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In one of the more common publicly operated models, an EMS system is operated directly by the municipality it services. The services themselves may be provided by a local government, or may be the responsibility of the regional (or state) government. Municipality-operated services may be funded by service fees and supplemented by property taxes.
The Government of Tennessee is organized under the provisions of the 1870 Constitution of Tennessee, first adopted in 1796. [1] As set forth by the state constitution, administrative influence in Tennessee is divided among three branches of government: executive , legislative , and judicial .
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.
Early 1860s-1950s: EMTs begin on the battlefield. The very beginnings of the EMT can be traced all the way back to the Civil War, an event that produced an unprecedented level of battlefield ...
The developments were paralleled in other countries. In the United Kingdom, a 1973 law merged the municipal ambulance services into larger agencies and set national standards. [28] In France, the first official SAMU agencies were founded in the 1970s. [29]
Then, from 1838 to 1839, the US government forced the Cherokee to leave the eastern United States. Nearly 17,000 Cherokee were forced to march from eastern Tennessee to the Indian Territory west of the Arkansas Territory. This came to be known as the Trail of Tears, as an estimated 4,000 Cherokee died along the way. [35]
The earliest ambulances were usually accompanied by a physician on emergency call. [2] However, by the 1960s, ambulance services, while becoming ubiquitous, were poorly supported and staffed and unevenly trained. 50% of the ambulance services were provided by morticians, primarily because their hearses were able to accommodate patients on litters. [2]
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]