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66-443: MCSO may refer to: Law enforcement [ edit ] Maricopa County Sheriff's Office , Arizona Mecklenburg County Sheriff’s Office (Virginia) Monroe County Sheriff's Office (New York) Montgomery County Sheriff's Office (Maryland) Multnomah County Sheriff's Office , Oregon Other [ edit ] Medical Center of Southeastern Oklahoma Topics referred to by

132-647: A physician medical director , often with the advice of a medical advisory committee composed of paramedics and other health professionals. In California, for example, each county's local emergency medical service agency (LEMSA) issues a list of standard operating procedures or protocols, under the supervision of the California Emergency Medical Services Authority . These procedures often vary from county to county based on local needs, levels of training and clinical experiences. New York State has similar procedures, whereas

198-478: A PCP and ACP may run 40–50 medical codes per year, a CCP may run 1–2 in an entire career. IV/IO starts are nearly non-existent in the field and for this reason CCPs are required to attend nearly double the amount of time in classroom situations or in hospital to keep current. In addition to this, they are trained for other skills such as medication infusion pumps, mechanical ventilation, and arterial line monitoring. CCPs often work in fixed and rotary wing aircraft when

264-434: A benchmarking document to permit inter-provincial labour mobility of practitioners, regardless of how titles are specifically regulated within their own provincial systems. In this manner, the confusing myriad of titles and occupational descriptions can at least be discussed using a common language for comparison sake. Most providers that work in ambulances are identified as "paramedics" by the public. However, in many cases,

330-465: A clinical lead working alongside an emergency care assistant or as assistants themselves to a paramedic. As the role does not have a single defined scope, the skills they have can include: The term emergency medical technician is not commonly used by members of the public in the United Kingdom. Instead, it is common for all ambulance personnel to be referred to as "paramedics", although

396-466: A detective section which investigates crimes, deaths and boating accidents on the lakes and rivers. The Lake Patrol Division also has a highly specialized dive team which provides underwater recovery services throughout the county. Aviation Division The Aviation Division provides airborne law enforcement support to uniformed patrol, Lake Patrol, Search and Rescue operations, narcotics enforcement, extraditions and SWAT operations. The Aviation Division

462-544: A different assignment. Lake Patrol In addition to patrolling the unincorporated areas, the Maricopa County Sheriff's Office is responsible for patrolling the lakes and waterways in the recreational areas within the county. The Lake Patrol Division is responsible for law enforcement services in the recreational areas of Tonto National Forest and Lake Pleasant Regional Park. This area includes Saguaro, Canyon, Apache, Bartlett and Horseshoe Lakes as well as

528-1035: A few additional medications. Advanced care paramedic (ACP) is a level of practitioner that is in high demand by many services across Canada. However, Quebec only utilizes this level of practice in a very limited fashion as part of a pilot program in Montreal. The ACP typically carries approximately 20 different medications, although the number and type of medications may vary substantially from region to region. ACPs perform advanced airway management including intubation, surgical airways, intravenous therapy, place external jugular IV lines, perform needle thoracotomy, perform and interpret 12-lead ECGs, perform synchronized and chemical cardioversion, transcutaneous pacing, perform obstetrical assessments, and provide pharmacological pain relief for various conditions. Several sites in Canada have adopted pre-hospital fibrinolytics and rapid sequence induction, and prehospital medical research has permitted

594-502: A given level of paramedic practice, each province retains ultimate authority in legislating the actual administration and delivery of emergency medical services within its own borders. For this reason, any discussion of paramedic practice in Canada is necessarily broad, and general. Specific regulatory frameworks and questions related to paramedic practices can only definitively be answered by consulting relevant provincial legislation, although provincial paramedic associations may often offer

660-455: A great number of variations in the scope of practice for ACPs. Current programs include providing ACPs with discretionary direct 24-hour access to PCI labs, bypassing the emergency department, and representing a fundamental change in both the way that patients with S-T segment elevation myocardial infarctions (STEMI) are treated, but also profoundly affecting survival rates, as well as bypassing closer hospitals to get an identified stroke patient to

726-399: A limited set of medications (including oxygen, epinephrine, dextrose, naloxone, albuterol, ipratropium bromide , glucagon, nitroglycerin, nitrous oxide , and acetylsalicylic acid). Some areas may add to the scope of practice, including intravenous access, insertion of supraglottic airway devices, and CPAP . Training requirements and treatment protocols vary from area to area. Advanced EMT

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792-549: A major concern in light of the COVID-19 pandemic . In response, the U.S. Centers for Disease Control and Prevention and other agencies and organizations have issued guidance regarding workplace hazard controls for COVID-19 . Some specific recommendations include modified call queries, symptom screening, universal PPE use, hand hygiene, physical distancing, and stringent disinfection protocols. Research on ambulance ventilation systems found that aerosols often recirculate throughout

858-514: A number of incidents and policies. The United States Department of Justice Civil Rights Division is investigating the Maricopa County Sheriff's Office in relation to alleged racism and abuse of power , as well as refusing to cooperate with a federal Justice Department investigation. Maricopa County Sheriff's Office is featured on TLC's television program Police Women of Maricopa County (2010). Emergency Medical Technician An emergency medical technician (often, more simply, EMT )

924-600: A regional medical-advisory council (REMAC) determines protocols for one or more counties in a geographical section of the state. Treatments and procedures administered by paramedics fall under one of two categories, off-line medical orders (standing orders) and on-line medical orders. On-line medical orders refers to procedures that must be explicitly approved by a base hospital physician or registered nurse through voice communication (generally by phone or radio) and are generally rare or high risk procedures (e.g. vasopressor initiation). In addition, when multiple levels can perform

990-416: A sense to medical school clinical rotations, EMT students are required to spend a required amount of time in an ambulance and on a variety of hospital services (e.g. obstetrics , emergency medicine , surgery , intensive care unit , psychiatry ) in order to complete a course and become eligible for the certification and licensure exams. The number of clinical hours for both time in an ambulance and time in

1056-568: A set of protocols, which are typically written by a physician . EMTs are exposed to a variety of hazards such as lifting patients and equipment, treating those with infectious disease, handling hazardous substances, and transportation via ground or air vehicles. Employers can prevent occupational illness or injury by providing safe patient handling equipment, implementing a training program to educate EMTs on job hazards, and supplying PPE such as respirators, gloves, and isolation gowns when dealing with biological hazards. Infectious disease has become

1122-574: A simpler overview of this topic when it is restricted to a province-by-province basis. In Canada, the levels of paramedic practice as defined by the National Occupational Competency Profile are: emergency medical responder (EMR), primary care paramedic, advanced care paramedic, and critical care paramedic. Regulatory frameworks vary from province to province, and include direct government regulation (such as Ontario's method of credentialing its practitioners with

1188-476: A stroke centre. Critical care paramedics (CCPs) are paramedics who generally do not respond to 9-1-1 emergency calls, with the exception of helicopter "scene" calls. Instead they focus on transferring patients from the hospital they are currently in to other hospitals that can provide a higher level of care. CCPs often work in collaboration with registered nurses and respiratory therapists during hospital transfers. This ensures continuity of care. However, when acuity

1254-647: A transporting ambulance. EMT training programs for certification vary greatly from course to course, provided that each course at least meets local and national requirements. In the United States, EMRs receive at least 40–80 hours of classroom training and EMTs receive at least 120–300 hours of classroom training. AEMTs generally have 100-300 hours of additional classroom training beyond the standard EMT training. Paramedics are trained for 1,500–2,500 hours or more. In addition to each level's didactic education, clinical rotations are typically also required. Similar in

1320-441: A variety of medical procedures such as endotracheal intubation, rapid sequence induction , cricothyrotomy , fluid resuscitation , drug administration, obtaining intravenous and intraosseous access, manual defibrillation, electrocardiogram interpretation, capnography, cardioversion , transcutaneous pacing , pericardiocentesis , thoracostomy , ultrasonography , and blood chemistry interpretation. An ambulance with only EMTs

1386-473: A week 24 hours a day, and conduct over 100 public relations demonstrations annually. The utilization of police canines provides law enforcement with a non-lethal means of apprehending dangerous criminal offenders; detecting intruders and alerting handlers to their presence; pursuing, attacking and holding criminal offenders who resist apprehension; searching and clearing buildings and large open areas for criminals; tracking lost children or other persons; detecting

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1452-512: Is a level of practice that is least comprehensive (clinically speaking), and is also generally not consistent with any medical acts beyond advanced first-aid and oxygen therapy, administration of ASA, I.M. epinephrine and glucagon, oral glucose and administration of intranasal Narcan with the exception of automated external defibrillation (which is still considered a regulated medical act in most provinces in Canada). Primary care paramedics (PCP) are

1518-745: Is a medical professional that provides emergency medical services . EMTs are most commonly found serving on ambulances and in fire departments in the US and Canada, as full-time and some part-time departments require their firefighters to at least be EMT certified. In English-speaking countries, paramedics are a separate profession that has additional educational requirements, qualifications, and scope of practice. EMTs are often employed by public ambulance services, municipal EMS agencies, governments , hospitals , and fire departments . Some EMTs are paid employees, while others (particularly those in rural areas ) are volunteers . EMTs provide medical care under

1584-505: Is a nonprofit organization which offers certification exams based on NHTSA education guidelines and has been around since the 1970s. Currently, NREMT exams are used by 46 states as the sole basis for certification at one or more EMT certification levels. A NREMT exam consists of skills and patient assessments as well as a written portion. On June 12, 2019, the NREMT changed the rules regarding age limits for EMTs, AEMTs, and paramedics. There

1650-416: Is considered a basic life support (BLS) unit, an ambulance utilizing AEMTs is dubbed an "intermediate life support" (ILS), or "limited advanced life support" (LALS) unit, and an ambulance with paramedics is dubbed an " advanced life support " (ALS) unit. Many states allow ambulance crews to contain a mix of crews levels (e.g. an EMT and a paramedic or an AEMT and a paramedic) to staff ambulances and operate at

1716-462: Is different from Wikidata All article disambiguation pages All disambiguation pages Maricopa County Sheriff%27s Office The MCSO does not possess a legal identity separate from Maricopa County. Deputy Sheriffs of the Maricopa County Sheriff's Office are delegated their law enforcement authority by the Sheriff of Maricopa County. Maricopa County is the fourth largest county in

1782-537: Is manageable by a CCP or a registered nurse or respiratory therapist is not available, CCPs will work alone. Providing this care to the patient allows the sending hospital to avoid losing highly trained staff on hospital transfers. CCPs are able to provide all of the care that PCPs and ACPs provide. That being said, CCPs significantly lack practical experience with advanced skills such as IV initiation, peripheral access to cardiovascular system for fluid and drug administration, advanced airway, and many other techniques. While

1848-413: Is no longer an age limit for registered personnel. However, applicants must successfully complete a state-approved EMT course that meets or exceeds the NREMT standards within the past two years of applying. Those applying for the NREMT certification must also complete a state-approved EMT psychomotor exam. It is possible for the candidate to be refused access to a state-approved course due to their age within

1914-657: Is staffed with a Commander, Helicopter and Fixed Wing Chief Pilot, Director of Maintenance, eight sworn Deputies, six Civilians including an Administrative Coordinator. The Division is a 24-hour-a-day 7 days a week operation and employs two helicopters and two fixed-wing aircraft. The flagship of the division are two Bell 407 helicopter with a call signs of "Fox-1 and "Fox-2." These helicopters are equipped with FLIR (Forward Looking Infra Red), stabilized binoculars, Churchill moving map and an Trakka spotlight. These helicopters perform direct patrol, search and rescue operations, narcotics surveillance and photo missions. For fixed wing,

1980-431: Is the level of training between EMT and paramedic. They can provide intermediate life support (ILS) care including obtaining intravenous or intraosseous access, basic cardiac monitoring, fluid resuscitation , capnography, and administration of some additional medications. Paramedics typically represent the highest degree of pre-hospital medical provider, providing advanced life support (ALS) care. Paramedics perform

2046-554: Is trained to find and passively alert on decaying human tissues, bones, and fluids. Our bloodhounds are utilized to track down suspects and locate missing or lost individuals. Canine team members typically work patrol operations during peak activity hours, usually from about 6 PM to 4 AM. They also augment SWAT operations; provide contractual services for narcotic detection at several local schools; provide narcotic and explosive ordnance detection for not only our office, but for other local, state, and federal agencies; they are on call 7 days

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2112-725: The COVID-19 crisis. EMTs are a vital part of the private, voluntary and auxiliary services where a practitioner must be on board any ambulance in the process of transporting a patient to hospital. This is mandatory for all PHECC registered practitioners to keep their practitioner level and should always be kept in date (two years). This course is the new standard for first aid in the workplace. Basic tactical emergency care A state-level exam needs to be completed before an invitation to register as an EMT. EMT's are trained in basic life support, anatomy - physiology , pathophysiology , pharmacology , ECG monitoring, advanced airway management (supraglottic airways), spinal immobilization and

2178-516: The Philippines based on the standard set down by the Department of Health . Técnico en Emergencias Sanitarias (TES) are trained a total of 2000hrs in 2 years with 3 months of internship in ambulances at the very end. It's the only level of EMS worker. BLS ambulances can be driven with a B license, ALS with a C1. Emergency medical technician is a term that has existed for many years in

2244-496: The Pre-Hospital Emergency Care Council (PHECC). Emergency medical technician is the entry-level standard of practitioner for employment within the ambulance service . Currently, EMTs are authorized to work on non-emergency ambulances only as the standard for emergency ( 999 ) calls is a minimum of a two-paramedic crew, although this minimum requirement was relaxed to and EMT - paramedic crew during

2310-516: The Ahwatukee Foothills. While District One is not the largest district in size, it is historically the busiest, averaging approximately 40% more calls for service than any of the other districts. District 2 – covers an area of approximately 5,200 square miles (13,000 km ) in the southwest quadrant of the county. District Two provides service to the rural areas of Buckeye, Laveen, Mobile, Rainbow Valley, and Tonopah, as well as to

2376-585: The FAQ Level 4 Diploma for Associate Ambulance Practitioners & QA Level 5 Diploma in First Response Emergency and Urgent Care (RQF) This provided a defined scope of practice agreed nationally by ambulance service trusts . Their role title, however, may still be defined by their employer as emergency medical technician . They can work autonomously, making their own clinical decisions within their training and remit. They may also work as

2442-590: The Lower Salt and Verde River recreational areas, Four Peaks, Superstition, Mazatzals, Camp Creek and Seven Springs recreational and wilderness areas. The total area of responsibility is over 1,000 square miles (2,600 km ), which are visited by an estimated 1.5 million people every year. Lake Patrol Division Deputy Sheriffs operate four-wheel-drive vehicles, all-terrain vehicles, patrol boats, jet skis, and air boats. All are certified Emergency Medical Technicians and several are Paramedics . The division also has

2508-649: The NREMT posted information about a transition to a new system of levels for emergency care providers developed by NHTSA with the National EMS Scope of Practice Project. By 2014, these new levels replaced the fragmented system found around the United States. The new classification includes emergency medical responder (replacing first responder), emergency medical technician (replacing EMT-basic), advanced emergency medical technician (replacing EMT-intermediate/85), and paramedic (replacing EMT-intermediate/99 and EMT-paramedic). Education requirements in transitioning to

2574-507: The Sheriff's Office has concurrent jurisdiction in these areas. District 1 – covers an area of approximately 1,053 square miles (2,730 km ) in the southeast quadrant of the county. District One encompasses the cities of Chandler, Gilbert, Mesa, and Tempe, along with the Town of Guadalupe and CDP of Sun Lakes. District One also includes portions of the Town of Queen Creek, and the cities of Apache Junction, Scottsdale, and Phoenix, including

2640-474: The United Kingdom, but has no single defined scope. They may be known as emergency medical technician or simply, ambulance technician . Most EMTs hold an Institute for Healthcare Development Ambulance Technician Certificate and are employed in private ambulance companies or in National Health Service ambulance trusts. As of 2016, The IHCD Ambulance Technician Certificate was replaced with

2706-470: The United States has an EMS lead agency or state office of emergency medical services that regulates and accredits EMT training programs. Most of these offices have web sites to provide information to the public and individuals who are interested in becoming an EMT. In the United States, an EMT's actions in the field are governed by state regulations, local regulations, and by the policies of their EMS organization. The development of these policies are guided by

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2772-462: The United States, and has a total area of 9,224 square miles (23,900 km ). The county is currently divided into six geographical areas, referred to as Districts, and consist of District 1, District 2, District 3, District 4, and District 7. Districts are generally staffed by a District Commander (Captain), Deputy Commander (Lieutenant), uniformed sergeants and patrol deputies, detectives, and administrative staff. Districts overlap city agencies, as

2838-943: The administration of medication typically oral , intramuscular , inhaled, nebulised or sublingual . Whilst paramedics in Ireland do work on front-line ambulances the PHECC standards for are generally lower than most of the world leaders in pre-hospital care. Paramedics are trained to the EMT standard and additional training in advanced pharmacology, anatomy, advanced airway management (supraglottic airways), some advanced life support skills, 12-leads ECGs, administration of medication typically oral, intramuscular, inhaled, nebulised or sublingual, and they are also allowed to maintain IV lines. Emergency medical technician (EMT), paramedic (P) and advanced paramedic (AP) are legally defined and protected titles in

2904-426: The communities of Wittmann, Waddell, Circle City, Morristown, Whispering Ranch, Aguila, Gladden, and the unincorporated neighborhoods surrounding Peoria, Surprise, and Wickenburg. District 4 – covers the unincorporated areas of Anthem, Desert Foothills, New River, Cave Creek, Carefree and Tonto Hills. District Four also provides law enforcement to the contract Towns of Cave Creek and Carefree. District 7 – covers

2970-597: The compartment, creating a health hazard for EMTs when transporting sick patients capable of airborne transmission. Unidirectional airflow design can better protect workers. There is considerable degree of inter-provincial variation in the Canadian paramedic practice. Although a national consensus (by way of the National Occupational Competency Profile) identifies certain knowledge, skills, and abilities as being most synonymous with

3036-412: The contract cities of Gila Bend and Litchfield Park. District Two also includes portions of Avondale, Glendale, Goodyear, and Phoenix. District 3 – covers an area of approximately 1,600 square miles (4,100 km ), bordered by Northern Avenue on the south and I-17 on the east, extending to the northern and western borders of the county. District Three includes the areas of Sun City and Sun City West,

3102-778: The crew with patient care and packaging. EMRs provide advanced first aid-level care, CPR, semi-automatic defibrillation, basic airway management (suction/oropharyngeal airway), oxygen therapy, and administration of basic, life-saving medications such as epinephrine and naloxone. EMT is the next level of EMS certification and is considered the most common entry level of training. The procedures and skills allowed at this level include bleeding control, management of burns, splinting of suspected fractures and spinal injuries, childbirth, cardiopulmonary resuscitation, semi-automatic defibrillation, oral suctioning, insertion of oropharyngeal and nasopharyngeal airways, pulse oximetry , blood glucose monitoring, auscultation of lung sounds, and administration of

3168-706: The division utilizes two single engine Cessna 206 . Both aircraft are housed at Deer Valley Airport and are used primarily for extraditing fugitives from other states. Fixed wing aircraft are also used for narcotics and smuggling surveillance missions. K9 Unit The Sheriff's Canine Unit includes 25 canines with various specialties, including narcotics, explosive ordnance, cadaver, and patrol. The unit's staff consists of one Sergeant, ten Deputies, five Detectives and four Detention Officers. All canines trained in narcotic detection are capable of finding and aggressively alerting on cocaine, marijuana, methamphetamines, heroin, and their derivatives. Collectively, they have assisted in

3234-602: The entry-level of paramedic practice in Canadian provinces. The scope of practice includes performing semi-automated external defibrillation , interpretation of 4-lead ECGs, administration of symptom relief medications for a variety of emergency medical conditions (these include oxygen, epinephrine, dextrose , glucagon, salbutamol , ASA and nitroglycerine ), performing trauma immobilization (including cervical immobilization ), and other fundamental basic medical care. Primary care paramedics may also receive additional training in order to perform certain skills that are normally in

3300-483: The hospital vary depending on local requirements, the level the student is obtaining, and the amount of time it takes the student to show competency. In addition, a minimum of continuing education (CE) hours is required to maintain certification. For example, to maintain NREMT certification, EMTs must obtain at least 48 hours of additional education and either complete a 24-hour refresher course or complete an additional 24 hours of CE that cover, on an hour by hour basis,

3366-592: The length of training may be eight months in British Columbia or two to four years in Ontario, Alberta, and Quebec. The nature of training and how it is regulated, like actual paramedic practice, varies from province to province. Emergency medical technician (EMT), paramedic (P) and advanced paramedic (AP) are legally defined and protected titles in the Republic of Ireland based on the standard set down by

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3432-459: The level of the highest trained provider. There is nothing stopping supplemental crew members to be of a certain certification, though (e.g. if an ALS ambulance is required to have two paramedics, then it is acceptable to have two paramedics and an EMT). An emergency vehicle with only EMRs or a combination of both EMRs and EMTs is still dubbed a "basic life support" (BLS) unit. An EMR must usually be overseen by an EMT-level provider or higher to work on

3498-401: The most prevalent level of emergency pre-hospital care is that which is provided by an emergency medical responder (EMR). This is a level of practice recognized under the National Occupational Competency Profile, although unlike the next three successive levels of practice, the high number of EMRs across Canada cannot be ignored as contributing a critical role in the chain of survival, although it

3564-447: The new levels are substantially similar. EMR is the most basic level of training, and is considered the bare minimum certification for rescuers that respond to medical emergencies. EMRs are typically on-call volunteers in rural communities, or are primarily employed as firefighters or search and rescue personnel. EMRs typically arrive quickly and assess and stabilize the patient before the transporting ambulance arrives, and then assist

3630-650: The paramedic title is protected under registration of the Health and Care Professions Council . In the United States, EMTs are certified according to their level of training. Individual states set their own standards of certification (or licensure, in some cases) and all EMT training must meet the minimum requirements as set by the National Highway Traffic Safety Administration 's (NHTSA's) standards for curriculum. The National Registry of Emergency Medical Technicians (NREMT)

3696-405: The presence of certain narcotics, explosives, and tobacco products; locating deceased subjects, crime scenes, and minute physical evidence; and provide a strong psychological deterrent to certain types of criminal misconduct. M109 howitzer The Arizona Army National Guard provided a M109 howitzer to the sheriff's office in 1999. Demilitarized, it made outings during parades until 2017 when it

3762-483: The same procedure (e.g. AEMT-critical care and paramedics in New York), a procedure can be both an on-line and a standing order depending on the level of the provider. Since no set of protocols can cover every patient situation, many systems work with protocols as guidelines. Systems also have policies in place to handle medical direction when communication failures happen or in disaster situations. The NHTSA curriculum

3828-404: The same term [REDACTED] This disambiguation page lists articles associated with the title MCSO . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=MCSO&oldid=354400521 " Category : Disambiguation pages Hidden categories: Short description

3894-612: The same topics as the refresher course would. Recertification for other levels follows a similar pattern. EMT training programs vary greatly in calendar length (number of days or months). For example, fast track programs are available for EMTs that are completed in two weeks by holding class for 8 to 12 hours a day for at least two weeks. Other training programs are months long, or up to two years for paramedics in associate degree programs. EMT training programs take place at numerous locations, such as universities, community colleges, technical schools, hospitals or EMS academies. Every state in

3960-544: The scope of practice of advanced care paramedics. This is regulated both provincially (by statute) and locally (by the medical director), and ordinarily entails an aspect of medical oversight by a specific body or group of physicians. This is often referred to as " medical control ", or a role played by a base hospital. For example, in the provinces of Ontario , Quebec and Newfoundland and Labrador, many paramedic services allow primary care paramedics to perform 12-lead ECG interpretation, or initiate intravenous therapy to deliver

4026-483: The seizure of over 5.3 million dollars in narcotic tainted monies. All canines trained in explosive ordnance detection are trained to detect and passively alert on 13 different odors. The tobacco canine is trained to find and aggressively alert on all forms of tobacco. Patrol dogs are trained in building searches, area searches, officer protection, crowd control, trailing, and provide a strong psychological deterrent to certain types of criminal misconduct. Our cadaver canine

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4092-578: The state. NHTSA recognizes four levels of certification: Some states also recognize the advanced practice paramedic or critical care paramedic level as a state-specific licensure above that of paramedic. These critical care paramedics generally perform high acuity transports that require skills outside the scope of a standard paramedic (such as mechanical ventilation and management of cardiac assist devices). In addition, EMTs can seek out specialty certifications such as wilderness EMT , wilderness paramedic, tactical EMT, and flight paramedic . In 2009,

4158-528: The title of A-EMCA, or advanced emergency medical care assistant) to professional self-regulating bodies, such as the Alberta College of Paramedics. In Alberta, for instance, only someone registered with the Alberta College of Paramedics can call themselves a paramedic; the title is legally protected. Almost all provinces have moved to adopting the new titles, or have at least recognized the NOCP document as

4224-527: The unincorporated areas of Fountain Hills, Tonto Verde and Rio Verde. It also provides contract law enforcement services on a contract basis to the Town of Fountain Hills. The following insignia are respective of the Maricopa County Sheriff's Office Uniform Specification policy GC-20. Detectives and deputies are the same rank. Unlike other law enforcement agencies, detective is not a promotion within MCSO, but rather

4290-727: The weather permits and staff are available, but systems such as the Toronto EMS Critical Care Transport Program work in land ambulances. ORNGE transport operates both land and aircraft in Ontario. In British Columbia, CCPs work primarily in aircraft with a dedicated critical care transport crew in Trail for long-distance transfers and a regular CCP street crew stationed in South Vancouver that often also performs medevacs when necessary. Paramedic training in Canada varies regionally; for example,

4356-764: Was resumed by the National Guard for reasons of economy. There is a permanent, organized Sheriff's Posse that provides civilian volunteer support to the sworn deputies of the Sheriff's Office. Dozens of individual posse units can be called upon for various needs, such as a Jeep posse, equine mounted units in various cities, a ham radio operator posse, a diver's posse, and an air posse of licensed pilots. The Maricopa County Sheriff's Office has been involved in many controversial acts, lawsuits, and other operations that have been called into question, from alleged racial profiling to jail conditions. Former Maricopa County Sheriff, Joe Arpaio , has also been criticized over

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