I was an EMT for 4 years and a medic for 3 years, worked all over NYC from the hood to the penthouses on park ave. The EMT cert helps ALOT. In a code situation the skills that you develop give you the best advantage over a new grad RN with no prior experience. I've been in the ED for about a year now and let me tell you, there isn't one staff member that doesn't want me as part of a code. your CPR skills will be insane, people will mistake the rhythm strip as a pt pulse, that's how good your CPR will get. As an EMT you will be taught the same assessment skills that MD's and RN's are taught, the biggest difference being the level of detail. BCLS, ACLS and PALS are all the same for every level provider. In EMS we have ABC, in nursing its ABCDEF, doctors have the rest of the alphabet . Heres an example of how you will react without thinking in certain situations. The other day we had a 13week old in respiratory distress. I was taking report from day nurse when the med res called for help and I see her bagging the pt. I look up at the monitor and saw no sp02 reading and HR of 50bpm. I calmly pulled on a pair of gloves and gripped the baby with both hands and began CPR. i noticed the med res bvm technique was not correct, the sp02 wouldnt go above 50% so i looked at her and told her to repeat the phrase "squeeze, release, release" as she vented. Our peds ED is a 12 bed suite with a staff of 1 RN, 1 attending and 1 resident. By the time other staff members from the adult ED came the babies HR had climbed to 150bpm and sat of 100%. The baby was tubed by the anesthesia attending and placed on ventilator. The baby had pneumonia and we had to transfer out to another NICU. The parents were so grateful and couldn't believe that of all involved i was the calmest, my response to them was that I had been in EMS for 7 years prior and that those skills have helped me deal with emergencies in hospital.