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Some ambulances are operated by commercial companies with paid employees, usually on a contract to the local or national government, Hospital Networks, Health Care Facilities and Insurance Companies. In the U.S., private ambulance companies provide emergency medical services in large cities and rural areas by contracting with local governments.
Pre-hospital emergency medicine (abbreviated PHEM), also referred to as pre-hospital care, immediate care, or emergency medical services medicine (abbreviated EMS medicine), is a medical subspecialty which focuses on caring for seriously ill or injured patients before they reach hospital, and during emergency transfer to hospital or between hospitals.
Paramedic (see Paramedics in the United States): Paramedic is specialist health care provider, autonomous practitioner , providing advanced assessment and management skills, various invasive skills, and extensive pharmacology interventions, Paramedic is the highest level in EMS and its extension to the emergency physician . [45]
The modern EMS system in King County began operation in 1970 with 15 paramedics staffing one paramedic unit in Seattle. In 2009, there were 255 paramedics [3] from six paramedic programs staffing 26 paramedic units. [4] [5] The system is a dynamic layered response system. An EMS response to an emergency begins with a telephone call to 9-1-1.
Examples of this are blood transfusions, intra-aortic balloon pumps, and mechanical ventilators. [54] Tactical paramedics work on law enforcement teams . These medics, usually from the EMS agency in the area, are commissioned and trained to be tactical operators in law enforcement, in addition to paramedic duties.
** If an emergency ambulance is unlikely to reach the patient within the average response time, a rapid response car and/or Community First Responder may also be dispatched. 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 ...
These technologies enable different bioassays such as microbiological culture, [7] PCR, ELISA to be used at the point of care. POCT is often accomplished through the use of transportable, portable, and handheld instruments (e.g., blood glucose meter, nerve conduction study device) and test kits (e.g., CRP, HBA1C, Homocystein, HIV salivary assay ...
In France, pre-hospital care is performed either by first responders from the fire department (sapeurs-pompiers, in most emergency situations) or from a private ambulance company (relative emergency at home), or by a medical team that includes a physician, a nurse and an emergency medical technician (called "SMUR").