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"Paramedic" can be difficult to define as the term is sometimes used to refer to anyone responding to a medical emergency outside of a hospital. The term "paramedic" can refer to a specialized health care professional with 3-5 years of post-secondary education or a basic first-aider depending on what jurisdiction is in question. Generally, a paramedic responds to medical and trauma emergencies in the pre-hospital environment, provides emergency treatment and, when appropriate, transports a patient to a hospital for further assessment or follow-up care. Depending on the system, paramedics may work with either another paramedic or less highly trained personnel such as an Emergency Medical Technician EMT (in the US and UK).