A question that I've really been burning on: what's the difference between, say, US EMTs and you all over there? It seems like you have a number of abilities that we don't (medications,) and vice versa (restraints.) I sent you a copy of the (fairly average) Maryland EMT protocols a while back - I'd be interested to hear what you thought. Quick version: Our EMT-B(asic): 120 hours classroom (various intermediate EMT types) Our EMT-P(aremedic) ca. 2 years' collegelike curriculum Trauma: bandage, splint, Hare or Sager traction splints. Occlusive (sucking) dressings. Tourinquet. burn sheets. Tracheostomy and chest tube medic only. Diagnostic: Basic vitals + glucometer (some jurisdictions medic only.) IV: medic only Cardiac: automated defibrillator. Medics operate a full 12-lead. Medications: (ambo carry: epi-pen (and jr.), activated charcoal, ipecac (seldom used.) Assist pateint with own albuterol, epi-pen, or nitroglycerin only. Medics have a tacklebox full of IV and other medications, including Haldol for chemical restraint. Intubation: combitube in some jurisdictions, full intubation in others, medic only in most. Medication-paralyzed intubation medic only (or flight medic only.) OB: basic and complex deliveries. Death: declaration after obvious stillbirth, decapitation, after medical direction on failed CPR. Declaration for cardiac arrest + apnea in multiple casualty incidents. Restraints: soft restraints. Magical powers: On live radio with a medical direction physician, various and theoretically unlimited additional procedures can occur.