In the United States, community emergency response team (CERT) can refer to
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.
Rope rescue is a subset of technical rescue that involves the use of rope, be it steel or cable rope, or more commonly used nylon, polyester, or other type of rope. Kernmantle rope as it is called, is available in various types: dynamic or static which is most commonly used in rescue and industrial rope work. Anchoring includes using specialty anchors, as well as things as simple as a length of chain, cable, rope, or webbing wrapped around a pillar, tree, boulder, or such. They provide the security and a point from which a person or subject can be belayed. Belaying is the act of protecting the climber, rescue professional, or subject in the event of a fall. Various other devices used, including friction rappel (lowering) devices, which acts as a braking device on the rope. They are used for lowering a load, a subject or oneself (rappelling). Pulleys can serve as a mechanical advantage, along with rope grabs, and other tools, to raise, or haul, a load up a vertical section, or across a gully or canyon. Pulleys systems are used in conjunction with the rope, rope grabbing devices, i.e.: Prusiks, or mechanical grabs, to capture the progress made during the lift. Since pulley systems are generally short in length, they are used in conjunction with a progress (raise) capturing technique, and a long rope; and a backup safety or belay. This specialized equipment is used to reach the subject(s) and safely recover them.
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.
In American law enforcement, the Emergency Service Unit, or ESU, is a multi-faceted element within a law enforcement agency’s Special Operations Command.
Palm Beach County Fire Rescue is one of the largest fire departments in the State of Florida. With 51 stations Palm Beach County Fire Rescue provides fire protection, Advanced Life Support, emergency medical services, technical rescue, hazardous materials' mitigation, aircraft rescue/firefighting, fire investigation, and 911 dispatching for unincorporated parts of Palm Beach County, Florida as well as 19 cities under contract.
Wilderness medicine is defined by difficult patient access, limited equipment, and environmental extremes. Today, wilderness or expedition medicine is practiced by Wilderness First Responders, Wilderness EMTs, Remote/Offshore/Wilderness Paramedics and Physicians on expeditions, in outdoor education, search and rescue, mountain rescue, remote area operations including research, exploration, and offshore oil platforms, as well as tactical environments. In mainland Europe, where mountain rescue is done by paid professionals, there are courses for physicians that help qualify them to be mountain rescue or expedition doctors. Many of these courses lead to an International Diploma in Mountain Medicine, which is recognized by the Union Internationale des Associations Alpinistes.
An wilderness emergency medical technician is an emergency medical technician that is better equipped than other licensed healthcare providers, who typically function almost exclusively in wilderness environments, to better stabilize, assess, treat, and protect patients in remote and austere environments until definitive medical care is reached. Despite the term, wilderness emergency medical technician training is available and geared not just to the emergency medical technician, but also the paramedic, prehospital registered nurse, registered nurse, physician assistant, and medical doctor. After all, without an understanding of the applicable gear, skills, and knowledge needed to best function in wilderness environments, including a fundamental understanding of the related medical issues more commonly faced, even an advanced provider may often become little more than a first responder when called upon in such an emergency. WEMT training and certification is similar in scope to wilderness advanced life support (WALS) or other courses for advanced providers such as AWLS, WUMP, WMPP, and RMAP. Unlike more conventional emergency medicine training, wilderness emergency medicine places a greater emphasis on long-term patient care in the backcountry where conventional hospital care can be many hours, even days, away to reach.
Explorer Search and Rescue (ESAR) are teams of Explorers in the Learning for Life program of the Boy Scouts of America who are trained and deployed for search and rescue missions. Well-developed ESAR programs emerged in the state of Washington in the mid-1950s and were followed by others in California and elsewhere. The rugged, mountainous terrain of these areas often require massive amounts of manpower for proper searches for missing people, not to mention their rescue and evacuation from remote areas. The ESAR mission has also expanded over the years to include urban search and rescue and other disaster-related disciplines. Many ESAR groups also provide wilderness safety training to the public.
Multnomah County Sheriff's Office Search and Rescue is a non-profit volunteer search and rescue resource for the Multnomah County Sheriff's Office in Multnomah County, Oregon, United States. The agency also offers its 3,000-5,000 hours of volunteer service to other areas, including Clackamas, Columbia, Washington, Marion, Hood River, Wasco, Tillamook, and Clatsop counties in Oregon, and Skamania and Clark counties in Washington. The organization was first created in 1961 in cooperation with the Boy Scouts of America, and is one of the longest continually used Explorer Search and Rescue units in the United States. In 1986, sponsorship of the MCSO SAR was transferred to the Multnomah County Sheriff's Office. MCSO SAR is part of the Mount Hood Search and Rescue Council. MCSO receives funding from the Department of Homeland Security within the Urban Area Security Initiative (UASI) to create a regional resource.
Civil Defence Ireland is the national civil defence organisation of Ireland. It is a statutory agency of the Irish Department of Defence and is administered by local authorities. It was established in 1951 in response to the threat of nuclear disaster posed by the atomic bomb following World War II. Today it is an emergency response and rescue agency whose purpose is to provide aid, assistance and relief in times of emergency or natural disaster. It may also support primary emergency response agencies namely the Garda Síochána, HSE National Ambulance Service, and local authority fire services when requested. Civil Defence Ireland consists almost entirely of volunteers, numbering 2500 as of May 2023.
Emergency medical responders are people who are specially trained to provide out-of-hospital care in medical emergencies. There are many different types of emergency medical responders, each with different levels of training, ranging from first aid and basic life support. Emergency medical have clinical experience or clinical skills of emergency medical services (EMS) personnel. The EMR program is not intended to replace the roles of emergency medical technicians or paramedics and their wide range of specialties. Emergency medical responders typically assist providing basic life support. "Emergency medical responder" is a broad term, used either to describe a certain EMS certification level, or generally to describe those who respond to medical emergencies. 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. Broadly used, a first responder is the first medically trained personnel who comes in contact with a patient. This could be a passerby, citizen volunteer, or fire department, police, or emergency medical services personnel.
The San Bernardino County Sheriff-Coroner's Department (SBSD) serves San Bernardino County, California, which is geographically the largest county in the United States and is headquartered in San Bernardino. SBSD provides law enforcement services to the unincorporated areas of the county and contract law enforcement services to 14 of the county's cities, including Rancho Cucamonga and Chino Hills, serving a total of 1,029,466 of the county's 2 million residents. The department also operates the county jail system, provides marshal services for the county superior courts, and has numerous other specialized divisions to serve the citizens of San Bernardino County.
Hawk Mountain Ranger School (HMRS) is a Search and Rescue school operated by the Pennsylvania Wing of the Civil Air Patrol (CAP). The school is located in the foothills of the Blue Mountains on 77 acres of Civil Air Patrol corporate property. The Summer School, which is the school's longest and most popular event, is a National Cadet Special Activity.
Marin County Search and Rescue is an all-volunteer organization in Marin County within Marin County Sheriff's Office. With approximately sixty active members, Marin County's Search and Rescue responds to searches for missing children and adults, evidence and other search requests in the county and on mutual aid calls anywhere in the state of California. Marin SAR is a mountain rescue Type I team with the motto of: "Anytime, Anywhere, Any Weather."
Portland Mountain Rescue is a search and rescue organization based in Portland, Oregon, United States. It specializes in high angle mountain rescue and mountain rescue in northwest Oregon and southwest Washington, as well as providing educational materials and information on mountain and backcountry safety. Secondary areas of operations include Central Oregon and western Washington. The organization is 100% volunteer and has about 65 field-deployable members.
Search and rescue in the United States involves a wide range of organizations that have search and rescue responsibilities.
Douglas County Search and Rescue is an all-volunteer organization in Douglas County within Douglas County Sheriff's Office. With approximately sixty active members year-round, Douglas County's Search and Rescue responds to searches for missing children and adults, evidence and other search requests in the county and on mutual aid calls anywhere in the state of Colorado. Douglas SAR is a mountain rescue Type I certified team able to handle the toughest terrain and remain out in the field without resupply for extended periods.
The Blacksburg Volunteer Rescue Squad was established in 1950 as an all-volunteer EMS agency providing free service to a community of approximately 55,000 residents, including half of Montgomery County, Virginia, and the Town of Blacksburg. The squad has about 120 members, including community members with full-time jobs, as well as high school and college students.
