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Emergency Medical Assistants (First Responder, Emergency Medical Responder,
Primary Care Paramedic, Advanced Care Paramedic, Critical Care Paramedic) working within the 911 system in British Columbia are licensed by the Emergency Medical
Assistants Licensing Board (the EMALB). The Board is responsible for examining,
registering, and licensing all Emergency Medical Assistants (EMAs). The new scope of practice changes were formally passed into law on September 23, 2022, with the intent of having license holders updated to the new scope of practice within 2 years.

This program meets the requirements of EMALB for current license holders to update their scope of practice. Courses use a combination of online learning, lecture,
discussion, and scenarios taken from Emergency Medical Assistance Industry. This is not a CRC recertification course – attending this training will not alter Red Cross certification dates.

 Pre-course Requirements:
• The learner holds a current license with EMALB at the First Responder or Emergency         Medical Responder level AND
• Current CRC First Responder certificate OR
• Current CRC Emergency Medical Responder certificate OR
• Current First Responder or Emergency Medical Responder certificate that is recog-nized by EMALB.

Course Length (Minimum Teaching Hours):

Blended (full length)8 hours online learning (must be completed prior to joining the face-to-face, Instructor-led classroom segment).
16 hours face-to-face Instructor-led in the classroom.


Course Content including but not limited to: 

  • Anatomy of an EMS call review
  • Vital Sign Assessment review/practice
  • Medical/Trauma skills review/practice (Airway mgmt. including NPA, hemorrhage control, fracture mgmt.)
  • Full call scenario practice (skill only, checklist-based practice session)
  • Full call scenario practice (Multi system trauma)
  • Introduction to First Responder Medication Admin (Flow of a protocol call, how to integrate medication admin. Into your Patient assessment and treatment plan)
  • First Responder Medication Admin Skill Station (Administration of epinephrine, naloxone & glucagon)
  • Full Call Responder Medication Admin Scenarios (Anaphylaxis call)
  • Full Call Responder Medication Admin Scenarios (Opioid Poisoning call)
  • Full Call Responder Medication Admin Scenarios (Hypoglycemic call)
  • EMR Intramuscular Administration of Epinephrine (Administration of weight-based epinephrine via IM injection)
  • EMR Administration of Bronchodilators by inhalation and nebulization (Asthma call)

Required Learner Materials:
Canadian Red Cross Emergency Care for Professional
Responders Reference Text (Print or Digital version).

BC EMALB Scope of Practice Update certification is valid until March 31, 2025.