Emergency Medical Service Essay

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The history of emergency medical services (EMS) dates to the Civil War era. At which time, all military personnel had to be examined by medical officers to qualify for duty and ambulances with trained attendance were assigned to a regiment based on its size (History of EMS, n.d., p. 1). Following the Civil War, the Anglo-American model of care began to evolve in Cincinnati with its first civilian ambulance in 1865 followed by New York City in 1869, it was during this time and ambulance surgeons made their debut (Tintinalli, Cameron, & Holliman, 2010, p. 24). It wasn’t until 1973 when the Department of Transportation adapted training curricula for what is now known as the EMT, the EMTP and the first responder (History of EMS, n.d., p. 1). …show more content…
p. 1). A paramedic, in most instances, is required to spend a minimum of a year, actively working as an emergency medical technician prior to applying for medic class. An additional six months or more, which can be as in-depth as four years, includes classroom time, vehicle time, and hospital time and required to meet the standards for paramedic training either through a private setting or a community college ("Paramedics in the US," 2016, para. 3). Today’s standards, most states, if not all, require paramedics to meet the Nations minimum level, if not higher, of paramedic certification known as the National Registry of EMTs and Paramedics. Most paramedic training programs are accredited through community colleges which participants receive an Associate’s Degree towards their education. There are some four-year degrees accredited through universities such as Oregon Tech which is directly affiliated with the medical program at Oregon Health and Science University (Oregon Tech Wilsonville, n.d., para. 3). However, in the United States whether it’s a two-year degree or a four-year degree …show more content…
This research report identified several key issues with Australia’s current paramedic program and the struggle to survive in the rural areas, and the suffering quality of healthcare in the same areas. Multiple case studies were employed between 2005 - 2006 several key points were analyzed and the overall state of rural paramedic practice. The results found that paramedics are increasingly becoming the first line of primary health care for not only initiating care but reoccurring care for individuals in remote areas. This research paper concluded, the adoption of an “Expanded Scope of Practice” (E.S.P.) would benefit paramedics in their role of patient care in the pre-hospital setting. Thus, paramedics will undertake four core components of their new role: “(1) rural community engagement; (2) emergency response;(3) situated practice;(4) primary health care” (O’Meara, Tourle, Stirling, Walker, & Pedler, 2012, p. 1)
Results of this study and others like it, have helped to evolve the role of the paramedic in Australia beyond the traditional diploma of “Paramedical Science”. (Paramedic job description, 2009, p. 4). These Paramedic E.S.P. roles

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