EM systems in different countries in General EMS Discussion Posted January 2, 2013 2. everything you could possibly need... propofol, sodium thiopental, etomidate, ketamine, fentanyl, morphine, succinylcholine, vecuronium... http://en.wikipedia.org/wiki/Paramedics_in_germany a paramedic's scope of practice is defined nowhere. Some medical directors have started giving out guidelines, but that's about it. Do ALS ambulance (paramedic) can use this drugs? Propofol, Etomidate ... for intubation? Or every state is different? Our CRNAs require a 2 year master degree with an option of adding a 1-2 year doctorate after your 4 year BSN. CRNA - nurse specialised into anesthesia?