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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.
Ambulance responses in the UK are as follows. Some ambulance services allow driver discretion for Category 3/4 calls; this may be dependent on the type of call or how long it has been waiting for a response for. 999 calls to the ambulance service are triaged using either the NHS Pathways system or the Medical Priority Dispatch System.
The Ambulance Division of the Pittsburgh Bureau of EMS is the main arm of the EMS Bureau and consists of the City's 13 frontline medic units (staffed by two paramedics), three frontline ambulances (staffed by two EMTs). The Medic Units and Ambulances are responsible for answering calls for medical assistance within the city limits.
The national emergency number in the United States is 9-1-1. The number works for all three emergency services. In most cases, a 9-1-1 call will be answered at a central facility, usually referred to as a Public Safety Answering Point, and operated, in most cases, by the police.
The ambulance squad's duty towards the patient begins with patient contact and generally ends with transfer to the emergency department of the receiving hospital. However, emergency calls may terminate in other ways. For example, an ambulance service may cancel their own services if the patient becomes violent, compromising scene safety.
In 2002, the federal government increased the reimbursement for medical flights for Medicare and Medicaid patients. This caused an increase in the number of for-profit ambulance services, which charge much higher rates than non-profit hospitals and expanded services available to people with private health insurance.
American Medical Response, Inc. (AMR) is a private ambulance company in the United States that provides and manages emergency medical services, non-emergency and managed transportation, rotary and fixed-wing air ambulance services, and disaster response across the United States. [2]
Basic life support transports for 9-1-1 calls are provided by either a fire department or one of the private ambulance companies American Medical Response and Tri-Med Ambulance. Advanced life support transports for 9-1-1 calls are provided by paramedics.