Can an EMT Administer Epinephrine?

In many American states, emergency medical technicians (EMTs) are allowed to administer epinephrine–a drug given to patients with acute allergic reactions and asthma attacks.

However, some states have created laws that define the specific criteria that every EMT-Basic practitioner must follow when administering epinephrine through an auto-injector. 

Training Needed to Become an EMT

To become an EMT, you must undergo a certain amount of training and pass the National Registry of Emergency Medical Technicians (NREMT) exam. This exam is quite challenging because it covers all the main areas of study, such as:

  • Drug Administration
  • EMS Operations
  • Medical Emergencies
  • Trauma Emergencies
  • Hands-on knowledge and skills of EMS

Some questions you can expect in your NREMT exam include: What drugs do paramedics carry? Can an EMT administer epinephrine? Can an EMT administer an EpiPen? The secret to passing this exam is to do as many practice tests as possible before sitting for the exam. You can now get your practice tests and quizzes from The Paramedic Coach.

We use the latest training materials and have many years of experience to help you prepare for these tests. We’ve created the perfect paramedic medication test to contain all the critical information you need to feel confident as an emergency medical services (EMS) professional.

Continue reading to learn more about epinephrine administration as an EMT and the regulations that explain how you administer it.

Do EMTs Administer Epinephrine?

Yes, in most states, EMTs are authorized to administer epinephrine in emergencies. EMTs are normally trained to recognize the symptoms of anaphylaxis and administer epinephrine through auto-injectors like EpiPen and similar devices. Nonetheless, the scope of practice and specific laws that apply to EMTs vary by jurisdiction.

Regulations That Define How an EMT Should Administer Epinephrine

As noted above, the laws governing how EMTs administer epinephrine vary depending on the state or region. In most states, for instance, the sanctioned level of practice for EMTs is normally defined by the state EMS authority or similar regulatory body. These protocols typically define the specific procedures, etiquette, and drugs that EMTs are allowed to administer.

Here are the most common elements found in regulations about the administration of epinephrine by EMTs:

Level of Training 

The law specifies the required level of training and certification for EMTs to administer epinephrine. This may include completing all relevant courses and certification programs in emergency medical care and the use of epinephrine.

In Kansas, for example, practitioners with EMT-Basic certification must complete a board-approved course on administering epinephrine in emergencies.


EMTs usually administer epinephrine using protocols established by a medical director or physician. These protocols outline when and how epinephrine should be administered in various emergencies, like anaphylaxis.

Patient Assessment

As an EMT, you must conduct a thorough assessment of your patient before administering epinephrine to ensure that it is suitable for their condition.


You must be able to administer the appropriate dosage and choose the most effective route of administration for epinephrine, depending on the patient’s age, weight, and medical condition.

EMTs are trained to administer epinephrine using auto-injectors and other approved devices. So, you must demonstrate your ability to use these tools safely.

Documentation and Reporting

You should be able to document and report the administration of epinephrine, including the symptoms, dosage, route, and the patient’s response. This documentation is essential for keeping medical records, quality assurance, and follow-up care.

Final Thoughts

As an EMT, you must stay on top of the latest rules and guidelines around epinephrine administration in your area for safe and effective patient care. Understanding these requirements will help you pass your NREMT exam!

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