Occupation Summary

Emergency Medical Technicians and Paramedics

O*NET 29-2041.00


Assess injuries, administer emergency medical care, and extricate trapped individuals. Transport injured or sick persons to medical facilities.

Annual Wages:
Employment Rate:
Employment is expected to increase by 19.67%.
Education Level:
Post-Secondary Certificate - awarded for training completed after high school (for example, in Personnel Services, Engineering-related Technologies, Vocational Home Economics, Construction Trades, Mechanics and Repairers, Precision Production Trades). According to O*Net, the majority of people employed in this occupation have this level of education.
Public Service

  1. Administer first aid treatment or life support care to sick or injured persons in prehospital settings.
  2. Operate equipment, such as electrocardiograms (EKGs), external defibrillators, or bag valve mask resuscitators, in advanced life support environments.
  3. Assess nature and extent of illness or injury to establish and prioritize medical procedures.
  4. Maintain vehicles and medical and communication equipment and replenish first aid equipment and supplies.
  5. Observe, record, and report to physician the patient's condition or injury, the treatment provided, and reactions to drugs or treatment.
  6. Perform emergency diagnostic and treatment procedures, such as stomach suction, airway management, or heart monitoring, during ambulance ride.
  7. Administer drugs, orally or by injection, or perform intravenous procedures under a physician's direction.
  8. Comfort and reassure patients.
  9. Coordinate work with other emergency medical team members or police or fire department personnel.
  10. Communicate with dispatchers or treatment center personnel to provide information about situation, to arrange reception of victims, or to receive instructions for further treatment.
  11. Immobilize patient for placement on stretcher and ambulance transport, using backboard or other spinal immobilization device.
  12. Decontaminate ambulance interior following treatment of patient with infectious disease and report case to proper authorities.
  13. Drive mobile intensive care unit to specified location, following instructions from emergency medical dispatcher.
  14. Coordinate with treatment center personnel to obtain patients' vital statistics and medical history, to determine the circumstances of the emergency, and to administer emergency treatment.
  15. Attend training classes to maintain certification licensure, keep abreast of new developments in the field, or maintain existing knowledge.

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No Industry Employment Patterns found.

Labor Market Information

2018 Statewide average hourly wage $17.61
2018 National average hourly wage $18.15
2016 National employment 248,000
2016 Texas employment 18,716
Texas projected employment by 2026 22,398
Texas projected annual employment and Turnover openings through 2026 1,571

* Due to confidentiality rules, not all regions may have the data displayed. The sum of all the regions may not be equal to the state total.

Top 10 Relevant Knowledge Areas Relevant Importance Levels
Customer and Personal Service
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Medicine and Dentistry
Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
Public Safety and Security
Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
English Language
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Education and Training
Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
Knowledge of principles and methods for moving people or goods by air, rail, sea, or road, including the relative costs and benefits.
Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
Administration and Management
Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

Top 10 Relevant Skill Areas Relevant Importance Levels
Critical Thinking
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Active Listening
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Talking to others to convey information effectively.
Adjusting actions in relation to others' actions.
Service Orientation
Actively looking for ways to help people.
Social Perceptiveness
Being aware of others' reactions and understanding why they react as they do.
Active Learning
Understanding the implications of new information for both current and future problem-solving and decision-making.
Complex Problem Solving
Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
Reading Comprehension
Understanding written sentences and paragraphs in work related documents.
Learning Strategies
Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.

Top 10 Relevant Abilities Relevant Importance Levels
Problem Sensitivity
The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
Deductive Reasoning
The ability to apply general rules to specific problems to produce answers that make sense.
Inductive Reasoning
The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
Oral Expression
The ability to communicate information and ideas in speaking so others will understand.
Oral Comprehension
The ability to listen to and understand information and ideas presented through spoken words and sentences.
Speech Recognition
The ability to identify and understand the speech of another person.
Speech Clarity
The ability to speak clearly so others can understand you.
Near Vision
The ability to see details at close range (within a few feet of the observer).
Information Ordering
The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
Arm-Hand Steadiness
The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.

  • Assisting and Caring for Others
    -- Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
  • Documenting/Recording Information
    -- Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
  • Performing for or Working Directly with the Public
    -- Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.
  • Making Decisions and Solving Problems
    -- Analyzing information and evaluating results to choose the best solution and solve problems.
  • Inspecting Equipment, Structures, or Material
    -- Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects.
Other Activities

  • Administer anesthetics to patients
  • Administer medical injections
  • Administer medical treatments
  • Administer medications
  • Administer radioactive isotopes
  • Advise clients and customers on technical matters
  • Advise internal stakeholders on technical matters
  • Analyze patient activity
  • Apply appropriate physical restraint
  • Apply hazardous materials information
  • Apply traction to patients
  • Assist individuals with mental or social disabilities, handicaps, or illnesses
  • Communicate health and safety information
  • Communicate technical or scientific information
  • Compound pharmaceutical or chemical substances in medical preparations
  • Conduct informational presentations
  • Coordinate emergency requests or response units
  • Coordinate helicopter support
  • Determine response needed to dispatch emergency assistance
  • Don/Doff Personal Protective Equipment (PPE)
  • Drive vehicles in law enforcement, security, emergency, rescue, or firefighting settings
  • Employ aviation emergency procedures
  • Examine patients
  • Fit medical supportive devices
  • Handle infectious materials safely according to procedures
  • Identify physical or emotional abuse
  • Implement health or sanitation standards
  • Implement life support procedures
  • Implement sanitation practices in health care settings
  • Inventory medical supplies or instruments
  • Lift ill, injured, incapacitated, or disabled individuals
  • Maintain medical supportive devices
  • Monitor body response variations
  • Monitor medical oxygen equipment
  • Observe patient or client condition
  • Obtain information from clients, customers, or patients
  • Operate emergency fire or rescue equipment
  • Operate telecommunications equipment in law enforcement or fire or emergency setting
  • Perform chemical processing emergency procedures
  • Perform continuing education to maintain licenses, certifications, qualifications, and knowledge currency
  • Perform emergency medical procedures
  • Practice emergency firefighting or rescue preparedness procedures
  • Prepare medical reports
  • Prepare medical treatment room
  • Prepare technical or scientific reports
  • Prescribe medication
  • Provide first aid
  • Read technical, operating, service, or repair manuals or publications
  • Recommend medical devices, drugs, or treatments
  • Record medical history
  • Rescue people and animals from dangerous situations
  • Set flares, flags, or lanterns during emergency stops
  • Set-up medical oxygen equipment
  • Set-up patient care equipment
  • Take vital signs
  • Teach medical self care
  • Transport ill, injured, incapacitated, or disabled individuals
  • Treat medical condition of patient

  • Relationships
    - Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
  • Support
    - Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.


Ambulances: Ambulances;

Analgesic infusion sets or kits: Infusion sets;

Anti shock garments: Pneumatic anti-shock garments PASG; Medical anti-shock trousers MAST;

Artificial airway holders: Endotracheal ET tube holddown devices;

Automated external defibrillators AED or hard paddles: Semiautomated or automatic external defibrillators AED;

Blood collection needle: Venoject needles;

Blood pressure recording units: Blood pressure recorders;

Bullet proof vests: Bulletproof vests;

Butterfly needles: Scalp vein needles;

Cardiac output CO monitoring units or accessories: Portable cardiac monitors;

Cardiac pacemaker generator or cardiac resynchronization therapy pacemaker CRT-P: External pacers;

Cardiopulmonary resuscitation CPR protective shields or masks: Pocket masks with one-way valves;

Chest tube kit: Pleural decompression kits;

Desktop computers: Desktop computers;

Electrocardiography EKG transmitter or telemetry or accessories: Telemetry units;

Electrocardiography EKG units: Electrocardiography EKG units;

Emergency medical service intravenous IV kit: Intraosseous kits;

Emergency medical services cervical or extrication collars: Emergency medical services cervical collars;

Emergency medical services head immobilizers: Head immobilization devices;

Emergency medical services obstetrics kits: Obstetrical OB kits;

Emergency medical services suction units or accessories: Fixed-suction equipment; Battery-powered portable suction units; Airway suction units;

Emergency medical services tourniquets or clamps: Tourniquets;

Emergency medical services tracheal tube or cricothyrotomy kits: Cricothyrotomy kits;

Emergency medical services triage tags: Triage tags;

Emergency response litters or stretchers or accessories: Multi-level wheeled cots; Stretchers; Stair chairs;

Emergency resuscitator or aspirator kits: Resuscitation devices;

Endotracheal tubes: Endotracheal ET tubes;

Esophageal tubes: Esophageal tracheal airway devices;

Extremity restraints: Limb restraints;

Finger ring removers: Ring cutters;

Flow sensors or regulators or components: Wall-mounted oxygen regulators;

Glass cutters: Center punches/glass hammers;

Glucose monitors or meters: Glucometers;

Hacksaw: Hacksaws;

Hypodermic injection apparatus or accessories: Epi-pens; Preload syringes;

Hypodermic needle: Needles;

Intravenous infusion pumps for general use: Intravenous IV pressure infusers; Intravenous IV pumps;

Intravenous or arterial arm boards: Long arm boards; Short arm boards;

Intravenous or arterial cannulas or accessories: Intravenous IV cannulas;

Intravenous or arterial tubing adapters or connectors or locks or caps or protectors: Saline locks;

Intubation forceps: Adult Magill forceps;

Intubation gauges or guides: Esophageal intubation detection devices;

Intubation stylets: Adult stylets;

Laryngoscopes or accessories: Laryngoscopes; Curved adult blades; Curved pediatric blades; Straight adult blades; Straight pediatric blades;

Medical acoustic stethoscope or accessory: Mechanical stethoscopes;

Medical aspiration or irrigation syringes: Bulb syringes;

Medical gas cylinders or related devices: Portable oxygen equipment; Fixed-oxygen equipment;

Medical nasal cannulae: Oxygen nasal cannulae;

Medical oxygen masks or parts: Child oxygen masks; Adult non-rebreather oxygen masks; Infant oxygen masks;

Medical suction cannulas or tubes or accessories: Medical suction catheters; Suction tubing;

Medical syringe without needle: Syringes;

Multiparameter vital sign unit or accessories: Monitors;

Nasopharyngeal tubes: Nasopharyngeal airways;

Nebulizer or accessories: Nebulizers;

Needleless intravenous injection syringe set or injection cannula: Interlink syringe cannulas;

Needleless vial or bag withdrawal cannulas or adapters or decanters: Vial access cannulas; Vacutainer adapters;

Non vacuum blood collection tubes or containers: Blood tubes;

Notebook computers: Notebook computers;

Orthopedic splint systems: Rigid splints; Splints; Cardboard splints;

Oxygen insufflator or its accessories: Transtracheal jet insufflators;

Patient carbon dioxide detectors: Patient CO2 monitors;

Patient stabilization or fall prevention devices or accessories: Patient restraints;

Peripheral intravenous catheters for general use: Catheters;

Personal digital assistant PDAs or organizers: Personal digital assistants PDA;

Pharyngeal airways or airways kits: Oropharyngeal airways;

Pry bars: Pry bars;

Pulse oximeter units: Oximeters;

Respiratory aspirator products or accessories: Meconium aspirators;

Restraint vests and jackets: Straitjacket;

Resuscitation masks or accessories: Bag valve mask BVM resuscitators; Valve mask resuscitators;

Sledge hammer: Sledgehammers;

Spine boards: Spinal immobilization equipment; Half-spine immobilization devices; Full-spine immobilization devices; Extrication devices;

Surgical scalpels or knives or blades or trephines or accessories: Scalpels;

Torso and belt restraints: Restraint belts;

Traction splint sets: Lower extremity traction devices with ankle hitches; Traction splints;

Two way radios: Two way radios;

Wheel chocks: Chock blocks;


Information retrieval or search software: Epocrates software; HyperTox; Informed EMS Field Guide; Iterum eMedic software; Medical Wizards ER & ICU ToolBox; Medical Wizards ER Suite; Medical Wizards Paramedics ToolBox; Mosby's Drug Consult software; PEPID EMS; Palmtree EMS Field Reference Guide; Palmtree Pocket EKG; Personal digital assistants PDA medical reference software; Skyscape Rosen and Barkin's 5-Minute Emergency Medicine Consult; Skyscape software; TechOnSoftware HazMatCE Pro;

Medical software: MEDITECH software; MedDataSolutions Regist*r;

Office suite software: Microsoft Office;

Spreadsheet software: Microsoft Excel;

Word processing software: Microsoft Word;

Related O*NET occupational titles for Emergency Medical Technicians and Paramedics include:
  • 39-4011.00 Embalmers
  • 33-2021.01 Fire Inspectors
  • 29-2061.00 Licensed Practical and Licensed Vocational Nurses
  • 33-1021.01 Municipal Fire Fighting and Prevention Supervisors
  • 33-2011.01 Municipal Firefighters
  • 29-9012.00 Occupational Health and Safety Technicians
  • 33-3051.01 Police Patrol Officers
  • 29-1141.00 Registered Nurses
  • 29-1126.00 Respiratory Therapists
  • 33-3051.03 Sheriffs and Deputy Sheriffs

Contact Texas Workforce Commission
Labor Market and Career Information  |  101 E. 15th Street, Annex Room 0252  |  Austin, Texas 78778
Official Website  |  1-800-822-PLAN (7526)  |  512.936.3200

** The information in this report may be derived from many sources like O*NET, BLS (Bureau of Labor Statistics), OOH (Occupational Outlook Handbook), and Career One Stop.