Flight paramedics are often considered among the paramedic elite, as one must have generally clocked many years of field experience before qualifying to join an emergency flight team. Performing medical treatments and procedures in an airplane or helicopter is a slightly different science than in the back of a moving ambulance. While needed procedures are often the same, factors like altitude and air quality can affect how they must be performed.
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In order to join a flight team, a paramedic must typically have at least five years of critical-care EMT experience, though the specific requirements vary by jurisdiction. Most of the time, a hopeful flight paramedic must also obtain flight paramedic certification. Certification is typically procured by passing a series of exams geared towards the specifics of the flight trauma experience.