救急救命士 救急救命士
What 救急救命士 do
An English description is being prepared. Japanese description:
消防本部の指令センターから指令を受け、救急車などに乗って現場に急行する。傷病者の症状を確認し、その場で必要な応急処置を行う。傷病者を救急車に収容し、搬送先の病院に向かう。その車内において、聴診器による心音・呼吸音の確認、心電図の測定、酸素吸入器による酸素吸入、自動体外式除細動器（AED）による除細動などの処置を行う。更に、専用端末で救急指導医師の指示を受けながら、輸液や気管内チューブによる気道確保などの救急救命処置を行うこともある。
病院に到着してからは、傷病者を病院の担当者に引き継ぎ、症状や応急処置の内容を医師に報告する。署に戻って報告書を作成し、次の出動に備える。救急現場の場所によってはヘリコプターで出動することもあり、機内において処置をする場合もある。
また、救急救命士の資格を有しているが消防機関に所属していない救急救命士も増えており、病院、ドクターカー、ドクターヘリの診療補助などの場面で活躍している。
◇ よく使う道具、機材、情報技術等
医療機器（聴診器等）、心電図、酸素吸入器、自動体外式除細動器（AED）、気管内チューブ、大型、中型、準中型、特殊自動車等（普通免許だけでは運転できないもの）、作業中の保護具（ヘルメット、ゴーグル、グローブ、安全靴等）
Employment type of workers
救急救命士 salary
The average annual pay for 救急救命士 in Japan is ¥3.35M (≈ $21,320; Basic Survey on Wage Structure (2025), national). The estimated median is ¥3.12M, the typical range is ¥2.41M–¥5.46M and the top 10% earn about ¥4.76M.
How does your pay compare with people your age?
Your numbers are not sent or stored. The distribution is estimated from Japan's national wage statistics, including pay differences by age.
Pay by ageest.
Estimated from the average pay and average age (56.6) using the age-wage curve of the Basic Survey on Wage Structure.
Pay by experienceest.
Pay by employment typeest.
The average hourly wage of ¥1,643 is 1.4× Japan's national average minimum wage of ¥1,177 (fiscal 2026). Minimum wage by prefecture →
Japanese pay is shown in yen (¥5.57M = 5.57 million yen ≈ 557万円). Dollar figures use the current rate of 157.25 yen per dollar and are for reference only; purchasing power differs.
Pay over time
| Year | Average pay | Employment | Openings ratio |
|---|---|---|---|
| 2021 | ¥3.08M | — | — |
| 2022 | ¥3.12M | — | — |
| 2023 | ¥3.50M | — | 6.66x |
| 2024 | ¥3.29M | — | 6.56x |
| 2025 | ¥3.35M | — | 6.38x |
Projected pay for 救急救命士 (3, 5 and 10 years)est.
Today ¥3.35M → in 3 years ¥3.72M → in 5 years ¥3.98M → in 10 years ¥4.73M (10-year range ¥4.07M–¥5.49M). The model assumes pay growth of +3.5% per year.
What drives the annual growth rate
Projected pay = current pay × (1 + annual growth)^years. The annual growth rate starts from a base wage-growth rate and adds or subtracts labor demand (the job-openings-to-applicants ratio), wage momentum and AI replacement risk for each occupation. Projections are not guarantees. How it is calculated →
Outlook score for 救急救命士
Each component is a percentile rank among all occupations in the same country (0–100). Weights: labor demand 25, wage momentum / openings 15, pay level 15, AI resistance 25, aging workforce 10 (Japan only), entry barrier 10.
Will AI replace 救急救命士? AI replacement risk
How AI is changing this job
A written analysis for this occupation is being prepared.
AI replacement risk compares the parts of a job that are easy to hand to AI or software (processing information, documentation, repetitive computer work) with the parts that are hard to automate (physical work, working closely with people, judgment in unpredictable settings), using the MHLW job tag survey on work activities, work context, skills and knowledge. The result is a relative position among all occupations in the country, scaled to 0–100%. Methodology →
Labor demand for 救急救命士
A ratio above 1.0 means there are more job openings than applicants (a labor shortage). The 5- and 10-year figures are estimates from the openings ratio, wage momentum and AI replacement risk.
The same job in the United States
| 救急救命士 Japan | Paramedics United States | |
|---|---|---|
| Median / average pay | ¥3.35M ≈ $21,320 | $60,600 |
| Pay in 10 years (est.) | ¥4.73M | $84,400 |
| Outlook score | 74 | 58 |
| AI replacement risk | 9% Very low | 13% Very low |
| Workers | — | 101K |
Matched by occupation (SOC code). Yen converted at 157.25 JPY/USD for reference; Japanese figures are averages, U.S. figures are medians, and the surveys define occupations differently.
Skills, education and requirements for 救急救命士
Key skills
Skill levels from the MHLW job tag worker survey.
Key knowledge areas
What the work involves
Important abilities
Licenses and certifications (Japan)
- 救急救命士
Related qualifications listed on job tag (names in Japanese). Some are mandatory, others recommended.
Education of workers
Training before entry
Related work experience
Difficulty of entry: ★★☆☆☆ Fairly easy (from education, training, experience, licenses)
How to become 救急救命士
The typical path in Japan is shown by the education, training and experience of current workers above and in the Japanese guidance below. A detailed English guide for this occupation is being prepared.
Guidance from job tag (Japanese)
消防職の中で救急救命士として活動するには、救急救命士国家試験に合格し、救急救命士の免許を得ることが必要である。
採用当初から救急救命士として働くことはまれであり、消防学校で救急隊員として必要な教育を受けてから現場に配属され、実務経験を積み、専門的な知識と技術を学んで資格を取得するのが一般的である。
大学や専門学校において救急救命に関する専門的な技術と知識を学び、卒業後に国家試験を受けて資格を取得する方法もある。
最新の救急救命医療に対応するため、日々知識や技術を磨いていくことが求められる。病院に搬送しながら傷病者に適切な処置を行う必要があるため、迅速に冷静な判断をくだせる必要がある。また、緊急を要する作業のため、機敏に的確な処置を行うことも重要である。なによりも人命にかかわる仕事のため、強い責任感が求められる。
Career path and how to earn more as 救急救命士
Career-path guidance is being prepared. Pay by experience is shown in the Pay section.