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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 service is a separate provision from the Hospital Travel Costs scheme, which is means tested, to fund low-income patients' journeys to hospital. Clinical commissioning groups (CCG) often arranged for one CCG to manage the tendering and contracting process for a wide area.
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.
The report concluded that ambulance services in the US varied widely in quality and were often unregulated and unsatisfactory. [25] These studies placed pressure on governments to improve emergency care in general, including the care provided by ambulance services.
Patient being loaded into a Seattle Medic One ambulance circa 1970 Seattle Paramedic Unit King County Paramedic Unit. In 1968, motivated by the work of Frank Pantridge, cardiologist Leonard Cobb proposed to the chief of the Seattle Fire Department, Gordon Vickery, training firefighters to treat cardiac arrest.
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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.
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.