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Texas has four levels of Emergency Medical Technician (EMT EMT-Basic, eMT-Intermediate, eMT-Paramedic, licensed Paramedic, eMT-Basics may, under medical direction (via kinase online communication or protocol administer an epinephrine auto-injector.
This is usually the patient's own, but plated some services carry their own.
EMT-Intermediates may also, under medical direction, administer epinephrine by auto-injector, prefilled syringe, or ampule and syringe. Paramedics (typically under standing orders) may administer epinephrine through auto-injector, pre-filled syringe, or ampule and syringe.
Texas recently enacted a law that allows all EMTs to carry and administer epinephrine auto-injector devices in accordance with the Texas Department of Health, and a collaborative agreement between the EMS provider and a licensed physician. Many rural areas in Texas are not covered by Advanced Life Support (i.e., rescue units equipped with epinephrine and local Medical Directors have a lot of leeway regarding patient care in Texas. To determine the level of emergency medical service in their area, individuals should call the Bureau of Emergency Management at the number listed above.
Texas has no law related to laypersons being trained and certified to carry and administer epinephrine via an auto-injector to someone under their care).
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