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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 emergency medical technician is a medical professional that provides emergency medical services. EMTs are most commonly found serving on ambulances and in fire departments in the US and Canada, as full-time and some part-time departments require their firefighters to at least be EMT certified.
A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital. Paramedics work as part of the emergency medical services (EMS), most often in ambulances. They also have roles in emergency medicine, primary care, transfer medicine and remote/offshore medicine. The scope of practice of a paramedic varies between countries, but generally includes autonomous decision making around the emergency care of patients.
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.
Randolph Mantooth is an American actor who has worked in television, documentaries, theater, and film for more than 50 years. A graduate of the American Academy of Dramatic Arts, he was discovered in New York by a Universal Studios talent agent while performing the lead in the play Philadelphia, Here I Come. After signing with Universal and moving back to California, he slowly built up his resume with work on such dramatic series as Adam-12 (1968); Marcus Welby, M.D. (1969); McCloud (1970) and Alias Smith and Jones (1971).
A paramedic is a healthcare professional, providing pre-hospital assessment and medical care to people with acute illnesses or injuries. In Canada, the title paramedic generally refers to those who work on land ambulances or air ambulances providing paramedic services. Paramedics are increasingly being utilized in hospitals, emergency rooms, clinics and community health care services by providing care in collaboration with registered nurses, registered/licensed practical nurses and registered respiratory therapists.
In the United States, the paramedic is an allied health professional whose primary focus is to provide advanced emergency medical care for patients who access Emergency Medical Services (EMS). This individual possesses the complex knowledge and skills necessary to provide patient care and transportation. Paramedics function as part of a comprehensive EMS response under physician medical direction. Paramedics often serve in a prehospital role, responding to Public safety answering point (9-1-1) calls in an ambulance. The paramedic serves as the initial entry point into the health care system. A standard requirement for state licensure involves successful completion of a nationally accredited Paramedic program at the certificate or associate degree level.
A Paramedic in Australia is a health care professional who holds a minimum of a Bachelor's Degree in Paramedicine and is registered with the Paramedicine Board of Australia via the Australian Health Practitioners Regulation Agency (AHPRA) As of December 2021, there are over 22,500 registered paramedics in Australia, of which approximately 70% (15,750) work for a jurisdictional service, and of which 47% of which are female. Paramedics in Australia may undergo further training and complete a Master's Degree to specialise in either Intensive Care or Primary Care medicine.
NSW Ambulance, previously the Ambulance Service of NSW, is an agency of NSW Health and the statutory provider of pre-hospital emergency care and ambulance services in the state of New South Wales, Australia.
York Region Paramedic Services provides legislated land ambulance services and paramedic care for the local municipalities within York Region. Paramedic Services is a division of the Region's Paramedic and Seniors Service Branch. Prior to 2000, ambulance services were provided by 2 private operators, York County Hospital, Nobleton Volunteer Ambulance and Ontario's Ministry of Health. The patchwork of service also had York Region dispatched by 3 different Ministry of Health Communication Centres. Georgian CACC now dispatches the whole region on the Ontario Government leased Bell Mobility Fleetnet VHF trunked radio system. There are approximately 480 full-time paramedics serving the region. Paramedic Operations are based in East Gwillimbury, Ontario.
The San Diego Fire-Rescue Department (SDFD) is the full-service fire department of San Diego, California. It was established on August 5, 1889. The department responds to over 183,000 calls per year. It covers 343 square miles of service area, including 17 miles of coastline. It is the second-largest municipal fire department in California, after the Los Angeles Fire Department.
Winnipeg Fire Paramedic Service (WFPS) provides fire and EMS services to the City of Winnipeg, Manitoba. It operates from 27 fire stations, and 3 administration offices across the city.
Emergency medical personnel in the United Kingdom are people engaged in the provision of emergency medical services. This includes paramedics, emergency medical technicians and emergency care assistants. 'Paramedic' is a protected title, strictly regulated by the Health and Care Professions Council, although there is tendency for the public to use this term when referring to any member of ambulance staff.
Crafton Hills College (CHC) is a public community college in Yucaipa, California. CHC is part of the California Community College system. It offers associate degrees and career and technical certificates. Since its opening in 1972, more than 200,000 people have attended Crafton Hills and the college now serves approximately 6,500 students each semester with day, evening, and online classes.
Justice Institute of British Columbia (JIBC) is a public, post-secondary educational institution in New Westminster, British Columbia, Canada, that is focused on training professionals in the justice, public safety and social services fields. JIBC also has campuses in Victoria, Kelowna, Chilliwack, Pitt Meadows, and Maple Ridge.
In the United States, the licensing of prehospital emergency medical providers and oversight of emergency medical services are governed at the state level. Each state is free to add or subtract levels as each state sees fit. Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state. Even though primary management and regulation of prehospital providers is at the state level, the federal government does have a model scope of practice including minimum skills for EMRs, EMTs, Advanced EMTs and Paramedics set through the National Highway Traffic Safety Administration (NHTSA).
Emergency Medical Responders (EMRs) are people who are specially trained to provide out-of-hospital care in medical emergencies, typically before the arrival of an ambulance. Specifically used, an emergency medical responder is an EMS certification level used to describe a level of EMS provider below that of an emergency medical technician and paramedic. However, the EMR is not intended to replace the roles of such providers and their wide range of specialties.
Emergency medical services in Australia are provided by state ambulance services, which are a division of each state or territorial government, and by St John Ambulance in both Western Australia and the Northern Territory.
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.
References
- ↑ Economic Development Brandon. Manitoba Emergency Services College [Retrieved 5 September 2010].
- ↑ MESC. Manitoba Emergency Services College [Retrieved 5 September 2010].
- ↑ MESC. History of the Manitoba Emergency Services College [Retrieved 5 September 2010].
- ↑ MESC. Public Program Areas [Retrieved 5 September 2010].
- ↑ MESC. Public Fire Paramedic Program (PFPP) [Retrieved 6 September 2010].
- ↑ MESC. Public Emergency Responder Certification (PERC) [ archived 14 September 2010;Retrieved 6 September 2010].
- ↑ MESC. Manitoba Emergency Services College - Accreditation [Retrieved 10 September 2010].