Paramedics are EMT-4 specialists who have undergone the most advanced level of EMT training. With the highest level of EMT training, the Paramedic can perform all the functions each previous level of EMT training allows, as well as some additional procedures.

Paramedics are able to provide the most specialized care that EMTs are qualified to give, playing an active role in caring for sick and wounded people in an emergency. In addition to the techniques used by basic and intermediate EMTs, they are also able to administer drugs both orally and intravenously, interpret the results of medical procedures such as electrocardiograms, and perform a limited number of emergency medical operations, such as endotracheal intubation.

Paramedics should be physically fit and strong, with good coordination, dexterity and agility. They must have good vision, be able to think and react quickly in emergency situations, and be able to perform their job well even when under pressure.