Perhaps things are different in Italy, but here in the US I can absolutely pronounce someone dead. 'EMT' is a lower level of training, and do require the 'injur

Perhaps things are different in Italy, but here in the US I can absolutely pronounce someone dead. 'EMT' is a lower level of training, and do require the 'injuries incompatible with life' criteria, but as a paramedic, I have far more leeway. patient has an unknown downtime, is cool centrally, has visible lividity, or early stages of rigor, then I'm just going to hook up an EKG to confirm asystole, call my dispatcher for an official timestamp, and hand the scene over to the police.