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The United States EMS Compact, officially known as the Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA), is an interstate compact designed to facilitate the day-to-day practice of emergency medical services personnel across state lines. The compact provides a framework for states to extend a "privilege to practice" for ...
Each state is free to add or subtract levels as each state sees fit. Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state.
The Georgia Emergency Management and Homeland Security Agency or GEMA/HS is the emergency management agency for the U.S. state of Georgia. Its function is similar to that of the Federal Emergency Management Agency (FEMA) in preparing for and responding to disasters, and mitigating potential hazards.
A similar variation, generally used by units instead of dispatchers, is to "increase code" and "reduce code". For example, if multiple units are responding Code 3 to a call, but the units already at the scene have mostly resolved the situation, the scene units may request that the responding units "reduce code".
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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.