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Air ambulance services in the United States can be operated by a variety of sources. Some services are hospital-operated, [18] while others may be operated by Federal, State or local government; or through a variety of departments, including local or State police, [19] the United States National Park Service, [20] or fire departments. [21]
Patient transport services in the United Kingdom were generally provided by ambulance services after the establishment of the NHS, and originally all emergency ambulance crews began as patient transport drivers. [2] Since the establishment of the NHS internal market in 1990, these services have often been contracted to private providers.
An Airlift Northwest Crew receives a patient transfer from the United States Coast Guard A Mercy Jets crew loading a patient for transport in a Gulfstream Aerospace GIV air ambulance. Acadian Ambulance & Air Med Services – Headquartered in Lafayette, Louisiana, covers most of the state of Louisiana and parts of western Mississippi.
Government ambulance services also have to take civil service exams just like government fire departments and police. In the United States, certain federal government agencies employ emergency medical technicians at the basic and advanced life support levels, such as the National Park Service and the Federal Bureau of Prisons .
The exact nature of the response sent may vary slightly between Ambulance Trusts. Following a Category 2, 3, or 5 telephone triage, the patient may receive an ambulance response (which could be Category 1-4 depending on the outcome of the triage), may be referred to another service or provider, or treatment may be completed over the phone.
The system is successful due to the blended cooperation between the fire department and paramedic/ambulance services, as well as, a strict policy of meticulous measurement of system performance and cardiac arrest survival information. Strong leadership and regional programs promote uniformity in medical care and response, regardless of ...