 Not all ambulance personnel are EMTs however, and the term is sometimes used informally to refer to ambulance personnel in-general.In English-speaking countries, there is an official distinction between EMTs and paramedics, in which paramedics have additional educational requirements, qualifications, and scope of practice.EMTs are most commonly found working in ambulances, but should not be confused with "ambulance drivers" or "ambulance attendants" – ambulance staff who in the past were not trained in medical care.