AEMT-CC

Emergency medical services certification
Advanced Emergency Medical Technician Critical Care (AEMT CC) is a former Emergency Medical Services (EMS) certification that was unique to New York. The curriculum for AEMT CC's in New York was similar to that of the national standard EMT I/99 (EMT Intermediate I/99) but with a broader scope of practice. EMT CCs are fully classified as Advanced Life Support (ALS) providers within New York and are trained in advanced airway management, including intubation, IV fluid administration, cardiac monitoring, cardiac pacing, and both synchronized and unsynchronized cardioversion, and medication usage/administration in adult and pediatric patients. In New York, AEMT CC's are also called "Level III" providers as New York formerly recognizes four levels of Emergency Medical Technicians: EMT Basic, Advanced EMT (AEMT), AEMT Critical Care, and AEMT Paramedic. New York State will no longer approve original AEMT CC classes beginning after January, 2018. AEMT CC traditional refreshers will cease after August 2019. AEMT CC may continue to refresh their certification via CME. The NYS EMS Policy is accessible here: https://www. health. ny. gov/professionals/ems/policy/17 07. htm

Like all ALS providers, the fundamental prerequisite is current EMT Basic certification. Most instructors require at least one year of active experience at the EMT Basic level. On average, students receive approximately 300 400 total hours of instruction. This instruction is broken up into 175 225 classroom and practical laboratory hours, 50 75 clinical hours and 75 100 field internship hours. At the end of the class, students must pass the state's practical skills and written exam to obtain certification. However, program requirements to obtain AEMT CC certification vary by the institution teaching the class. While some require a set number of patient contacts rather than a set number of hours, others require tracking of individual performed skills (i. e., x number of IV sticks, x number of medication administrations), along with the tracking of patient populations (i. e., x number of pediatric patients treated, x number of adult patients, x number of geriatric patients), and call types (i. e., x number of OB/GYN patients, x number of Behavioral/Psychiatric, etc. ), significantly increasing the number of clinical and field hours needed to meet the requirements to be admitted to take the state exams at the end of the class. However, an EMT CC's education never truly ends as continued medical education is required to maintain certification. Most agencies have a CME (Continuing Medical Education) programs where required core subjects are taught on an ongoing, usually once a month, basis to keep providers current. Other ways of earning required CME credits for maintaining certification include state EMS conferences, such as Vital Signs, where classes are given over the duration of a weekend.

A significant amount of time is spent observing and assisting health care professionals in various clinical settings such as the Emergency Department, Operating Room, Coronary Care Unit, Pediatric Intensive Care Unit, Neonatal Intensive Care Unit, Burn Unit and Medical Intensive Care Unit. The clinical time is designed to expose the student to a large volume and variety of patients in an educational setting so didactic skills and clinical knowledge can be practiced and refined.

EMT CC students participate in many EMS calls in the field that require ALS skills under an EMT CC or Paramedic preceptor. Field clinical time represents the phase of instruction where students learn how to apply cognitive knowledge, and the skills developed in the didactic laboratories and hospital clinical time, to the EMS field environment. "Ride time" in the field usually happens in phases where the student only observes in Phase I, applies skills as directed by his preceptor in Phase II, and functions independently with oversight and input from the preceptor in Phase III. Students are generally considered "ready to function as an entry level AEMT CC" upon passing state practical and written exams, although individual agencies may require them to also complete in service training and supervised probationary time once they receive their AEMT CC card.

EMT CCs, like all EMS providers, follow a set of protocols for patient care under the guidance of a medical director. These protocols are typically listed in an algorithm format and consist of either routine standing orders or orders that require direct, on line communication with medical control via radio or telephone. As compared to a Paramedic, an EMT CC has fewer routine standing orders and requires more contact with medical control. While the Advanced Life Support protocols vary slightly between the different regions in New York as to which are standing orders versus those which require on line medical control, all protocols follow current guidelines for Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Pre hospital Trauma Life Support (PHTLS), and Basic Trauma Life Support (BTLS). Some AEMT CC programs include both ACLS and PALS certification as part of the course of instruction. Ultimately, EMT CC's are capable of initiating venous access, administering medications, performing endotracheal intubation, obtaining ECGs, performing electrical cardiac therapy, performing chest decompression, performing intraosseous access and comply with all state defined Basic Life Support (BLS) protocols. Notably, the EMT CC certification is not recognized in the City of New York. EMT CCs operate at the Basic Life Support level in that city's 911 system.