The duties of a firefighter EMT are to respond to medical emergencies and fires, perform rescue operations, and provide transportation to hospitals. Your responsibilities in this career also include performing maintenance and administrative work at the firehouse. You maintain equipment, keep the engine clean and in working condition, and do paperwork. All firefighters need to be certified as an emergency medical technician. Typically, becoming an EMT is part of your career path before you enter the fire academy or do field training at a firehouse.