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 be EMT certified.
The Seattle & King County Emergency Medical Services System is a fire-based two-tier response system providing prehospital basic and advanced life support services.
A medical director is a physician who provides guidance and leadership on the use of medicine in a healthcare organization. These include the emergency medical services, hospital departments, blood banks, clinical teaching services, and others. A medical director devises the protocols and guidelines for the clinical staff and evaluates them while they are in use.
The City of Toronto Paramedic Services, is the statutory emergency medical services provider in Toronto, Ontario, Canada. The service is operated as a division of the City of Toronto, under the Community & Social Services cluster. The service is funded by the municipal tax base, and operates similarly to other municipal divisions, such as the Toronto Parks, Forestry & Recreation division, or the Toronto Water division, but retains operational independence from other divisions. While under municipal government control, it is subject to provincial legislation and licensing. It is not the only service provider in its area; private-for-profit medical transport services also provide routine, non-emergency transports and coverage for special events, but the statutory emergency medical system is the only provider permitted to service emergency calls.
Metropolitan Ambulance Services Trust ("MAST") is a former non-profit EMS agency that was the sole ambulance provider for Kansas City, Missouri. On April 25, 2010, MAST was merged into the Kansas City Fire Department to operate as one municipal services department. There are now 21 Statically Deployed ALS transport ambulances deployed from 19 different Fire Stations, with additional Dynamically deployed ALS transport ambulances scheduled throughout each day, totalling 33 dynamic shifts.
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.
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 services in Canada are the responsibility of each Canadian province or territory. The services, including both ambulance and paramedic services, may be provided directly by the province, contracted to a private provider, or delegated to local governments, which may in turn create service delivery arrangements with municipal departments, hospitals or private providers. The approach, and the standards, vary considerably between provinces and territories.
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.
Cypress Creek Emergency Medical ServicesAssociation, also known as Cypress Creek EMS (CCEMS) was a private, non-profit emergency medical service provider for Harris County ESD 11 in North Harris County, within greater Houston, Texas. In 2021, CCEMS declared bankruptcy and operations ceased in mid 2022. In late 2022, the remaining assets, branding, and trademarks were bought by Viking Enterprises, DBA City Ambulance Service. All ambulances in use by CCEMS are Mobile Intensive Care Units (MICU), with at least one Paramedic, making all ambulances ALS units. Cypress Creek EMS provided 911 service in North Harris County, provided bicycle medic teams for special events, provided tactical EMS support for federal, state, and local law enforcement, and operated an accredited educational institution.
The Emergency Medical Services Authority (EMSA) is Oklahoma's largest provider of pre-hospital emergency medical care. EMSA provides ambulance service to more than 1.6 million residents in central and northeast Oklahoma.
Grady EMS is an emergency care provider owned by Grady Healthcare System, established in 1892 in Atlanta, Georgia.
Statcom - Citywide MARTA Mission Critical EMS Rescue / Fire Rescue & SecureMobility Transit is the largest private provider of advanced life support (ALS) and basic life support (BLS) ambulance transportation services in the tri-state area. Its main operation areas of New York City, the Hudson Valley, Long Island, the state of Delaware, the Baltimore-Washington DC corridor and in numerous locations in Pennsylvania. It was the largest privately owned ambulance service in the Mid-Atlantic. It was the largest privately owned public benefits corporation ambulance and paratransit service in the Tri-State Area
Emergency medical services in the Netherlands is a system of pre hospital care provided by the government in partnership with private companies.
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.
The Virginia Beach Department of Emergency Medical Services is the 911 EMS provider for Virginia Beach, Virginia. Virginia Beach is the largest city in the United States with a volunteer based EMS system. Since the 1940s Virginia Beach has offered free pre-hospital emergency services through 10 volunteer rescue squads supported by 1,100+ volunteers throughout the city. Virginia beach EMS has also been a leader in a variety of pre-hospital technologies including 12-lead transmission,EZ-IO technology and therapeutic hypothermia,rapid sequence induction and intubation (RSII),video laryngoscope,end tidal CO2 monitoring,S T Elevation Myocardial Infarction (STEMI) and Stroke programs and community CardioPulmonary Resuscitation (CPR),among others. These programs and more have contributed to the 36% cardiac arrest survival rate (2012).
Middlesex-London Paramedic Service is the statutory Emergency medical services provider for Middlesex County, and London, Ontario. The service provides Paramedic Services to the City of London, and the Townships of Adelaide Metcalfe, Lucan Biddulph, Middlesex Centre, North Middlesex, Southwest Middlesex, Strathroy-Caradoc, Thames Centre, Newbury. Middlesex London Paramedic Service delivers ambulance service to Middlesex and London in accordance with service and patient care standards set by the County of Middlesex, City of London, and Ministry of Health and Long Term Care. Medical oversight for controlled medical acts is provided under the direction of the Southwestern Ontario Regional Base Hospital Program.
The City of Cleveland Division of Emergency Medical Service, also known as Cleveland EMS or CEMS, is the division of the municipal government tasked with emergency ambulance transport for the City of Cleveland, Ohio.
