We develop and produce Competency Based Training (CBT) and online continuing education (CE) for EMTs in King County. Every fall, we hold over 20 CBT Instructor workshops to train the 500+ instructor-evaluators who oversee the practical skills training at their own agencies. CE training is available through King County's own online learning platform, EMS Online.

We have also created and produced a video called, "Pediatric Sick/Not Sick" currently available by contacting our office.

NOTE: King County EMS Online Training is accessible only to EMS providers who have established EMS Online accounts with King County EMS. Your training officer can submit your name and obtain your username and password. For further information or technical support, please contact us using our online form or call the EMS Division at 206-296-4693.

We offer two initial EMT-B training classes per year, designed primarily for members of King County fire agencies. Our EMT classes are more than 120 hours of classroom and practical work with 10 hours of hospital observation time. These classes are held in partnership with our regional fire departments and occur in the Spring and Fall of each year. Information regarding eligibility and class schedules can be obtained from your sponsoring agency.

Another opportunity to receive initial EMT training is the Strategic Training and Recruitment (S.T.A.R.) program which provides an opportunity to those that are traditionally under-represented in the fire and EMS workforce in our region. The goal of this program is to create an fire and EMS workforce that is representative of the communities that we serve. Eligibility requirements for this program include - must be 18 years of age, have a high school degree or G.E.D, WA driver's license, up to date on immunization and vaccination before first day of class, and must be able to get to/from class. While this program is open to the region, preference is provided to King County residents. Information on this application-based program can be found below or by emailing STAR@kingcounty.gov

If you are currently not enrolled in a King County fire agency, we suggest considering the following local community colleges which offer a full EMT training program:

• North Seattle College
• Everett Community College
• Tacoma Community College

One of our roles within the state and county EMS community is to serve as the liaison between the State Department of Health and the 28 fire agencies within King County. We do this by providing the EMS community with pertinent and important information from the state regarding continuing education, recertification and important regulation and policy changes as well as the processing of any documents as required to support these activities.

King County EMS started to explore the concept of early defibrillation in the mid to late 1970s. Dr. Mickey Eisenberg was interested, along with Dr. Leonard Cobb, in the concept of using these unique machines in Aid Cars of the local fire departments.

King County EMS began studies to assess patient outcome in specific situations. At this time, we had specific areas with Medic One units as well as geographic areas without Medic One units. This was a perfect scenario to ascertain the patient outcome with defibrillation and ALS services and without ALS services. The data compiled was interesting, to say the least. Outcome without early defibrillation was minimal -- less than 8% survival. With early defibrillation and no ALS services the survival rate was 26%. With early defibrillation and ALS services the survival rate was 38%.

We recognized the importance of early CPR to improve patient outcome for cardiact arrests. Along with the Medic 2 program we initiated citizen CPR and dispatcher assisted CPR.

With this data in hand, we recognized that in order to give the best care to the citizens of King County we needed to add early defibrillation training to the EMTs of King County. Defibrillation was added to the EMT classes in the 1980s. We were the first EMS division in the world to recognize the importance of EMTs and First Responders in providing early defibrillation and an increase in patient survival rates.

Dr. Richard Cummins took the lead, and with his help we also changed the American Heart Association's protocol for CPR.

We are continuing to help improve our patients' survivability to this lethal situation. We continue to gain data and are looking for better responses from our aid cars. In adding Public Access Defibrillation (PAD), we expect to see even better results in the future.

We are saving 46% of all patients found in Ventriculation Fibrillation (VF) sudden death. Compared to cities that save 3-4%, this is exceptional. It comes from hard work and continuing education of the firefighters and paramedics of this county.

The overall goal of the Early Defibrillation Program is to resuscitate the greatest number of persons from sudden cardiac arrest. The program reaches this goal by meeting the following program objectives:

• Provide centralized medical direction and program resources
• Provide clear, concise standing orders while allowing the EMT-D/FR-D to utilize sound medical judgment when appropriate
• Conduct consistent, effective, and scenario-based initial defibrillation training
• Provide instructors with current information and effective training tools with annual refresher training
• Maintain adequate skill levels through consistent, periodic continuing education
• Ensure program quality improvement through field event quality assurance and continuous program improvement
• Promote the consistent use of well-maintained defibrillation equipment

The specific goals of the Defibrillation Standing Orders are:

• Ventricular Fibrillation (VF) is to be shocked repeatedly and as rapidly as possible
• Effective CPR is to be performed and interrupted for a minimum time
• Overall patient care and safety are never to be neglected

The Automated External Defibrillation training course requires approximately four hours of classroom and practical training, provided by King County EMS (or a fire department local course director that has been approved by KCEMS). Practical training for this course is scenario based. The EMT-D is required to attend a defibrillation Continuing Education (CE) session during each quarter of a twelve-month period.

The Defibrillation Quality Assurance Coordinator reviews recordings of field cardiac arrest events. An assessment of the overall performance for each VF case reviewed, including any noted areas requiring improvement or additional training, is sent to the agency's Training Officer (or other designated person). When trends or frequently observed performance concerns are noted during event recording reviews, the Training Coordinator is informed of such concerns, in order to identify methods of improving performance throughout the program.

➡︎ EMS reciprocity requirements for King County and Washington state

External links:

• Jems Communications
• Mayo Clinic
• MedicineNet.com
• National Association of EMS Educators
• National Association of EMS Physicians
• National Association of EMTs
• Washington State Office of Emergency Medical and Trauma Prevention