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EMT SKILLS

EMT-Basic candidates who successfully complete a South Carolina-approved EMT-Basic course that uses the 1994 DOT EMT-Basic curriculum; successfully pass the National Registry EMT-Basic (i.e. the State of S.C. basic written and practical examinations); and receive subsequent South Carolina certification as an EMT-Basic, are authorized to perform the following skilled activities (all skills can be used on adult, child and infant patients unless otherwise stated):

Cardio-Respiratory Skills:

  • One and two person CPR
  • Conscious and unconscious obstructed airway
  • Oxygen administration
  • OPA and NPA airways
  • One and two person use of BVM
  • Oral suction
  • Combitube
  • Laryngeal mask airway (LMA)*
  • King airway*
  • Sterile suction*
  • Use of automated external defibrillators (AED)*
  • Field application/acquisition of 12 lead ECG for transmission only* (Transmission may be defined as direct paramedic interpretation and voice communication; automated computer algorithm interpretation, wireless transmission and physician interpretation, or any combination of these strategies)

Bandage and Splint Skills:

  • Upper and lower extremities
  • Spinal immobilization (short and long board)
  • Pneumatic anti-shock garments*
  • Hemorrhage control (direct pressure, pressure point, tourniquet, etc.)

General Skills:

  • Patient assessment
  • Vital signs
  • Patient lifting
  • IV Maintenance* (involves ONLY monitoring and maintenance of previously initiated IV lines as well as calculation and adjustment of flow rates - fluids NOT containing any medications or blood products).
  • Monitoring of blood glucose with use of automated chem-strip analysis* (Local option - training to be done by the individual EMS provider with medical control supervision).
  • EMT Administered Medications (Oxygen, Activated Charcoal,* Ipecac,* Instant Glucose*)
  • EMT Patient Assisted Medications* (Nitroglycerin, Epi Auto-injectors, Prescribed Inhalers)
  • CPAP* (Local option-training to be done by the individual EMS provider with Medical Control (Physician supervision).
  • Primary administration of epinephrine auto-injector for severe anaphylaxis* (Local option-training be done by the individual EMS provider with medical control physician supervision).

Approved Skills for SC EMTs (Basic, Intermediate, Paramedic)

Before using these skills, EMT-basics must be affiliated with a S.C.-licensed ambulance provider and be granted authority (online or off-line) by the provider's medical control physician.

Training in all “local option skills” are to be done by the individual EMS provider with medical control physician supervision.