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Table 3.1. Training and Competencies of Prehospital Emergency Personnel

Prehospital emergency personnel Hours of training (approximate) Medical procedures able to perform
First responders 40 Basic airway support, including use of supplemental oxygen, airway adjuncts, and bag-mask ventilation
Direct pressure bleeding control
Cervical spine stabilization
Cardiopulmonary resuscitation and automated external defibrillation
Basic EMTs 120 All of the above, plus:
Full spinal immobilization
Splinting of extremities
Management of open chest wounds and impaled sharp objects
Emergency ambulance transport
Advanced EMTs 300-400 All of the above, plus:
Endotracheal intubation
Intravenous fluid administration
Paramedics 1000-1200 All of the above, plus:
Needle cricothyroidotomy
Needle decompression of tension pneumothorax

Note: EMTs = emergency medical technicians.

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