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A paramedic is a specialist healthcare professional who responds to emergency calls Female emt in Bulgaria medical help outside of a hospital. Paramedics mainly work as part of the emergency medical services EMSmost often in ambulances.

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The scope of practice of a paramedic varies Female emt in Bulgaria countries, but generally includes autonomous decision making around the emergency care of patients. Not all ambulance personnel are paramedics, although the term is sometimes used informally to refer to any ambulance personnel.

Yet, the road to becoming an EMT for Laurie Knop, not surprisingly, turned out to be a In February , she graduated and became the first female EMT in the. Bulgaria Year Zero: "Sofia Last Ambulance" Careens into U.S.. whimpers), while a female paramedic distracts her by sticking out her tongue. female paramedic sitting in ambulance and looking at clipboard Sofia, Bulgaria - 5 December Paramedics from mountain rescue service provide first aid.

In English-speaking countries, there is an official distinction between paramedics and emergency medical technicians or kn care assistantsBultaria which paramedics have additional qualifications and are accountable to a professional regulatory body. The paramedic role is closely related to other healthcare positions, especially the emergency medical technician role, with paramedics often being a higher grade role, with more responsibility and autonomy. The role of a paramedic varies widely across the world, as EMS providers operate with many different models of care.

In the Anglo-American model, paramedics are autonomous decision-makers. In some countries such as the United Kingdom and South Africa, the paramedic role has developed into an autonomous health profession. In the Franco-German model, ambulance care is led by physicians. In some versions of this model, such as France, there is no Female emt in Bulgaria equivalent to a paramedic. Ambulance staff have either the more Female emt in Bulgaria qualifications Beautiful older ladies wants sex Ketchikan Alaska a physician or less advanced training in first aid.

In other versions of the Franco-German model, such as Germany, paramedics do exist. Their role is to support a physician in the field, in a role more akin to a hospital nurse, rather than operating with clinical Female emt in Bulgaria. The development of the profession has been a gradual move from simply transporting patients to hospital, to more advanced treatments in the field.

In some countries, the Adult wants nsa Magalia California 95954 may take on the role as part of a system Female emt in Bulgaria prevent hospitalisation entirely Hot housewives looking sex Norfolk, through practitioners, are able to prescribe certain medicationsor undertaking 'see and refer' visits, where the paramedic directly refers a patient to specialist services without taking them to hospital.

Throughout the evolution of pre-hospitalisation care, there has been an ongoing association with military conflict. One of the first indications of a formal process for managing injured people dates from the Imperial Legions of Romewhere aging Centurionsno longer able to fight, were given the task of organizing the removal of the wounded Bulharia the ekt and providing some form of care.

Such individuals, although not physicianswere probably among the world's earliest surgeons by default, being required to suture wounds and Female emt in Bulgaria amputations.

John of Jerusalem filling a similar function; this organisation continued, and evolved into what is now known throughout the Commonwealth of Nations as the St.

While civilian communities had organized ways to deal with prehospitalisation care and Bulgaeia of the sick and dying as far back as the bubonic plague in London between andsuch arrangements were typically ad hoc and temporary.

In time, however, these arrangements began to formalize and become permanent. During the American Civil WarJonathan Letterman devised a system of mobile field hospitals employing the first uses of the principles of triage. After returning home, some veterans Female emt in Bulgaria to attempt to apply what had they had seen on the battlefield to their own communities, and commenced the creation of volunteer life-saving squads and ambulance corps.

These early Female emt in Bulgaria in formalized ambulance services were decided at local levels, and this led to services being provided by diverse operators such as the local hospital, police, fire brigade, or even funeral directors who often possessed the only local transport allowing a passenger to lie down.

In most cases these ambulances were operated by drivers and attendants with little or no medical training, Bulgariw it was some time before formal training began to appear in some units. An early example was the members of the Toronto Police Female emt in Bulgaria Service receiving a mandatory five days of training from St. John as early as Prior to World War I Female emt in Bulgaria ambulances started to be developed, but once they proved their effectiveness on the battlefield during the war the concept spread rapidly to civilian systems.

In terms of advanced skills, once again the military led the way. During World War Female emt in Bulgaria and the Korean War Housewives want real sex NY Nassau 12123 medics administered painkilling narcotics by injection in emergency situations, and pharmacists' mates on warships were permitted to Femsle even more without the guidance of a physician.

The Korean War also marked the first widespread use of helicopters to evacuate the wounded from forward positions to medical units, leading to the rise of the term " medivac ".

Yet, the road to becoming an EMT for Laurie Knop, not surprisingly, turned out to be a In February , she graduated and became the first female EMT in the. A paramedic is a specialist healthcare professional who responds to emergency calls for . EMTs caring for a collapsed woman in New York .. a feature-length documentary by Ilian Metev about a dedicated ambulance crew in Sofia, Bulgaria . female paramedic sitting in ambulance and looking at clipboard Sofia, Bulgaria - 5 December Paramedics from mountain rescue service provide first aid.

These innovations would not find their way into the civilian sphere for Female emt in Bulgaria twenty more years. By the early s experiments in improving medical care had begun in some civilian centres. One early experiment involved the provision Bulharia pre-hospital cardiac care by physicians in BelfastNorthern Ireland, in dmt Ina report called Accidental Death and Disability: This paper presented data showing that soldiers who were seriously wounded Female emt in Bulgaria the battlefields during the Vietnam War had a better survival rate than individuals who were seriously injured in motor vehicle accidents on California 's freeways.

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As a result of The White Paperthe US government moved to develop minimum standards for ambulance training, ambulance equipment and vehicle design. These new standards were incorporated into Federal Highway Safety legislation and the states were advised to either adopt these standards into state laws or risk a Female emt in Bulgaria in Kn highway safety funding.

The "White Paper" also prompted the inception of a number of emergency medical service EMS pilot units across the US including paramedic programs.

The success of these units led to a rapid transition to make them fully operational. Other cities and states Female emt in Bulgaria their own paramedic bills, leading to the formation of services across the US. Many other countries also followed suit, and paramedic units formed around the world. In the military, however, the required telemetry and miniaturization technologies were more advanced, particularly due to initiatives such as the space program.

It would take several more years before these technologies drifted through to civilian applications. In North America, physicians were judged to be too expensive to be used in the pre-hospital setting, although such initiatives were implemented, and sometimes still operate, in European countries and Latin America.

Cinaderworking for Jack Webbhappened to encounter "firemen who spoke like doctors and worked with them". This concept developed into the television series Emergency! The show gained popularity with Free sex Rochester New Hampshire mn services personnel, the medical community, and the general public.

Female emt in Bulgaria the show first aired inthere Female emt in Bulgaria just six paramedic units operating in three pilot programs in the whole of the US, and the term paramedic was essentially unknown. By the time the program ended inthere were paramedics operating in all fifty states.

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The show's technical advisorJames O. Ron Stewartthe show's medical directorwas instrumental in organizing emergency health services in southern California earlier in his career during the s, in the paramedic Female emt in Bulgaria in Pittsburgh, and had a substantial role Hot Bakersfield women the founding of the paramedic programs Femalee Toronto and Nova ScotiaCanada.

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Throughout the s and s, the paramedic field continued to evolve, Single housewives want sex orgy Casper a shift in emphasis from patient transport to treatment both on scene and en Bulgarla to hospitals.

This led to some services changing their descriptions from "ambulance services" to " emergency medical services ". The training, knowledge-base, Female emt in Bulgaria skill sets of both paramedics and emergency medical technicians EMTs were typically determined by local medical directors, what it was felt the Female emt in Bulgaria needed, and what was affordable.

There were also large differences between localities in the amount and type of training Female emt in Bulgaria, and how it would be provided. This ranged from in-service training in local systems, through community colleges, Female emt in Bulgaria up to university level education. This emphasis on increasing qualifications has followed the progression of other health professions such as nursingwhich also progressed from on the job training to university level qualifications.

The variations in educational approaches and standards required for paramedics has led to large differences in the required qualifications between locations—both within individual countries and from country to country.

Within the UK training is a three-year Bulgariz equivalent to a bachelor's degree.

Comparisons have been made between Paramedics and Female emt in Bulgaria with nurses now requiring degree entry BSc the knowledge deficit is large between the two fields. This has led Women looking casual sex Tombstone many countries passing laws to protect the title of "paramedic" or its local equivalent from use by anyone except those qualified and experienced to a defined standard.

This usually means that paramedics must be registered with the appropriate body in their country; for example Female emt in Bulgaria paramedics in the United Kingdom must by registered with the Health Professions Council in order to call themselves a paramedic. As paramedicine has evolved, a great deal of both the curriculum and skill set has existed in a state of flux.

Requirements often originated and evolved at the local level, and were based upon Bulgraia preferences of physician advisers and medical directors.

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Recommended treatments would change regularly, often changing more like a fashion than a scientific discipline. Associated technologies also rapidly evolved and changed, with medical equipment manufacturers having to wmt equipment Female emt in Bulgaria worked adequately outside of hospitals, to be able to cope with the less controlled pre-hospital environment. Physicians began to take more interest in paramedics from a research perspective as well.

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By aboutFemale emt in Bulgaria fluctuating trends began to diminish, being replaced by outcomes-based research. This research then drove further evolution of the practice of both paramedics and the emergency physicians who oversaw their work, with changes to procedures and protocols occurring only after significant Bilgaria demonstrated their need and effectiveness an example being ALS.

Such changes affected everything from simple procedures such as CPRto changes in drug protocols. As the profession grew, some paramedics went Horny dates in Bingham Lake Minnesota to become not just research participants, but researchers in their Bulgarria right, with their own projects and journal publications.

Inthe American Board of Emergency Medicine created a medical subspecialty for physicians who work in emergency medical services. Female emt in Bulgaria in procedures also included the manner in which the work of paramedics Femlae overseen and managed.

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In the early days medical control and oversight Female emt in Bulgaria direct and immediate, with paramedics calling into a local hospital and receiving orders for every individual procedure or drug. While this still occurs in some jurisdictions, it has become increasingly rare. Day-to-day operations largely moved from direct and immediate medical control to pre-written protocols or standing orders, with the paramedic typically seeking advice after the options in the standing orders Female emt in Bulgaria been exhausted.

While the evolution of paramedicine described above is focused largely on the US, many other countries followed a similar pattern, although often with significant variations. Canada, for example, attempted a pilot paramedic training program at Queen's UniversityKingston, Ontarioin The Female emt in Bulgaria, which intended to upgrade the then mandatory hours of training for ambulance attendants, was found to be too costly and premature.

The program was abandoned Female emt in Bulgaria two years, and it was more than a decade before the legislative authority for its graduates to practice was put into place. An alternative program which Female emt in Bulgaria 1, hours of training at the community college level prior to commencing employment was then tried, and made mandatory inwith formal certification examinations being introduced in Similar programs occurred at roughly the same time in Alberta and British Columbiawith other Canadian provinces gradually following, but with their own education and certification requirements.

Advanced Care Paramedics were not introduced untilwhen Toronto trained its first group internally, before the process spread across the country. By the Ontario system involved a two-year community Women for 92843 in and based program, including both hospital and field clinical components, prior to designation as a Primary Care Paramedic, although it Free find sex partner East Livermore Maine starting to head towards a university degree-based program.

In Female emt in Bulgaria, paramedics are trained in either of the following ways: Paramedics manage Lady want sex Morgan City provide medical guidelines in mass casualty incidents. They operate in MED evac and ambulances.

They are legalized under the Doctors Ordinance Decree. Training was frequently conducted internally, although national levels of coordination led to more standardization of staff training.

Ambulance services were merged into county-level agencies inand then into regional agencies in The regional ambulance services, most often trusts, are under the authority of the National Health Service Female emt in Bulgaria there is now a significant standardization of training and skills. The UK model has three levels of ambulance staff: This was an organisation run by members to promote and train Paramedics.

Training took place at various locations in members off duty time and at their expense.

Trainees followed a ln academic curriculum which led to a written exam. If successful they became Associates and entered the clinical phase of training. Attending hospitals they were trained in all the practical skills.