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As the Paramedic, you will provide all aspects of Advanced Life Support (ALS) treatment and transport of patients in the emergency pre-hospital setting. Evaluate the nature and extent of acute illness or injury and establish priorities for BLS and ALS treatment. Carry out procedures based upon Statewide Treatment Protocols, Standard Operating Guidelines and Medical Control direction when applicable. Manage the emergency patient's environment in a manner that assures optimal on-scene care as well as expedient transportation to the most appropriate medical facility. This includes efficient utilization of EMS resources such as local first responders, BLS and special resources/equipment. Performs all skills applicable to the Scope of Practice for Massachusetts certified Paramedics.