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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.
Former Fire Station 5, which housed the headquarters of the fire department until fall 2021 Memphis Fire Station 1, a museum Memphis Fire Station 21, an example of a modern station. Memphis Fire Department provides fire protection and emergency medical services to the city of Memphis, Tennessee.
The show's technical advisor was a pioneer of paramedicine, James O. Page, [18] then a Battalion Chief responsible for the Los Angeles County Fire Department 'paramedic' program, but who would go on to help establish other paramedic programs in the U.S., and to become the founding publisher of the Journal of Emergency Medical Services. [19]
In some states there are also EMS-RN's which is a Registered Nurse trained in Pre-Hospital response. In the list, each state's certification levels are provided from most basic at the top to most advanced at the bottom.
The most notable examples of this model in the United States are Pittsburgh Bureau of Emergency Medical Services, Boston EMS, New Orleans Emergency Medical Services, and Cleveland EMS. Government ambulance services also have to take civil service exams just like government fire departments and police.
EMS is a labor- and equipment-intensive industry that struggles to recruit personnel, collect insurance reimbursement and, more recently, transfer patients to emergency rooms in a timely fashion.
Following the successes of these organizations, similar organizations soon sprang up in many large cities in Europe and the United States, all with the goal of successfully resuscitating victims of sudden death or cardiac arrest. These rescue societies of the 18th century were the precursors of today's emergency medical services.
In Brazil, the first emergency medicine residency program was created at Hospital Pronto Socorro de Porto Alegre in 1996. In 2002, the emergency medical services were standardized nationally with the creation of SAMU (Serviço de atendimento móvel de urgência), inspired by French EMS, which also provides training to its employees.