This study was conducted to identify the most common medical interventions that student sapplied and to determine the perceived level of difficulty during this attempt in the emergency service training. The study consisted of the paramedic students who were in the second and fourth terms academic year in 2012-2013. The data collection form is created to identify medical intervention sapplied in the emergency department and to determinants’ frequency and perceived difficulty levels. Students gave an average of 7.3±2.07 points out of 10 for the contribution of emergency service practice to their training. In the emergency service, the average frequency of student’s application skills is 3.0±0.51 points out of 5. The perceived difficulty level of the skills was found the average score of 2.1±0.28. The most common medical procedures they apply and the difficulty levels were as follows; Monitoring of Vital Signs (4.8±0.74), Parenteral Drug Application+ Aseptic Techniques (4.6±0.42), Cervical Immobilisation (4.4±1.16). The most difficult initiatives they perceive were Pleural Needle Decompression+Cricothyroidotomy (3.6±0.76), Intra Osseous Drug Application (3.2±1.68), Birth+Newborn Care (3.2±0.82), Emergency Duty+Triage (3.2±0.81). Students feedback can be used to update the training of paramedics curriculum. Development of measurement tools is recommended to evaluate the effectiveness of clinical competence in emergency service training.