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).

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.


Facilities Health Protocols Requirements General Public