What is the protocol for a paramedic student or EMT assisting ALS patients?

• A. They must be the primary attendant.
• B. They can assist but are only counted as the 'second attendant' when deemed appropriate.
• C. They are not permitted to assist.
• D. They are counted as an independent provider.

Answer: (B)

On ALS scenes, the learner operates under supervision and serves as a supporting member of the team. A paramedic student or EMT can assist with tasks like gathering equipment, setting up or handing over tools, helping with airway or ventilation under direct supervision, taking vitals, and assisting with documentation. They are not the lead clinician and aren’t counted as an independent provider. In typical two-person ALS responses, they are counted as the second attendant when appropriate, meaning their role is supportive and evaluated by the supervising provider and local protocols. This arrangement protects patient safety while giving the student valuable hands-on experience.