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Postnominal EMS Provider Credential Usage

An EMS provider's postnominal (listed after the name) credentials usually follow his or her name in this order:

• Highest earned academic degree in or related to medicine (e.g. "DO")
• Highest licensure or certification (e.g. "NREMT-P")
• Further certifications (e.g. "CCEMT-P")

Generally credentials are listed from most to least permanent. A degree, once earned, cannot be taken away. National certification, state licensure, or state certification is only revoked for serious professional misconduct. Licensure and certifications generally must be periodically renewed by examination or the completion of a prescribed number of continuing education units (CEUs).

EMS providers may also hold non-EMS credentials including academic degrees. These are usually omitted unless they are related to the provider's job. For instance, a paramedic would likely not list an MBA, but a supervisor might choose to do so.

The providers credentials are separated from the person's name (and from each other) with commas. There are usually no periods within the credentials. (e.g. "EMT" not "E.M.T.")

Listing of EMS Provider and Related Credentials

Emergency Medical Technicians

First Responder

The U.S. Department of Transportation (D.O.T.) recognized a gap between the typical eight hours training required for providing advanced first aid (as taught by the Red Cross) and the 180 hours typical of an EMT-Basic program. The First Responder training program began in 1979 as an outgrowth of the "Crash Injury Management" course.

In 1995 the D.O.T. issued a manual for an intermediate level of training called "First Responder." This training can be completed in forty to sixty hours. Importantly, this training can be conducted by an EMT-Basic with some field experience—which is a resource available "in-house" for many volunteer fire departments who do not have the resources for full EMT training. The first responder training is intended to fill the gap between First Aid and EMT-Basic.

First Responders in the US can support Emergency Medical Technicians and Paramedics, provide basic first aid for soft tissue and bone injuries and assist in childbirth. They are also trained in packaging, moving and transporting patients.

Examples of First Responder levels:

• CFR - Certified First Responder
• CFR-D - Certified First Responder - Defibrillation
• EMR - Emergency Medical Responder

EMT

Examples of Emergency Medical Technician levels:

• EMT-B - Emergency Medical Technician - Basic
• EMT-D - Emergency Medical Technician-Defibrillation

• NREMT-B - National Registry Emergency Medical Technician - Basic; National Registry of Emergency Medical Technicians

EMT-I

• EMT-A - Emergency Medical Technician - Advanced
• EMT-I - Emergency Medical Technician - Intermediate
• NREMT-I - National Registry Emergency Medical Technician - Intermediate; National Registry of Emergency Medical Technicians

Paramedic

• EMT-P - Emergency Medical Technician - Paramedic; EMT - Paramedic
• CCEMT-P - Critical Care Emergency Medical Transport Program; Critical Care Emergency Medical Technician - Paramedic
• EMT-T - Emergency Medical Technician - Tactical
• FP-C - Flight Paramedic - Certified
• NREMT-B - National Registry Emergency Medical Technician - Basic; National Registry of Emergency Medical Technicians
• NREMT-P - National Registry Emergency Medical Technician - Paramedic; National Registry of Emergency Medical Technicians

Wilderness Medicine

• WFR - Wilderness First Responder
• WEMT - Wilderness Emergency Medical Technician

Advanced Classes

American Heart Association

• BLS - Basic Life Support
• ACLS - Advanced Cardiac Life Support
• PEARS - Pediatric Emergency Assessment, Recognition, and Stabilization
• PALS - Pediatric Advanced Life Support

National Association of Emergency Medical Technicians

• PHTLS - Prehospital Trauma Life Support
• AMLS — Advanced Medical Life Support
• EPC — Emergency Pediatric Care

International Trauma Life Support

• ITLS-Basic -
• ITLS-Advanced -
• ITLS-Pediatric - An 8 hour course that builds upon ITLS-Basic and ITLS-Advanced to further train responders to deal with trauma in children.
• ITLS-Military - Contains
• ITLS-Access - An 8 hour course to give EMS crews and first responders the training they need to reach, stabilize and extricate patients trapped in vehicles.