EMT Levels in Massachusetts

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  • Note: EMS Protocol varies from EMS Region to Region in MA


EMT-Basic ("EMT-B")

  • Provides BLS: Basic Life Support

Skills include: Airway management with oral/nasal airways, pocket masks, B-V-M units, oxygen powered resuscitators, oral suctioning, CPR and S/AED, bleeding control, splinting, supplemental oxygen, albuterol via nebulizer, assessment, childbirth, spinal immobilization, use of Epi-Pen and Aspirin, oral glucose, activated charcoal, and assisted medications.

  • Boston EMS and Cataldo Ambulance have been given special projects by OEMS to be allowed to use Nasal Narcan at the BLS level. The protocol allows 1MG of narcan per nare (to equal a 2MG dose). And only 1 dose is allowed. Also the EMTs can only administer narcan in cities they cover. For instance if a Cataldo truck on-sited an overdose in Boston they could not administer narcan. OEMS plans to extend the narcan project to any private company interested in trying it but they must use either the Boston EMS or Cataldo protocol.


EMT-Intermediate ("EMT-I")

  • Provides Intermediate Level Support (INT)

Skills include all EMT-B skills plus: adult and pediatric endotracheal intubation (ET) (LMA and Combitube can be used if regular ET Tube intubation fails) and IV fluid replacement, restricted to Normal Saline. EMT-Bs and EMT-Is in MA are allowed to administrate the following types of treatment, if they have completed the optional training module for the skill.(Provided that the ambulance service allows this). Please note that Regional EMS Protocols vary from region to region.

  • The use of a Glucometer to measure Blood Sugar
  • Albuterol Administration via Nebulizer


EMT-Paramedic ("EMT-P")

  • Provides ALS: Advanced Life Support

Skills include all EMT-B skills plus: IV, adult and pediatric endotracheal intubation (ET) , (LMA and Combitube can be used if regular ET Tube intubation fails) needle cricothyroidotomy ,cardiac monitoring, defibrillation, transcutaneous cardiac pacing, drug therapy, pediatric and neonatal care.


First Responder

First Responder: Trained in Basic First aid and use of oxygen, CPR/AED, child birth. All Police Officers and Firefighters in MA are required to be trained at this level by law.


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