The Advanced Practice Paramedic (also known as Extended Scope of Practice Paramedic) is a physician extender, capable of extensive, advanced patient care interventions in critical and emergent patients. This individual possesses the complex knowledge and advanced interventional skills necessary to provide physician extension to the patient's side, allowing their physician medical program director (MPD) the ability to have physician level care extended to the scene of any emergency, through the hand, eyes, and ears of the APP. Advanced Practice Paramedics are the pinnacle of a comprehensive EMS response, under medical oversight. Advanced Practice Paramedics perform interventions and patient care management with the advanced and diagnostic equipment typically found in an advanced response vehicle, on an advanced practice ALS ambulance, on a critical care transport unit, or in an emergency department setting. The Advanced Practice Paramedic is a tertiary link from the scene into the tertiary health care system, serving as advanced level responders, critical care transport providers, aeromedical providers, resuscitation department, anesthesia assistant settings, and in atypical care provision in the global environment. The program is designed for healthcare personnel who are already paramedics, nurses, midlevel providers, or general practice physicians and ready to move to the highest level of assessment, diagnostics, and intervention for the patient in resuscitative events.