The Emergency Medical Service Coordination Committee (EMSCC) has made a recommendation to the State EMS & Trauma section of MDCH to adopt the National Education Standards for all levels as the minimum standards in Michigan.
This will affect the levels of licensure (individuals and agencies), and education requirements in the following ways:
MFR – the current Michigan curriculum exceeds the National Education Standards so there will be no change. Michigan will continue to call it MFR and not adopt the national title EMR (Emergency Medical Responder)
EMT – the current Michigan curriculum exceeds the National Education Standards so there will be no change.
EMT-P – the current Michigan curriculum will need some enhancement in content. A task force is being formed to do a gap analysis.
EMT-S - the current Michigan curriculum will need a major renovation. Michigan will continue to call it EMT-S and not adopt the national title of AEMT (Advanced EMT). The new EMT-S will require approximately an additional 100 hours of education above of what the current EMT-S receives. The Society of Michigan EMS Instructor Coordinators (SMEMSIC) has offered to develop this bridge course. A large focus of the additional hours will focus on some pharmacology. The new EMT-S will be trained to administer the following drugs; IV narcotic antagonist (Narcan), inhaled beta agonist (Albuteral), IV D-50, IM glucagon, inhaled nitrous oxide, sublingual nitroglycerine, and sub-q/IM epinephrine. IV/IO access is in the national curriculum but endotracheal intubation is not, that has been replaced by blind insertion airway devices (BIAD) or supra-glottic airway devices (SAD) e.g. Combitube, King LT.
Individuals or agencies who do not want to upgrade to the new EMT-S will, by default, downgrade to the EMT level.
An implementation date has yet to be announced. A bridge course and testing process will be developed to upgrade the current EMT-S to the new EMT-S
There was very little discussion amongst EMSCC members in regards to the MFR, EMT and EMT-P motions however, the EMT-S discussion/debate was very intense and spirited. During these discussions it was identified approximately 25% of the current EMT-S services are actually providing care above the current EMT-S. It was also identified even though the EMT-S curriculum will be changing it is still the responsibility of the local medical control authority to approve the additional therapies or permitting paramedic services to downgrade to the new EMT-S.
For additional information on the National Education Standards visit www.ems.gov.
Submitted by David Maatman
NREMT-P/IC