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A rail ambulance is a vehicle used for medical transportation services on railway lines. [1] The first rail ambulance was set up in 1920, in order to enable injured people to be transported to the nearest hospital, was set up in the coal mining community of Cape Breton, Nova Scotia. The car ran between #3 and #7 mines and Town of Sydney Mines.
The Emergency Health Services (EHS) Act outlines the requirement for ambulance service providers to meet standards of patient care, performance and competency. In January 2008, Nova Scotia became the first province in Canada to offer all of its residents the benefits of electronic patient records throughout the ambulance system. [2]
In 2017, EHS LifeFlight added a second fixed-wing aircraft, a PAL Aerospace Beechcraft 1900, to provide non-critical care transport for patients from Yarmouth and Sydney to Halifax. The new service reduced the travel time and increased the comfort for patients, as well as freed up ambulances and paramedics for local emergency calls. [10]
Medicare covers ambulance services, although restrictions apply. Depending on the situation, people who need emergency transport can get different types of ambulance services, such as road or air.
They play a major role in Canadian healthcare given the massive geographic barriers to access. The two largest providers are Ornge Air Ambulance in Ontario, which operates 12 bases across the province, and STARS Air Ambulance, which operates 6 bases across Alberta, Saskatchewan, and Manitoba.
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.
Mercy Flights is a ground ambulance and air medical transport service based in Medford, Oregon, United States.. Mercy Flights was founded as a non-profit organization in 1949 by George Milligan, an air traffic controller in Medford, after a friend of his died of polio in Southern Oregon, unable to survive the long, slow ground transport to Portland. [1]
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.