The standard remit and skill set of each position, together with the recognised qualifications needed, are explained below.

Position Remit Qualifications
First Aider
  • Basic treatment of minor injuries and illnesses.
  • CPR
  • First Aid at Work
  • REC Level 2 - Emergency First Aid
  • IHCD First Person on Scene- Basic
Responder
  • As above
  • Oxygen & Entonox administration
  • Spinal Management 
  • ASHI First Responder
  • REC Level 4 Advanced First Aid
  • IHCD First Person on Scene - Intermediate
  • RCS Medicine in Remote Areas
  • RCS Pre-Hospital Emergecy Care
  • Prometheus VIP Emergency Responder (VIPER)
EMT-Basic
  • As above
  • Oxygen & Entonox administration
  • Spinal Management 
  • ASHI EMT - Basic
  • IHCD Ambulance Technician
  • WEMSI Wilderness Medical Technician
  • Combat Medical Technician - Class 2
EMT-Intermediate
  • As above
  • Oxygen & Entonox administration
  • Spinal Management 
  • ASHI EMT - Intermediate
  • HSE Offshore Medic
Paramedic
  • As above
  • Administration of a small range of drugs
  • ASHI EMT - Paramedic
  • IHCD Paramedic
  • Diploma / Degree in Paramedic Sciences
  • Combat Medicat Technician - Class 1
  • plus registration with HCP / NREMT /HPC
Nurse
  • As above
  • Administration of a wider range of drugs
  • Longer term treatment of injuries
  • Primary healthcare skills
  • Increased diagnistic skills
  • Diploma / Degree in Nursing
  • plus registration with NMC
  • plus Trauma experience
Doctor
  • Offers differential diagnosis
  • Further prescirption rightsm 
  • Recognised Degree
  • plus registration with BMC
  • plus Trauma experience


Position Skils Qualifications
First Aider
  • Scene Management
  • Vital Signs
  • Choking
  • Unconsciousness
  • Basic Life Support
  • Severe Bleeding
  • Musculo-skeletal injuries
  • Poisoning
  • Burns
  • Hypo & Hyperthermia
  • Common Medical Conditions
  • First Aid at Work
  • REC Level 2 - Emergency First Aid
  • IHCD First Person on Scene- Basic
Responder As above plus
Airway & Breathing
  • Oral & Nasal Airways
  • Bag valve mask
  • Aspiration
  • Oxygen Therapy via Non-rebreather
  • Spinal management
Assessment
  • Blood pressure
Medications
  • Assistance with single dose Auto-Injectors
Trauma skills
  • Manual cervical stabilization
  • Manual extremity stabilization
  • Eye irrigation
  • Haemorrhage control
Medical Care
  • CPR + AED
  • Assisted childbirth delivery
  • ASHI First Responder
  • REC Level 4 Advanced First Aid
  • IHCD First Person on Scene - Intermediate
  • RCS Medicine in Remote Areas
  • BASICS Pre-Hospital Emergency Care
EMT-Basic As above plus
Airway & Breathing
  • Humidifiers
  • Automatic ventilators
Assessment
  • Pulse Oximetry
Medications
  • Oral glucose
  • Aspirin
Trauma skills
  • Seated spinal immobilization
  • Long board
  • Splinting & traction splinting
  • Tourniquets
  • Rapid extrication
Medical care
  • Assisted complicated childbirth delivery
  • ASHI EMT - Basic
  • IHCD Ambulance Technician
  • WEMSI Wilderness Medical Technician
  • Combat Medical Technician - Class 2
EMT-Intermediate As above plus
Airway & Breathing
  • Endotracheal Intubation
  • Multilumen airways
  • Nebulizers
Assessment
  • Blood glucose monitoring
Medications
  • IV therapy
  • IO insertion
  • Glycerintrinitrate
  • SC and IM Adrenaline
  • ASHI EMT - Intermediate
  • HSE Offshore Medic
Paramedic As above plus
Airway & Breathing
  • Needle chest decompression
  • Cricothyrotomy
  • Capnography
  • Laryngoscopy
Assessment
  • 12 Lead ECG Interpretation
  • Blood chemistry analysis
Medications
  • Central line monitoring
  • Venous blood sampling
  • Physician approved medications
  • Maintenance of blood administration
  • Initiation of thrombolytics
Trauma skills
  • Morgan lens
Medical care
  • Cardioversion
  • Manual defibrillation
  • TC Pacing
  • ASHI EMT - Paramedic
  • IHCD Paramedic
  • Diploma / Degree in Paramedic Sciences
  • Combat Medical Technician - Class 1
  • plus registration with HCP / NREMT /AREMT
Nurse
  • As above
  • Longer term wound management
  • Primary healthcare skills
  • Increased diagnostic skills
  • restricted prescription rights
  • Diploma / Degree in Nursing
  • plus registration with NMC
  • plus Trauma experience
Doctor
  • Clinical lead
  • Offers differential diagnosis
  • Further prescript rights 
  • Recognised Degree
  • plus registration with BMC
  • plus Trauma experience