Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.
An ambulance is a medically equipped vehicle which transports patients to treatment facilities, such as hospitals. Typically, out-of-hospital medical care is provided to the patient during the transport.
A certified first responder is a person who has completed a course and received certification in providing pre-hospital care for medical emergencies. Certified individuals should have received much more instruction than someone who is trained in basic first aid and cardiopulmonary resuscitation (CPR) but they are not necessarily a substitute for more advanced emergency medical care rendered by emergency medical technicians and paramedics. First responders typically provide advanced first aid level care, CPR, and automated external defibrillator (AED) usage. The term "certified first responder" is not to be confused with "first responder", which is a generic term referring to the first medically trained responder to arrive on scene and medically trained telecommunication operators who provide pre-arrival medical instructions as trained Emergency Medical Dispatchers (EMD). Many police officers and firefighters are required to receive training as certified first responders. Advanced medical care is typically provided by EMS, although some police officers and firefighters also train to become emergency medical technicians or paramedics.
A nontransporting EMS vehicle, also known as a fly-car, response vehicle, quick response service (QRS) vehicle, or fast response vehicle, is a vehicle that responds to and provides emergency medical services (EMS) without the ability to transport patients. For patients whose condition requires transport, an ambulance is necessary. In some cases they may fulfill other duties when not participating in EMS operations, such as policing or fire suppression.
In American law enforcement, the Emergency Service Unit, or ESU, is a multi-faceted element within a law enforcement agency’s Special Operations Command.
As firefighting has a rich history throughout the world, traditions in this profession vary widely from country to country.
Louisville Metro Emergency Medical Services is the primary provider of pre-hospital life support and emergency care within Louisville-Jefferson County, Kentucky. LMEMS is a governmental department that averages 90,000 calls for service, both emergency and non-emergency, each year.
In the United States, emergency medical services (EMS) provide out-of-hospital acute medical care and/or transport to definitive care for those in need. They are regulated at the most basic level by the National Highway Traffic Safety Administration, which sets the minimum standards that all states' EMS providers must meet, and regulated more strictly by individual state governments, which often require higher standards from the services they oversee.
Emergency Medical Service in Germany is a service of public pre-hospital emergency healthcare, including ambulance service, provided by individual German cities and counties. It is primarily financed by the German public health insurance system.
Lincolnshire Fire and Rescue (LFR) is the statutory fire and rescue service serving the non-metropolitan county of Lincolnshire in the East Midlands Region of England. This does not include North Lincolnshire and North East Lincolnshire, which are covered by Humberside Fire and Rescue Service.
Ambulance Services in Hong Kong are provided by the Hong Kong Fire Services, in co-operation with two other voluntary organisations, the Auxiliary Medical Service and the Hong Kong St. John Ambulance.
State Medical Rescue in Poland is a system of free public emergency healthcare established by Ustawa o Państwowym Ratownictwie Medycznym, including ambulance service and Emergency Departments (EDs). While in Polish public hospitals and clinics NFZ common public insurance is required, PRM medical services in ambulances and EDs are completely free for everyone. Since 2018 emergency ambulances that operates in PRM, that is Polish 112 and 999 emergency numbers, are operated by public entities only.
A mass casualty incident describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995, the September 11 attacks in 2001, and the Boston Marathon bombing in 2013 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. A multiple casualty incident is one in which there are multiple casualties. The key difference from a mass casualty incident is that in a multiple casualty incident the resources available are sufficient to manage the needs of the victims. The issue of resource availability is therefore critical to the understanding of these concepts. One crosses over from a multiple to a mass casualty incident when resources are exceeded and the systems are overwhelmed.
Firefighting in the United States dates back to the earliest European colonies in the Americas. Early firefighters were simply community members who would respond to neighborhood fires with buckets. The first dedicated volunteer fire brigade was established in 1736 in Philadelphia. These volunteer companies were often paid by insurance companies in return for protecting their clients.
The Virginia Beach Volunteer Rescue Squad is one of the ten volunteer rescue squads of the City of Virginia Beach, Department of EMS that serves as the medical emergency response and rescue services agency to the citizens and visitors of Virginia Beach. This is the largest rescue squad in the largest all-volunteer based EMS system in the United States. Each rescue squad in the system is housed in a city-owned EMS/Fire station, with the exception of four privately owned rescue stations, including the two owned by VBVRS.
A motorcycle ambulance is a type of emergency response vehicle which carries either a solo paramedic, emergency medical technician, or first responder to a patient; or may also be used with a trailer or sidecar for transporting patients. Because of its small size and agile performance, a motorcycle ambulance is able to respond to a medical emergency much faster than a car or conventional ambulance vehicle in heavy traffic, which can increase survival rates for critically ill patients, especially those in cardiac arrest.
The Loudoun County Combined Fire-Rescue System (LC-CFRS) is made up of the career Loudoun County Fire and Rescue (LCFR) and 16 volunteer organizations. LC-CFRS has the responsibility of protecting the citizens and property of the towns, villages, and suburbs of Loudoun County, Virginia, United States, from fires and fire hazards, providing emergency medical services, and technical rescue response services, including Hazardous Materials mitigation, Mass Casualty Incident response services, environmental danger response services and more. The department's headquarters and training facilities are in Leesburg, off Sycolin Road.
Emergency Medical Service in Austria is a service of public pre-hospital emergency healthcare, including ambulance service, provided by individual Austrian municipalities, cities and counties. It is primarily financed by the Austrian health insurance companies.
Emergency medical services in Portugal are organized in three separate systems, one each covering Continental Portugal, the Azores and Madeira. The largest system is SIEM, which covers the territory of Continental Portugal.
The Munich Fire Department is the firefighting authority of the City of Munich. The Munich fire department is divided into a professional department with approximately 1500 fire fighters staffing a total of 10 fire stations located strategically throughout the city to meet the legal aid period of 10 Minutes, and a volunteer fire department, whose approximately 1,050 members are organized in 22 companies. Each year, the Munich Fire Department responds to about 80,000 calls. The volunteers respond to about 3,500 calls annually. This makes the Munich Fire Department the third largest fire department as well as the largest municipal fire department in Germany.
