Advanced Life Support protocols vary slightly between the different regions in New York as to which are standing orders versus those which require on-line medical control, all protocols follow current guidelines for Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Pre-hospital Trauma Life Support (PHTLS), and Basic Trauma Life Support (BTLS). Some AEMT-CC programs include both ACLS and PALS certification as part of the course of instruction. Ultimately, EMT-CC's are capable of initiating venous access, administering medications, performing endotracheal intubation, obtaining ECGs, performing electrical cardiac therapy, performing chest decompression, performing intraosseous access and comply with all state defined Basic Life Support (BLS) protocols. Notably, the EMT-CC certification is not recognized in the City of New York. EMT-CCs operate at the Basic Life Support level in that city's 911 system. References External links New York State Department of Health Bureau of EMS Homepage New York State AEMT-CC Curriculum on the New York State Department of Health Webpage Emergency medical responders Emergency medical services in the United States Medical credentials Emergency services in New York (state)