Authorization Level
THIS REFERENCE APPLIES TO: The procedures and medications each EMT, AEMT/Advanced EMT or Paramedic in the AEMSS is authorized to initiate by the AEMSS Medical Director
Procedure / Medication | Paramedic | Advanced EMT | EMT |
Bag-Valve Mask | X | X | X |
Bandaging | X | X | X |
Blood Pressure | X | X | X |
Bougie | X | X | X |
Capillary Blood Glucose | X | X | X |
Cardiopulmonary Resuscitation | X | X | X |
Chest Seal | X | X | X |
Combat Application Tourniquet | X | X | X |
Continuous Positive Airway Pressure (CPAP) | X | X | X |
Cricothyroidotomy | X | X | X |
Endotracheal Intubation | X | X | X |
Focused History & Physical Examination | X | X | X |
Focal Neurological Deficit Exam | X | X | X |
Foreign Body Airway Obstruction – Direct Laryngoscopy | X | X | X |
Foreign Body Airway Obstruction – Manual Removal | X | X | X |
Helmet Removal | X | X | X |
Hemostatic Gauze | X | X | X |
Intraosseous Access | X | X | |
Israeli Bandage | X | X | X |
IV Access | X | X | |
Kendrick Extrication Device (KED) | X | X | X |
Initial Patient Assessment | X | X | X |
Initial History and Examination | X | X | X |
Medical History | X | X | X |
Neurological Exam | X | X | X |
Physical Exam | X | X | X |
Physical Exam | X | X | X |
Respiratory Exam | X | X | X |
Speech Exam | X | X | X |
Vital Signs | X | X | X |
Logroll | X | X | X |
Medication Administration Cross Check | X | X | X |
Nasopharyngeal Airway (NPA) | X | X | X |
Needle Thoracostomy | X | ||
Oropharyngeal Airway (OPA) | X | X | X |
Oxygen Administration | X | X | X |
PediaTape | X | X | X |
Positive End-Expiratory Pressure (PEEP) | X | X | X |
Pulse Oximeter | X | X | X |
RAD-57 | X | X | X |
Restraint of Violent Patient | X | X | X |
Semi-Automatic External Defibrillation | X | X | X |
SpCO/SpMet monitoring | X | X | X |
Splinting | X | X | X |
Supraglottic Airway Device | X | X | X |
Synchronized Cardioversion | X | ||
Traction Splinting | X | X | X |
Transcutaneous Pacing | X | ||
Treatment of Tasered Patient | X | X | X |
Vagal Maneuvers | X | ||
Video Laryngoscope | X | X | |
Capnometry Capnography | X | X | X |
Drug Administration: 2-Pam CL (Pralidoxime Chloride) | X | X2 | X2 |
Acetylsalicylic Acid (Aspirin) | X | X | X |
Adenosine (Adenocard) | X | ||
Albuterol (Proventil, Ventolin) | X | X | X |
Amiodarone (Cordarone) | X | ||
Atropine Sulfate | X | X2 | X2 |
Calcium Chloride | X | ||
Cyanokit | X | X | |
Dextrose (D25) | X | X | |
Dextrose (D10) | X | X | |
Dextrose (D50) | X | X | |
Diphenhydramine (Benadryl) | X | X | X |
Epinephrine 1:1,000 | X | X | X |
Push Dose Pressor | X | ||
Croup/Stridor | X | ||
Epinephrine 1:10,000 | X | First 3 doses | |
Fentanyl Citrate (Fentanyl) | X | ||
Glucagon Hydrochloride | X | X | X6 |
Glucose (Glutose) | X | X | X |
Ipratropium (Atrovent) | X | X | X |
Labetalol | X | ||
Lidocaine (Xylocaine) | X | ||
Magnesium Sulfate | X | ||
Methylprednisolone (Solu-Medrol) | X | ||
Midazolam (Versed) | X | ||
Morphine Sulfate | X | ||
Naloxone (Narcan) | X | X | X |
Nitroglycerin (Nitrostat) | X | X | X4 |
Ondansetron (Zofran) | X | X | X |
Sodium Bicarbonate | X5 | X | |
Terbutaline | X | ||
Tranexamic Acid (TXA) | X |