Emergency Medical Technician - Paramedic (EMT-4/EMT-P/EMTP)

Work Activities/Work Locations

  • Emergency Medical Technicians (EMT) provide emergency medical care to the sick or injured at the scene and en route to the hospital. They assess many varying emergency situations and determine what care is needed and provide that care.
  • They maintain contact with the hospital emergency room physicians who prescribe drugs and/or medical procedures that EMTs administer to patients while en route to the nearest ER.
  • When arriving they transport patients to the emergency department, and report their observations and actions to hospital staff. Afterward, they restock supplies, check equipment, and decontaminate the vehicle if disease was present.
  • Some must be able to safely drive ambulances thru traffic to get people to hospitals as quickly as possible.
  • Beyond general duties, there are four levels of qualifications for further duties: First Responder, EMT-Basic, EMT-Intermediate/Intermediate Technician, and EMT-Paramedic. (See previous Career Scripts) Some states, however, do their own certification and use different rating scales to determine proficiency.
  • One must successfully complete EMT-Basic as a prerequisite for enrolling in EMT-Paramedic.
  • EMT-Paramedic – They provide the most extensive pre-hospital care and techniques for advanced level private and municipal ambulance services. Paramedics manage emergency patient care and treatment, perform comprehensive patient assessments, use critical thinking skills, provide advanced cardiac life support, perform endotracheal intubation, administer various medications, interpret EKG’s, and perform advanced skills and interventions.
  • They work in hospitals, police, fire and public services departments, prisons or jails, or (they) are employed by rescue squads or private ambulance services.

Advantages and Disadvantages

  • EMTs like helping people during emergencies. They take pride in efficiently handling serious medical situations.
  • They must be able to work as a member of a team. Must be able to work without direct supervision.
  • Their work can be stressful. Not for people who lose control during a crisis. Courage, dedication and assertiveness are assets.
  • Many work rotating shifts, weekends, and holidays.
  • EMTs work both indoors and outdoors, in all types of weather, under adverse conditions.
  • 80% of EMT’s in Wisconsin are paid on a per call basis. Some EMT’s are volunteers.


Getting Started

Career Outlook