergency vehicle safely and efficiently and for maintaining continued medical care to the victims while in radio communication with the emergency department en route to the hospital. The EMI must also transmit medical records and reports of each emergency to the hospital staff for their diagnostic purposes. The EMT must be alert and quick thinking, especially in crucial situations.

Some of the other responsibilities might include:
Establishing priorities and determining procedures to be followed for giving emergency first aid and for using correct tools and techniques to free trapped victims
Looking for medical identification emblems indicating diabetes, epilepsy or other conditions
Requesting additional help, such as special rescue and utility services
Covering patients, placing them on a stretcher, and lifting them into the ambulance
Transferring patients from the ambulance to the hospital
Reporting observations orally and in writing
Maintaining a clean, well-equipped ambulance
Teassuring patients and bystanders
Creating a safe traffic environment
Working with various public safety agencies
Conducting first aid training programs for the general public


There are three classifications of EMT:
EMT-Basic
is trained in basic life support and is certified to perform specific pre-hospital duties in emergency situations.
Certified EMT-Intermediate
provides the same care as the EMT-Ambulance, but because of additional training may also assess trauma patients, administer intravenous therapy, use antishock garments and airway maintenance equipment.
Certified EMT-Paramedic
is the more highly trained technician who is qualified (subject to state law) to administer drugs, both orally and intravenously, and operates morecomplicated equipment in an advanced life-support ambulance such as a defibrillator to shock a stopped heart into action.


Job Outlook
EMTs are expected to continue to be in demand as states continue to improve their emergency medical systems.

Educational Requirements
Training courses are available for all three levels of EMT. The basic national standard EMT training course is a 100-hour program, offered throughout the country by police, fire and health departments; hospitals; and colleges and universities. Applicants must be at least 18 years of age, a high school graduate or the equivalent, possess a valid driver's license, and be physically and emotionally capable to meet the rigors of the profession.

The training course for the EMT-Intermediate includes the same basic training course as the EMT-Basic, but includes some of the EMT-Paramedic courses which cover patient assessment and use of the Esophageal Obturator Airway, intravenous fluids and antishock garments. Training courses for the EMT-Paramedic include 600-1000 hours of intensive classroom and clinical training.

Graduates of approved EMT training programs, with the required amount of work experience, are qualified to take the written and practical certification examination sponsored by the National Registry of Emergency Medical Technicians. All states have some form of certification requirements. Recommended high school courses should include health, physics, biology and chemistry.

Educational Programs - Chicago Area

Malcolm X College
1900 West Van Buren
Chicago, IL 60612
(312) 850-7000
http://malcolmx.ccc.edu/
Moraine Valley Community College
10900 South 88th Avenue
Palos Hills, IL 60465-0937
(708) 974-4300
http://www.morainevalley.edu/
Kankakee Community College
P. O. Box 888
Kankakee,IL 60901
(815) 802-8100
http://www.kcc.cc.il.us/
McHenry County College
8900 U.S. Hwy. 14
Crystal Lake, IL 60012
(815) 455-3700
http://www.mchenry.cc.il.us/
South Suburban College
15800 South State Street
South Holland, IL 60473
(708) 210-5718
http://www.ssc.cc.il.us/
Wilbur Wright College
4300 N. Narragansett Ave.
Chicago, IL 60634
(773) 777-7900
http://wright.ccc.edu/

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