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In St John Ambulance, New Zealand, an intensive care paramedic (the most senior paramedic qualification) needs to be able to perform the following advanced procedures:

- Synchronised and electrical cardioversion

- Laryngoscopy

- Manual defibrillation

- Rapid sequence intubation

- Endotracheal Intubation

- Chest drainage

- Intraosseous, intravenous, intranasal and intramuscular access

- Tourniquet

- Capnography

- Chest decompression

- Pacing

- PEEP Valve

- Adjunct airway placement (able to be performed by First Responders)

- Needle Crichothyroidotomy (also known as a tracheotomy)

- Pharmacology and prescription of drugs (suxamethonium, midazolam, lignocaine, entonox, methoxyflurane, glycerol trinitrate spray, glucagon, ondansetron, loratadine, adrenaline, glucose, morphine, fentanyl, naloxone, amiodarone, ceftriaxone, naloxone, adenosine, ketamine, atropine and vecuronium)

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