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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.
Until the professionalization of emergency medical services in the early 1970s, one of the most common providers of ambulance service in the United States was a community's local funeral home. [9] This occurred essentially by default, as hearses were the only vehicles at the time capable of transporting a person lying down.
CAMTS first enacted its Accreditation Standards in 1991, which were developed by its member organizations as well as with extensive public comment and input. [2] The Standards are the core element to the CAMTS program, which declares that the highest priorities for medical transport services companies are "patient care and safety of the transport environment". [3]
Therefore, in most all rescue environments, whether it is an EMS or fire department that runs the rescue, the actual rescuers who cut the vehicle and run the extrication scene or perform any rescue such as rope rescues or swift water rescue, etc., are emergency medical responders, emergency medical technicians, or paramedics, as most every ...
The Emergency Medical Services System and Prehospital Emergency Medical Care Personnel Act (California Health and Safety Code sections 1797 et seq.) created the Emergency Medical Services Authority in 1980. This legislation (SB 125) was the culmination of several years of effort by local administrators, health care providers, consumer groups ...
Governing, licensing, and law enforcement bodies are often at the sub-national (e.g. state or province) level, but national guidelines and regulations also often exist. For example, in the United States, the National Highway Traffic Safety Administration in the Department of Transportation has a national scope of practice for emergency medical ...
The United States EMS Compact, officially known as the Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA), is an interstate compact designed to facilitate the day-to-day practice of emergency medical services personnel across state lines. The compact provides a framework for states to extend a "privilege to practice" for ...
Standards for ambulance design have existed in the United States since 1976, where the standard is known as KKK-1822-A. [3] This standard has been revised several times, and is currently in version 'F', known as KKK-1822-F. As with the European system, only the most current version of the standard should be used.