Paramedics are qualified professionals in the pre-hospital care career, whose professional category allows them to apply medical techniques in an extra-hospital environment.
The paramedic class includes first responders, emergency medical technicians of various levels.
In the Portuguese language, the paramedic is the health professional who assists the medical services, but who does not belong to the medical staff, so the doctor is not a paramedic and, according to the Portuguese language, nurses, technicians, physiotherapists, massage therapists, etc. are paramedics.
Despite this understanding of the Portuguese language, this does not adequately describe the paramedical professional or Medical Emergency Technician with assignments to perform Advanced Life Support procedures such as: intubations, venous access, administration of medication and emergency solutions, under medical direction, indirect or at a distance.
In countries where there is this professional dedicated to pre-hospital care, the person who is interested in working in this area, has training courses and professional training in public and private technical and academic teaching centers for the training of EMT (Emergency Medical Technician) at the Basic and Paramedic levels, with workloads ranging from 600hs to 2000hs or more according to the content and state standards of these countries, being only after your training the right to obtain your professional registration as an Emergency Medical Technician or Paramedic to perform pre-hospital care functions in public or private pre-hospital emergency care services.
Currently in Brazil, the absence of this professional has been filled with other health and safety professionals, but all these trainings do not meet the specific training of the EMT-P - Emergency Medical Technician Paramedic, according to the original curriculum (National Standard Curriculum) of the US DOT (United State Department of Transportation). Brazil is still in the learning and testing phase of several foreign models such as France, Spain and the USA, being used simultaneously without considering the system as a whole (pre and inter-hospital). If a doctor intends to work in pre-hospital emergencies in the US, he must take specific courses in the pre-hospital area or become a paramedic (EMT-P), from then on his training as a paramedic to perform this role will be considered. .
In Brazil there is no training for Medical Emergency Technicians as in countries where pre-hospital care systems are well defined, but the term Medical Emergency Technician is present in Brazilian standards such as NBR 14561 - vehicle for rescue and pre-hospital care. hospital and in legislation such as Ordinance CVS04/94 of the Sanitary Surveillance of the State of SP, among others that also appear as a Nursing Technician in Medical Emergencies, which is a specific specialization for Nursing Technicians.
The TEM course is not recognized as a professional training course, and there is no registration of this course by the MEC – Ministry of Education and Culture, nor the recognition of this professional by the M.T.E.- Ministry of Labor and Employment, nor the registration of this profession with classification by the CBO – Brazilian Code of Occupations, which can be developed as a free training or extension course by any formal educational institution with a workload at the convenience of this institution for anyone, but if any educational institution in Brazil is interested in implementing these programs with the original content and workloads, this institution should look to international references for training standards