Emergency Medical Services in Sri Lanka - EMS Training

EMS Training

The pre-hospital care sub-committee has established minimum standards for EMT education in Sri Lanka. Currently, EMTs and Pre-Hospital personnel are currently working in four distinct areas: Fire Brigades, Hospitals, Community Based Organizations, and Private Services.

All Sri Lankan EMTs are trained on international EMS standards adopted by the Trauma Secretariat of the Ministry of Healthcare & Nutrition. The Sri Lankan standards are comparable to the National Registry of EMTs of USA (United States Department of Transportation Guidelines), the Australasia Registry of EMTs, and the UK College of Emergency Medicine standards.

EMT training in Sri Lanka is divided into four training levels.

EMT-Level 1: The Sri Lanka EMT-Level 1 is the first level of EMS training beyond community responders (First Aid and Advanced First Aid). Some countries refer to this level as Medical First Responders. Typically, first responders may be fire fighters, police officers, lifeguards, coaches, or teachers. Level 1 EMTs are trained in basic rescue, oxygen use, CPR, splinting, and safe ambulance operations.

EMT-Level 2: Level 2 EMTs are sometimes referred to as EMT-Basics or EMT-Ambulance Officers in other countries. Training at this level ideally requires 120–160 hours of classroom and clinical education for students to demonstrate the knowledge, attitude and skills required. Some examples of the skills of an EMT include:

- Airway management with the use of oral and nasal airways - Automatic External Defibrillators - Extrication of Trauma Patients with spinal injuries - Medical & Trauma Patient Assessments - Assisting patients with prescribed medications (NTG, Asprin, salbuterol inhalers) - Spinal Immobalization - Assessment of Vital Signs - Assisting with unexpected emergency deliveries during transport

EMT-Level 3: Level 3 EMTs or EMT-Intermediate Level is a more advanced professional level of pre-hospital care providers. Typically, level 3 EMTs are more senior and experienced EMTs and also have additional training in establishing IV cannulation, and in some areas limited access to lifesaving medications and advanced emergency airway management.

EMT-Level 4: Internationally, EMT-Paramedic represents the highest level pre-hospital care professionals. The skills, education, and protocols of Paramedics vary country to country. Although Sri Lanka will have Level-4 EMTs in the future, currently EMT-Paramedics, or Level-4 EMTs are not being trained in Sri Lanka.

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