User:Badger151/sandbox

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[edit] Reviews

Critics were unable to reach a consensus regarding Traveling Light, with some calling the music XXXXXXXXXXXXX but others labeling it YYYYYYYYYY. Most fell somewhere in between, and a common sentiment was that Traveling Light was not a bad first album, but Jaye had not yet lived up to her potential. "Can't Behave" was frequently listed as the best track,

[edit] EMS in the US

[edit] History

Prior to the 1970s, ambulances were staffed with advanced first-aid level responders who were frequently referred to as "ambulance drivers." There was little regulation or standardized training for those staffing these early emergency response vehicles. However, after the release of the National Highway Traffic Safety Administration's "White Paper" on motor vehicle fatalities, a concerted effort was undertaken to improve emergency medical care in the prehospital setting.

[edit] Service Level

The lines between one level of care and the next are becoming increasingly blurred. Skills that were once reserved for physicians are now routinely done by paramedics, and skills once reserved for paramedics, such as defibrillation, are now routinely done by Basic Emergency Medical Technicians (EMTs). There is also wide state-to-state and even county-to-county variation of what types of care providers at different levels are allowed to provide. That said:

  • Certified first responder (CFR): CFRs, many of whom are volunteers, render very basic first aid , including oxygen administration to patients. Generally, a CFR cannot assume care for a patient while that patient is being transported.
  • Emergency Medical Technician (EMT): EMT is used two different ways. Technically, an EMT is a person who has been certified (or licensed, in some states) to provide a stated level of care based on written protocols. EMTs may be divided into several groups, based on their level of certification:
EMTs other than EMT-Bs often prefer to be identified based on their level of certification, so an EMT-P might be called a paramedic or an EMT-P, but rarely an EMT. EMT, when used alone, may therefor also mean EMT-B.

[edit] Ambulance types

A typical Type I ambulance.  The front of the ambulance is the same as a pickup truck, while the patient-care compartment is in the box-like module.  At the time this photo was taken, this ambulance was operated by Palm Beach County Fire-Rescue in Palm Beach County, Florida.
A typical Type I ambulance. The front of the ambulance is the same as a pickup truck, while the patient-care compartment is in the box-like module. At the time this photo was taken, this ambulance was operated by Palm Beach County Fire-Rescue in Palm Beach County, Florida.
A typical Type II ambulance. In contrast to the Type I ambulance shown above and the Type III ambulance shown below, the basic shape of this ambulance is that of a standard full-sized van with a raised roof. This ambulance is operated by American Medical Response, a commercial for-profit company.
A typical Type II ambulance. In contrast to the Type I ambulance shown above and the Type III ambulance shown below, the basic shape of this ambulance is that of a standard full-sized van with a raised roof. This ambulance is operated by American Medical Response, a commercial for-profit company.
A typical Type III ambulance.  The front of the ambulance is a van, while the patient-care compartment is in the box-like module. This ambulance is run by the Harmon, NY volunteer fire department.
A typical Type III ambulance. The front of the ambulance is a van, while the patient-care compartment is in the box-like module. This ambulance is run by the Harmon, NY volunteer fire department.
A typical "squad truck" design for a fly-car.  Fly-cars may also be an automobile or an SUV, or even a retrofitted ambulance, depending on the equipment carried.  This fly-car was operated by Good Samaritan Hospital in Suffern, New York, in 1989.  The service has since been merged with others in Rockland County to form Rockland Paramedic Services.
A typical "squad truck" design for a fly-car. Fly-cars may also be an automobile or an SUV, or even a retrofitted ambulance, depending on the equipment carried. This fly-car was operated by Good Samaritan Hospital in Suffern, New York, in 1989. The service has since been merged with others in Rockland County to form Rockland Paramedic Services.

Ambulances in the United States are defined by federal KKK-1822 requirements, which define several categories of ambulances, althought most states have additional requirements that are added to meet their individual meeds:

  • Type I Ambulances are based on the chassis-cabs of light duty pickup-trucks,
  • Type II Ambulances are based on modern passenger/cargo vans, also referred to as Vanbulances,
  • Type III Ambulances are based on chassis-cabs of light duty vans,

AD (Additional Duty) versions of both Type I and Type III designs are also defined. They include increased GVWR, storage and payload capacity. There are also fly-cars (which go by several names; see the fly-car page for details), which are large cars or SUVs. These units cannot provide patient transport, but are used variously by supervisors or as a source of additional personnel. In some communities the paramedics respond to emergency calls in their fly-car, while a BLS ambulance responds as well to transport the patient. Many companies who specialize in non-emergency patient transfers are creating their own vehicles, which are similar to ambulances and carry ambulance type equipment, but lack emergency lights and sirens.


[edit] Cats