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The Pittsburgh Bureau of Emergency Medical Services (PEMS) provides emergency medical services and medically directed rescue services for the City of Pittsburgh, Pennsylvania. It is a bureau of the Department of Public Safety (DPS), along with the Bureaus of Police , Administration, Fire , and Animal Care and Control.
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.
EMR training is considered a bare minimum for emergency service workers who may be sent out in response to an emergency call. It is typically required as a bare minimum of medical training for firefighters, police officers and search and rescue personnel. Many EMRs have location-specific training such as water rescue or mountain rescue and must ...
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An emergency medical technician (often, more simply, EMT) is a medical professional that provides emergency medical services. [1] [2] 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.
An advanced emergency medical technician (AEMT) is a provider of emergency medical services in the United States. A transition to this level of training from the emergency medical technician-intermediate, which have somewhat less training, [1] began in 2013 and has been implemented by most states [citation needed]. AEMTs are not intended to ...
In 1967, he began training unemployed African-American men in what later became Freedom House Ambulance Service, [4] [5] the first paramedic squadron in the United States. [6] [7] Dr. Eugene Nagel trained city of Miami firefighters as the first U.S. paramedics to use invasive techniques and portable defibrillators with telemetry in 1967. [8]
The majority of paramedics are employed by the emergency medical service for their area, although this employer could itself be working under a number of models, including a specific autonomous public ambulance service, a fire department, a hospital based service, or a private company working under contract.