The Competencies of Emergency Medical Technicians in Iranian Emergency Services for Critical Situations

AuthorFereydoon Khayerien
AuthorFereshteh Aeinen
AuthorReza Masoudien
AuthorAlemeh Dehnabien
AuthorSeyed Sajjad Razavien
AuthorPirhossein Kolivanden
AuthorFatemeh Aliakbarien
OrcidReza Masoudi [0000-0003-3534-0550]en
OrcidAlemeh Dehnabi [0000-0001-8536-4601]en
OrcidPirhossein Kolivand [0000-0002-0532-4130]en
Issued Date2026-03-31en
AbstractBackground: Emergency medical services (EMS) play a vital role in crisis response; however, the competencies of emergency medical technicians (EMTs) in Iran have not been extensively studied. Objectives: This study aimed to assess the competencies of EMTs within Iranian emergency services for critical situations. Methods: This cross-sectional study was conducted on 1,693 Iranian EMTs in 2020 using a census approach and the Nursing Competence in Crisis Assessment Tool. Descriptive statistics, including mean, standard deviation, frequency, and percentage, were used, and a multinomial logistic regression was performed. Results: Among the 1,693 EMTs, 85.1% demonstrated strong competence and 14.9% showed moderate competence in critical situations. Multinomial logistic regression indicated that regional differences (P < 0.001) and service location (P = 0.049) were significant predictors of competency. Emergency medical technicians in disaster-prone regions had a higher likelihood of possessing strong competence (OR = 1.78, 95% CI: 1.24 - 2.55), and those serving at roadside bases performed better compared to their counterparts at urban bases (OR = 1.62, 95% CI: 1.11 - 2.36). Education level, years of service, and other demographic variables were not significant predictors of competency levels. Conclusions: The majority of EMTs demonstrated good competence. However, regional and service location-related disparities highlight the need for targeted, simulation-based training in lower-performing provinces and urban bases to improve crisis preparedness.en
DOIhttps://doi.org/10.5812/jnms-165653en
URIhttps://brieflands.com/journals/jnms/articles/165653en
KeywordEmergency Medical Serviceen
KeywordProfessional Competenceen
KeywordEmergenciesen
KeywordDisastersen
PublisherBrieflandsen
TitleThe Competencies of Emergency Medical Technicians in Iranian Emergency Services for Critical Situationsen
TypeResearch Articleen

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