 Instead, it is common for all ambulance personnel to be referred to as 'paramedics', although the Paramedic title is protected under registration of the Health and Care Professions Council.In the United States, EMTs are certified according to their level of training.Individual states set their own standards of certification (or licensure, in some cases) and all EMT training must meet the minimum requirements as set by the National Highway Traffic Safety Administration's (NHTSA) standards for curriculum.