Emergency Medical Technicians (EMT) provide Basic Life Support and Paramedics provide Advanced Life Support (ALS). ALS care consists of establishing Intravenous line (IV), administering numerous life-saving medications, cardiac monitoring including 12 lead, pediatric advanced life support, and advanced airway management. EMT care is anything and everything of a lesser skill level. You must be an EMT before you can be a Paramedic. Most local departments are Basic Life Support (BLS) care providers.