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Sometimes referred to as the backbone of the emergency medical services system, the Emergency Medical Technician (EMT) Basic is trained in basic life support procedures taught during a 180 hour course. The EMT performs limited invasive (advanced) skills. The EMT Basic course emphasizes the development of student skills in patient assessment and examination, the recognition of signs and symptoms of illness or injury, and the use of proper procedures when rendering basic emergency care. General topics covered include human anatomy and physiology, bleeding and shock, emergency childbirth, airway management, splinting of fractures and dislocations, medical emergencies, and movement of patients. The intent of the program is to provide the student with the knowledge and skills to assess and manage life-threatening injury and illness and provide transport to medical facilities. The majority of EMTs are employed by ambulance services. EMTs are also employed by hospital emergency departments and fire departments.