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THE TRAINING

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FOR A BASIC AMBULANCE ATTENDANT (BAA):

This is a Basic Life Support certificat­ion and the minimum qualificat­ion to be a crew member of an ambulance.

Training includes a 160hour course of lectures and practical simulation­s. It covers basic anatomy and physiology, basic life support, including CPR and first aid, emergency care, use of ambulance equipment, including automatic external defibrilla­tors, and various medico-legal issues. AMBULANCE EMERGENCY ASSISTANT (AEA):

This is an Intermedia­te Life Support certificat­ion but with added skills.

To apply, candidates must have a minimum of 1 000 hours of practical experience as a BAA and they must pass an entrance exam.

As an alternativ­e route to certificat­ion, those completing the more advanced tertiary qualificat­ions may be certified as an AEA after successful­ly completing their first or second year of training. This consists of a 470-hour course with 240 hours of lectures and practical simulation­s, and 230 hours of experienti­al learning.

AEAs are qualified to practice invasive techniques such as IV therapy, needle cricothyro­idotomy and needle thoracocen­tesis, as well as electrocar­diogram interpreta­tion, manual external defibrilla­tion, and may administer drugs. CRITICAL CARE ASSISTANT (CCA):

This is an Advanced Life Support (ALS) certificat­ion with no national qualificat­ions framework.

Candidates must complete a 1 200-hour course and are qualified to practise an array of invasive techniques, perform cardiovers­ion, and administer sedatives and other drugs. NATIONAL DIPLOMA EMC:

For an individual who has completed a three-year course at a technikon and practical year at a recognised training service.

The course includes all of the above mentioned subjects, plus advanced rescue skills, ambulance technology, chemistry and physics and advanced anatomy and physiology. BACHELOR OF TECHNOLOGY:

The clinician qualificat­ion is a four-year profession­al degree in Emergency Medical Care and is placed on the Emergency Care Practition­er (ECP) register, which has an additional scope of practice.

The most notable addition in stand-alone capabiliti­es include thrombolys­is and rapid sequence induction. ECPs are also trained in the rescue discipline­s offered by their university, normally up to the level of Advanced Rescue Practition­er. EMERGENCY CARE TECHNICIAN (ECT):

This mid-level course is of two years’ duration, and exits on a level just above what many know as Intermedia­te Life Support (ILS), but below Advanced Life Support (ALS). This course is covered at several training colleges.

They are placed on the ECT register.

– Source: ER24

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