In this chapter, we have explored various careers related to prehospital medicine, focusing on the roles and educational requirements for emergency medical technicians (EMTs), advanced emergency medical technicians (AEMTs), and paramedics. While all three professionals work together in the field, the level of education and training varies. The progression of training hours and responsibilities increases from EMT to AEMT and finally to paramedic.

• EMTs are the entry-level professionals in the prehospital care system. Their training involves about 200 hours, focusing on non-invasive techniques for patient care.
• AEMTs receive additional training (200-300 hours) after completing EMT training. This advanced level allows them to administer certain medications and manage more complex medical and trauma emergencies.
• Paramedics are the highest level of prehospital care providers, undergoing extensive training (1,080 to 2,000 hours), including classroom instruction, lab work, clinical experience, and field internships. They perform invasive procedures and provide advanced life-saving care, such as airway management, critical care pharmacology, and trauma management.

To become an AEMT or paramedic, one must first complete EMT training. However, becoming an AEMT is not required before pursuing paramedic training.

It is important to note that all three levels of training (EMT, AEMT, and paramedic) are hands-on and involve face-to-face classes. EMS programs cannot be fully completed online due to the necessity of mastering practical laboratory skills.

While EMS professionals are commonly associated with ambulances, they also work in a variety of other settings. These include community paramedicine, industrial environments, and hospitals, where they assist medical teams or provide extended care during high-demand times, such as during the COVID-19 pandemic.

Recall the example of John, who has an interest in medical trauma, as illustrated at the beginning of this chapter. John would begin his journey by enrolling in an EMT program, which is the foundation for further training as an AEMT or paramedic. After completing his EMT training, passing the National Registry of EMT (NREMT) exam, and obtaining a state license, John would be ready to work in the field as an EMT.

If you’re interested in pursuing a career in EMS, many community colleges, technical schools, and four-year universities offer relevant programs. Additionally, the National Bureau of Labor Statistics provides valuable information on employment and salary trends across different EMS careers.

In conclusion, this chapter has provided an overview of the different EMS careers and the paths available to those pursuing a career in prehospital medicine. Whether working as an EMT, AEMT, or paramedic, these professionals are integral to the healthcare system, providing essential care to those in need.