EMS designators do vary from state to state - but here in Kentucky, there are three recognized levels of EMTs - EMT - First Responder (FR) (approximately 48 hours of training- JCPD used to train their officers to that level) EMT- Basic (or B) - I think about 120 hours of training - this is the level that most people consider EMTs in Louisville. They can perform a variety of tasks, but can't use a regular defibrillator, start IVs, or administer drugs, for example EMT-Paramedic (P or Paramedic) -