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The modern EMS system in King County began operation in 1970 with 15 paramedics staffing one paramedic unit in Seattle. In 2009, there were 255 paramedics [3] from six paramedic programs staffing 26 paramedic units. [4] [5] The system is a dynamic layered response system. An EMS response to an emergency begins with a telephone call to 9-1-1.
The training, knowledge base, and skill sets of both paramedics and emergency medical technicians (both competed for the job title, and 'EMT-Paramedic' was a common compromise) were typically determined by what local medical directors were comfortable with, what it was felt that the community needed, and what could actually be afforded.
The study found many unnecessary deaths could be prevented through a combination of community education, stricter safety standards, and better pre-hospital treatments. Freedom House Ambulance Service was the first emergency medical service in the United States to be staffed by paramedics with medical training beyond basic first aid. [24]
Using NHTSA guidelines, the National Registry of Emergency Medical Technicians have developed and implemented certification tests for the NHTSA EMT levels, including the EMT level. [11] As of 2006, 39 US states utilize the NREMT EMT exam as part of the state licensing and/or certification procedure. [12]
In a medical context, certified first responder is an individual who has received certification to provide pre-hospital care in a certain jurisdiction. A community first responder is a person dispatched to attend medical emergencies until an ambulance arrives.
As of 2011, 38 states use the NREMT examination for EMT certification and 45 states use the NREMT examination for Paramedic certification. [3] These levels are denoted below using an asterisk (*). At present time, use of the NREMT examination for EMT-Intermediate 85 and 99 have not been included in this list.
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A health profession focused on assisting individuals, families, and communities in the wake of acute or sudden onset of medical emergencies or traumatic events, [citation needed] paramedicine is practiced predominantly in the prehospital setting and is based on the sciences of human anatomy, physiology, and pathophysiology.
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related to: community paramedic certification study guide 2024 answers