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The Texas Department of State Health Services, DSHS, is the agency legally charged in the State of Texas to issue certificates or licenses for EMS professionals.
The National Registry of EMTs is the agency designated by the DSHS as the provider of the computer adaptive testing and psychomotor skills exams. Successful completion of that examination is necessary to apply for certification or license as an EMS provider in the State of Texas.
Additional paramedic competency areas include: advanced airway management, application of defibrillation, cardioversion, and external pacing, EKG diagnosis (both single and 12-Lead), intravenous and intraosseous catheter insertion, pharmacology to include oral and parenteral administration of emergency medications, and the management of emergency obstetrical, medical, trauma, psychological, endocrinological, neurological, pediatrics, and other situations.