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EMS delivery in the US can be based on various models. While most services are, to some degree, publicly funded, the factor which often differentiates services is the manner in which they are operated. EMS systems may be directly operated by the community, or they may fall to a third-party provider, such as a private company. [2]
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.
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 ...
Baltimore's R. Adams Cowley, [13], who had founded the first trauma center in the US in 1958, devised the concept of integrated emergency care, negotiating to have first military helicopters and later state police helicopters brought to his Center for the Study of Trauma in 1969. Later, in 1973, Cowley would lead the first state-wide Division ...
Ambulances are the primary vehicles for delivering EMS, though squad cars, motorcycles, aircraft, boats, fire apparatus, and others may be used. EMS agencies may also operate a non-emergency patient transport service, and some have rescue squads to provide technical rescue or search and rescue services. [9]
Texas Department of State Health Services (DSHS) Many of the direct client services that were performed by DSHS, such as services for women and children, and people with special health care needs, were transferred to HHSC in September 2016. DSHS now focuses on providing these functions: Vital statistics, such as birth and death records
Field triage is the process by which emergency medical services providers decide on the destination for the injured subject.. Each year, the approximately 1 million emergency medical services (EMS) providers have a substantial impact on the care of injured persons and on public health in the United States.
Continuing education courses can cover a variety of topics, provided that they cover relevant material, including college courses covering anatomy, physiology, or psychology, to more applied courses that are either standardized, such as a Prehospital Trauma Life Support (PHTLS), or tailored to the needs of an individual EMS system or region. [13]