[JshWright]

"Paramedic" means roughly the same thing in the US and UK. UK training standards are a bit higher, but in both cases they are professional roles, with ongoing training requirements, etc. They have a very similar scope of practice, both providing advanced level care.

In the US it's pretty common for fire departments to require EMT level training, with some folks then going on to get their Paramedic certification. Agencies that require everyone to be a paramedic are rare (but they do exist).