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NEW Specialist/AEMT and Limited Advanced Life Support (LALS) Agency InformationMichigan has transitioned from an EMT-Specialist licensure to the new Specialist/Advanced EMT (AEMT) level skills. The reason for this move is, at the national level, the curriculum was revised and based upon these revisions the National Registry of EMTs will eliminate the current Specialist Exam and implement the Specialist/AEMT exam.
Although the level of licensure in Michigan will still be identified as a Specialist, a Specialist of the future will no longer be licensed to perform endotracheal intubations; instead, Specialists will perform supraglottic airway intubations. In addition, the new Specialist will be trained in the administration of the following medications:
A. Albuterol H. Naloxone
B. Aspirin I. Nitroglycerin
C. Dextrose (50%) 1. Paste
D. Epinephrine (Intramuscular or Subcutaneous) 2. Spray
E. Glucagon 3. Tablets
F. Glucose J. Oxygen
G. Intravenous Fluids K. Nitrous Oxide
1. Dextrose 5% in water
2. Normal Saline
3. Lactated Ringer's
In order to implement the new Specialist in Michigan, the Department has established the following:
As a licensed Specialist, you have a choice.
If you wish to remain licensed as a Michigan Specialist beyond April 1, 2013, you will be required to complete the following steps:
New Specialist licenses will be issued beginning April 1, 2013.
Any Specialist who chooses to not complete a bridge course will be required to downgrade their license to the EMT level. This downgrade request must be accomplished by sending in a licensure application identifying that you are choosing to downgrade from the Specialist to the EMT.
If a bridge course has not been completed by March 15, 2013, or a downgrade request has not been received by December 31, 2012, the Specialist license will automatically be downgraded to the level of EMT as of April 1, 2013. No fee will be charged for this licensure change.
Also, for your information, the Department will be making revisions to the required equipment for Limited Advanced Life Support Services and updating the protocols to reflect the new Specialist level procedures.
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