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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].
In some areas, private companies may provide only the patient transport elements of ambulance care (i.e. non-urgent), but in some places, they are contracted to provide emergency care, or to form a 'second tier' response, where they only respond to emergencies when all of the full-time emergency ambulance crews are busy.
In most cases these ambulances were operated by drivers and attendants with little or no medical training, and it was some time before formal training began to appear in some units. An early example was the members of the Toronto Police Ambulance Service receiving a mandatory five days of training from St. John as early as 1889. [28]
Since 1992, Dutch law has mandated at least one nurse on every ambulance in the country, at all times. [5] The nurses employed on ambulances have all completed the full training required for a registered nurse in the Netherlands, and have then completed additional training and certification in anaesthesia, intensive care, cardiac care, or emergency room, to apply for an additional year of ...
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.
The average response time for basic life support personnel for cardiac arrests from time of 9-1-1 being dialed to arrival is 4 minutes 40 seconds and for advanced life support personnel is 9 minutes 45 seconds. [38] In 2008, 58% (530/920) of EMS-treated cardiac arrests not witnessed by EMS in Seattle & King County CPR was initiated by a bystander.
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