Chapter 1 - Introduction

First recorded use of EMS

1487 during the siege of Malaga.

First prehospital system for triage and transport

Created by the chief physician in Napoleon's army in 1800.

Civilian ambulance services start in

Cincinnati, OH (1865) and New York, NY (1869).

First operated automobile-type ambulance was made in _.

Chicago, IL in 1899.

First modern-esque EMS system added by Phoenix FD in _.

1926.

The first rescue squad was formed in _.

Roanoke, VA in 1928.

Shortage of medical personnel in the 1940s resulted in _.

Fire departments and police department taking over EMS.

Events that typically help evolve emergency medical care?

War.

Mobile Army Surgical Hospital Units were developed as a result of _.

the Korean War in the 1950s.

Mouth-to-mouth resuscitation was developed by _.

Dr. James Elan and Dr. Peter Safar in 1956.

Who invented the First portable defibrillator? And when?

Frank Pantridge in 1959.

The white paper, outlining EMS issues, was published in

1966.

US Congress passed National Highway Safety Act in

1966

When was American Freedom House Ambulance Founded?

1967.

Basic training standards and principles of 911 system drafted in

1968.

First true paramedic program established by…

Dr. Eugene Nigel in 1969.

EMS Systems Act defined required components in

1973.

Emergency Medicine was recognized as a medical specialty by…

The American Medical Association in 1975.

First national standard curriculum for paramedics created in

1977.

NHTSA defined EMS essential elements in

1988.

NHTSA sets EMS agenda for future in

1996.

NHTSA sets EMS agenda for 2050 in

2019.

Licensure controls _.

Who is allowed to practice as a medical professional in a state.

Certification is a process of

Evaluating and recognizing a person, institution, or program.

Registration relates to

Holding records of education, licensure, and recertification.

Credentialing occurs at the …

Local level, typically determined by a medical director.

Reciprocity in EMS refers to

Granting certification to a provider from another state or agency.

Fire-based EMS are generally

Operated by municipal governments and may include paid and unpaid volunteers.

Third-Service EMS operates

Separately from other first responder agencies in some municipalities.

Private EMS agencies may

Offer contract services to municipalities and hospitals.

Hospital-based EMS primarily offer

IFTs and airmedical services.

Hybrid EMS roles may be offered by…

Various companies like oil firms for specialized medical responses.

The EMS system is described as _.

A complex network of coordinated services providing varying levels of care.

The EMS network begins with…

Citizen involvement.

Factors that play a role in determining the outcome or likelihood of your patient’s

survival include…

Various interactions that can start with bystander care.

A citizens first contact in an emergency is usually…

Dispatch