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Emergency
Medical
Services
There has always been some type
of transport around for the sick and injured, but long ago it was pretty
much confined to the military. Wagons would transport the dead and injured
from the battlefield to an area where they could be taken care of. The
citizenry was pretty much left to fend for themselves.
Later on, the
undertakers wagon would double as the vehicle used to bring someone to
the doctors office or the hospital (many people can remember this). As
towns and villages grew, they began to develop systems for transporting
people in need.
However, in
1966, a report was issued entitled "Accidental Death and Disability:
The Neglected Disease of Modern Society." This is referred to as the
White Paper, and stressed the lack of a standardized system for the handling
of the citizenry in emergency situations.
This prompted
the federal government to take some action. The Highway Safety Act of
1966, in addition to highway safety standards, charged the Department
of Transportation with establishing standards for Emergency Medical
Services that would be uniform nationwide. It also shook the money
tree, and a lot of federal dollars became available for establishing these
standards.
The Department
of Health and Human Services has described the EMS system as a system
that provides for the arrangement of personnel, facilities and equipment
for the effective and coordinated delivery of health care services in an
appropriate geographical area under emergency conditions.
Well,
guess what? Everybody's idea of what constitutes an emergency is different.
I'm not so vain that I think I could tell the whole history of EMS here,
but now you have a little background. The field has changed a lot over
the years, and is still changing. I'm just going to try to explain about
the system and its different parts. Still interested? Let's
move on.
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