1.
Emergency medical services
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This is most likely an emergency department at a hospital. In such services, the EMS is not summoned by members of the public, in some jurisdictions, EMS units may handle technical rescue operations such as extrication, water rescue, and search and rescue. Training and qualification levels for members and employees of emergency medical services vary widely throughout the world, in some systems, members may be present who are qualified only to drive ambulances, with no medical training. In contrast, most systems have personnel who retain at least basic first aid certifications, additionally many EMS systems are staffed with Advanced Life Support personnel, including paramedics, nurses, or, less commonly, physicians. Emergency care in the field has been rendered in different forms since the beginning of recorded history, the New Testament contains the parable of the Good Samaritan, where a man who was beaten is cared for by a Samaritan. Luke 10,34 - He went to him and bandaged his wounds, pouring on oil, then he put the man on his own donkey, took him to an inn and took care of him. Also during the Middle Ages, the Knights Hospitaller were known for rendering assistance to wounded soldiers in the battlefield, the first use of the ambulance as a specialized vehicle, in battle came about with the ambulances volantes designed by Dominique Jean Larrey, Napoleon Bonapartes chief surgeon. Larreys projects for flying ambulances were first approved by the Committee of Public Safety in 1794, in civilian ambulances, a major advance was made with the introduction of a transport carriage for cholera patients in London during 1832. This tenet of ambulances providing instant care, allowing hospitals to be spaced further apart, the first known hospital-based ambulance service operated out of Commercial Hospital, Cincinnati, Ohio by 1865. In June 1887 the St John Ambulance Brigade was established to provide first aid and it was modelled on a military-style command and discipline structure. Named the Vienna Voluntary Rescue Society, it served as a model for similar societies worldwide and this was followed in 1900 by New York City, who extolled its virtues of greater speed, more safety for the patient, faster stopping and a smoother ride. These first two ambulances were electrically powered with 2 hp motors on the rear axle. Canadian historians dispute this with the city of Toronto claiming The first formal training for ambulance attendants was conducted in 1892, two-way radios became available shortly after World War I, enabling for more efficient radio dispatch of ambulances in some areas. Prior to World War II, there were areas where a modern ambulance carried advanced medical equipment, was staffed by a physician. In many locations, however, ambulances were hearses - the only vehicle that could carry a recumbent patient - and were thus frequently run by funeral homes. These vehicles, which could serve either purpose, were known as combination cars, prior to World War II, hospitals provided ambulance service in many large cities. With the severe manpower shortages imposed by the war effort, it became difficult for many hospitals to maintain their ambulance operations, City governments in many cases turned ambulance services over to the police or fire department. No laws required minimal training for personnel and no training programs existed beyond basic first aid
2.
First aid
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First aid is the assistance given to any person suffering a sudden illness or injury, with care provided to preserve life, prevent the condition from worsening, and/or promote recovery. First aid is generally performed by the layperson, with many people trained in providing basic levels of first aid, mental health first aid is an extension of the concept of first aid to cover mental health. There are many situations which may require first aid, and many countries have legislation, regulation and this can include specific training or equipment to be available in the workplace, the provision of specialist first aid cover at public gatherings, or mandatory first aid training within schools. First aid, however, does not necessarily any particular equipment or prior knowledge. First aid can be performed on all mammals, although this article relates to the care of human patients, the ancient Egyptians were the first to use bandages including the high genius doctor Imhotep. They not only used them o to create mummies but also as part of the treatments for surgical patients, most ancient Greek doctors, philosophers, etc studied in ancient Egypt and then returned to Greece. The bandaging of battle wounds is shown on Classical Greek pottery from circa 500 BCE, there are numerous references to first aid performed within the Roman army, with a system of first aid supported by surgeons, field ambulances, and hospitals. Roman legions had the role of capsarii, who were responsible for first aid such as bandaging. Further examples occur through history, still mostly related to battle, with such as the Knights Hospitaller in the 11th century CE, providing care to pilgrims. During the late 18th century, drowning as a cause of death was a concern amongst the population. This led to the formation, in 1774, of the Society for the Recovery of Persons Apparently Drowned, later the Royal Humane Society, who did much to promote resuscitation. Napoleons surgeon, Baron Dominique-Jean Larrey, is credited with creating an ambulance corps, the Red Cross and Red Crescent are still the largest provider of first aid worldwide. The bandage was issued as standard to the Prussian combatants, and this was followed by creating its own wheeled transport litter in 1875, and in 1877 established the St John Ambulance Association to train men and women for the benefit of the sick and wounded. Following this, in 1878, Shepherd and Colonel Francis Duncan took advantage of the newly charitable focus of St John, the first classes were conducted in the hall of the Presbyterian school in Woolwich using a comprehensive first aid curriculum. First aid training began to spread through the British Empire through organisations such as St John, often starting, as in the UK, with high risk activities such as ports, certain skills are considered essential to the provision of first aid and are taught ubiquitously. Particularly the ABCs of first aid, which focus on critical life-saving intervention, ABC stands for Airway, Breathing, and Circulation. The same mnemonic is used by all emergency health professionals, attention must first be brought to the airway to ensure it is clear. Following evaluation of the airway, a first aid attendant would determine adequacy of breathing, some organizations add a fourth step of D for Deadly bleeding or Defibrillation, while others consider this as part of the Circulation step
3.
Paramedic
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A paramedic is a healthcare professional, predominantly in the pre-hospital and out-of-hospital environment, and working mainly as part of emergency medical services, such as on an ambulance. The scope of practice of a paramedic will vary between countries, but generally includes autonomous decision making around the care of patients. In some countries Paramedic is a title and accountable to a professional regulatory body. The scope of the role varies widely across the world, having developed as a paraprofession in the United States during the 1970s. There are different models of care for EMS providers which significantly influence the scope of practice of paramedics in an area, in the Franco-German model paramedics directly support a doctor in the field, in a role more akin to a hospital nurse, rather than operating with clinical autonomy. The development of the profession has been a move from simply transporting patients to hospital. Throughout the evolution of care, there has been an ongoing association with military conflict. Such individuals, although not physicians, were probably among the worlds earliest surgeons by default, being required to suture wounds, in time, however, these arrangements began to formalize and become permanent. During the American Civil War, Jonathan Letterman devised a system of field hospitals employing the first uses of the principles of triage. In most cases these ambulances were operated by drivers and attendants with little or no medical training, an early example was the members of the Toronto Police Ambulance Service receiving a mandatory five days of training from St. John as early as 1889. Prior to World War I motorized ambulances started to be developed, in terms of advanced skills, once again the military led the way. The Korean War also marked the first widespread use of helicopters to evacuate the wounded from forward positions to medical units and these innovations would not find their way into the civilian sphere for nearly twenty more years. By the early 1960s experiments in improving care had begun in some civilian centres, one early experiment involved the provision of pre-hospital cardiac care by physicians in Belfast, Northern Ireland, in 1966. In 1966, a report called Accidental Death and Disability, The Neglected Disease of Modern Society—commonly known as The White Paper—was published in the United States. As a result of the The White Paper the US government moved to develop standards for ambulance attendant training, ambulance equipment. The White Paper also prompted the inception of a number of medical service pilot units across the US including paramedic programs. The success of these led to a rapid transition to make them fully operational. In 1969, the Haywood County Volunteer Rescue Squad developed a program under the medical direction of Ralph Fleicher
4.
Automated external defibrillator
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The portable version of the defibrillator was invented in the mid-1960s by Frank Pantridge in Belfast, Northern Ireland, a pioneer in emergency medical treatment. An automated external defibrillator is used in cases of life-threatening cardiac arrhythmias which lead to cardiac arrest, in ventricular tachycardia, the heart beats too fast to effectively pump blood. Ultimately, ventricular tachycardia leads to ventricular fibrillation, in ventricular fibrillation, the electrical activity of the heart becomes chaotic, preventing the ventricle from effectively pumping blood. The fibrillation in the heart decreases over time, and will eventually reach asystole, AEDs, like all defibrillators, are not designed to shock asystole as this will not have a positive clinical outcome. Uncorrected, these cardiac conditions rapidly lead to brain damage and death. After approximately three to five minutes in cardiac arrest, irreversible damage may begin to occur. AEDs are designed to be used by laypersons who ideally should have received AED training, however, sixth-grade students have been reported to begin defibrillation within 90 seconds, as opposed to a trained operator beginning within 67 seconds. Bras with a metal underwire and piercings on the torso must be removed using the AED on someone to avoid interference. American TV show Mythbusters found evidence that use of a defibrillator on a wearing an underwire bra can lead to arcing or fire but only in unusual. A study analyzed the effects of having AEDs immediately present during Chicagos Heart Start program over a two-year period, of 22 individuals 18 were in a cardiac arrhythmia which AEDs can treat. Of these 11 patients,6 were treated by bystanders with absolutely no training in AED use. The location of a public access AED should take into account where large groups of people gather, children as well as adults may fall victim to sudden cardiac arrest. In many areas, emergency vehicles are likely to carry AEDs, police or fire vehicles often carry an AED for use by first responders. Some areas have dedicated community first responders, who are tasked with keeping an AED. AEDs are also common on commercial airliners, cruise ships. High-rise buildings are densely populated, but are difficult to access by emergency crews facing heavy traffic. It has been suggested that AEDs carried on elevators could save critical minutes for cardiac arrest victims, in order to make them highly visible, public access AEDs are often brightly colored, and are mounted in protective cases near the entrance of a building. A trend that is developing is the purchase of AEDs to be used in the home, the number of devices in the community has grown as prices have fallen to affordable levels
5.
Canada
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Canada is a country in the northern half of North America. Canadas border with the United States is the worlds longest binational land border, the majority of the country has a cold or severely cold winter climate, but southerly areas are warm in summer. Canada is sparsely populated, the majority of its territory being dominated by forest and tundra. It is highly urbanized with 82 per cent of the 35.15 million people concentrated in large and medium-sized cities, One third of the population lives in the three largest cities, Toronto, Montreal and Vancouver. Its capital is Ottawa, and other urban areas include Calgary, Edmonton, Quebec City, Winnipeg. Various aboriginal peoples had inhabited what is now Canada for thousands of years prior to European colonization. Pursuant to the British North America Act, on July 1,1867, the colonies of Canada, New Brunswick and this began an accretion of provinces and territories to the mostly self-governing Dominion to the present ten provinces and three territories forming modern Canada. With the Constitution Act 1982, Canada took over authority, removing the last remaining ties of legal dependence on the Parliament of the United Kingdom. Canada is a parliamentary democracy and a constitutional monarchy, with Queen Elizabeth II being the head of state. The country is officially bilingual at the federal level and it is one of the worlds most ethnically diverse and multicultural nations, the product of large-scale immigration from many other countries. Its advanced economy is the eleventh largest in the world, relying chiefly upon its abundant natural resources, Canadas long and complex relationship with the United States has had a significant impact on its economy and culture. Canada is a country and has the tenth highest nominal per capita income globally as well as the ninth highest ranking in the Human Development Index. It ranks among the highest in international measurements of government transparency, civil liberties, quality of life, economic freedom, Canada is an influential nation in the world, primarily due to its inclusive values, years of prosperity and stability, stable economy, and efficient military. While a variety of theories have been postulated for the origins of Canada. In 1535, indigenous inhabitants of the present-day Quebec City region used the word to direct French explorer Jacques Cartier to the village of Stadacona, from the 16th to the early 18th century Canada referred to the part of New France that lay along the St. Lawrence River. In 1791, the area became two British colonies called Upper Canada and Lower Canada collectively named The Canadas, until their union as the British Province of Canada in 1841. Upon Confederation in 1867, Canada was adopted as the name for the new country at the London Conference. The transition away from the use of Dominion was formally reflected in 1982 with the passage of the Canada Act, later that year, the name of national holiday was changed from Dominion Day to Canada Day
6.
Fire department
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Other life safety services, such as technical rescue, hazardous materials, and emergency medical services may also be provided by the agency. In the United States a fire brigade is the private firefighting organization of a company or enterprise, a fire department usually contains one or more fire stations within its boundaries, and may be staffed by career firefighters, volunteer firefighters, or a combination thereof. A fire department may provide fire protection or fire prevention services, whereby firefighters visit homes and give fire safety advice. In many countries fire protection or prevention is seen as an important role for the service, as preventing a fire from occurring in the first place can save lives. Fire departments are organized in a system of administration, services, training, and operations, for example, Administration is responsible for supervision, budgets, policy, Service offers protection, safety, and education to the public. Training prepares skilled people with the knowledge to perform their duties, operations performs the tasks to successfully save the public from harm. Larger departments have branches within themselves to increase efficiency, composed of volunteers, support, volunteers give advantages to the department in a state of emergency. Support organizing the resources within and outside of the department, research is to give advantages in new technologies for the department. A fire departments jurisdiction is organized by the body that controls the department. This comes from a municipality, county, prefecture, state, province, the most common type of government control is at the municipality level. The jurisdiction size and organisation would be set up by a department or the government in charge of these duties and this deals with the placement of fire stations, equipment, and personnel within the area of control. Fire departments periodically survey their areas and use the data for redeploying proper coverage. This data comes from time, range from station, and/or a population survey. This brings equal service to the community and gives the department efficient places to launch operations. The earliest known firefighting service was formed in Ancient Rome by Egnatius Rufus who used his slaves to provide a fire service. These men fought fires using bucket chains and also patrolled the streets with the authority to impose corporal punishment upon those who violated fire-prevention codes, the Emperor Augustus established a public fire department in 24 BCE, composed of 600 slaves distributed amongst seven fire stations in Rome. Fire departments were formed by property insurance companies beginning in the 17th century after the Great Fire of London in 1666. The first insurance brigades were established the following year, each company had its own fire mark, a durable plaque that would be affixed to the building exterior
7.
Canadian Coast Guard
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The Canadian Coast Guard is the coast guard of Canada. The coast guard operates 119 vessels of varying sizes and 22 helicopters, the Canadian Coast Guard is headquartered in Ottawa, Ontario and is a Special Operating Agency within Fisheries and Oceans Canada. Unlike armed coast guards of some nations, the CCG is a government marine organization without naval or law enforcement responsibilities. Naval operations in Canadas maritime environment are exclusively the responsibility of the Royal Canadian Navy, enforcement of Canadas maritime-related federal statutes may be carried out by peace officers serving with various federal, provincial or even municipal law enforcement agencies. The CCGs responsibility encompasses Canadas 202, 080-kilometre long coastline, the longest of any nation in the world and its vessels and aircraft operate over an area of ocean and inland waters covering approximately 2.3 million square nautical miles. Canadian Coast Guard services support government priorities and economic prosperity and contribute to the safety, accessibility and security of Canadian waters, the CCG’s mandate is stated in the Oceans Act and the Canada Shipping Act. The Canada Shipping Act gives the powers, responsibilities and obligations concerning, aids to navigation, Sable Island, search and rescue, pollution response. As a special operating agency within the Department of Fisheries and Oceans, however, the CCG is one of several federal departments and agencies that have been granted heraldic symbols. The CCG badge was approved in 1962. Blue symbolizes water, white represents ice, and dolphins are considered a friend of mariners, the motto Saluti Primum, Auxilio Semper translates “Safety First, Service Always”. In addition to the Coast Guard Jack, distinctive flags have been approved for use by senior CCG officials including the Honorary Chief Commissioner, the Canadian Coast Guard Auxiliary was granted a flag and badge by the Canadian Heraldic Authority in 2012. Originally a variety of departments and even the navy performed the work which the CCG does today. Lifeboat stations had been established on the east and west coasts as part of the Canadian Lifesaving Service and these stations maintained, sometimes sporadically in the earliest days, pulling lifeboats manned by volunteers and eventually motorized lifeboats. After the Department of Marine and Fisheries was split into separate departments, during the inter-war period, the Royal Canadian Navy also performed similar duties at a time when the navy was wavering on the point of becoming a civilian organization. Laws related to customs and revenue were enforced by the division of the Royal Canadian Mounted Police. A government reorganization in 1936 saw the Department of Marine and its Marine Service, along several other government departments and agencies. Following the Second World War, Canada experienced an expansion in ocean commerce. One of the more notable inheritances at the time of formation was the icebreaker Labrador, a period of expansion followed the creation of the CCG between the 1960s and the 1980s
8.
France
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France, officially the French Republic, is a country with territory in western Europe and several overseas regions and territories. The European, or metropolitan, area of France extends from the Mediterranean Sea to the English Channel and the North Sea, Overseas France include French Guiana on the South American continent and several island territories in the Atlantic, Pacific and Indian oceans. France spans 643,801 square kilometres and had a population of almost 67 million people as of January 2017. It is a unitary republic with the capital in Paris. Other major urban centres include Marseille, Lyon, Lille, Nice, Toulouse, during the Iron Age, what is now metropolitan France was inhabited by the Gauls, a Celtic people. The area was annexed in 51 BC by Rome, which held Gaul until 486, France emerged as a major European power in the Late Middle Ages, with its victory in the Hundred Years War strengthening state-building and political centralisation. During the Renaissance, French culture flourished and a colonial empire was established. The 16th century was dominated by civil wars between Catholics and Protestants. France became Europes dominant cultural, political, and military power under Louis XIV, in the 19th century Napoleon took power and established the First French Empire, whose subsequent Napoleonic Wars shaped the course of continental Europe. Following the collapse of the Empire, France endured a succession of governments culminating with the establishment of the French Third Republic in 1870. Following liberation in 1944, a Fourth Republic was established and later dissolved in the course of the Algerian War, the Fifth Republic, led by Charles de Gaulle, was formed in 1958 and remains to this day. Algeria and nearly all the colonies became independent in the 1960s with minimal controversy and typically retained close economic. France has long been a centre of art, science. It hosts Europes fourth-largest number of cultural UNESCO World Heritage Sites and receives around 83 million foreign tourists annually, France is a developed country with the worlds sixth-largest economy by nominal GDP and ninth-largest by purchasing power parity. In terms of household wealth, it ranks fourth in the world. France performs well in international rankings of education, health care, life expectancy, France remains a great power in the world, being one of the five permanent members of the United Nations Security Council with the power to veto and an official nuclear-weapon state. It is a member state of the European Union and the Eurozone. It is also a member of the Group of 7, North Atlantic Treaty Organization, Organisation for Economic Co-operation and Development, the World Trade Organization, originally applied to the whole Frankish Empire, the name France comes from the Latin Francia, or country of the Franks
9.
Ambulance
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The word is often associated with road going emergency ambulances which form part of an emergency medical service, administering emergency care to those with acute medical problems. The term ambulance does, however, extend to a range of vehicles other than those with flashing warning lights. The term ambulance comes from the Latin word ambulare as meaning to walk or move about which is a reference to medical care where patients were moved by lifting or wheeling. The word originally meant a hospital, which follows an army in its movements. Ambulances were first used for transport in 1487 by the Spanish forces during the siege of Málaga by the Catholic Monarchs against the Emirate of Granada. During the American Civil War vehicles for conveying the wounded off the field of battle were called ambulance wagons, there are other types of ambulance, with the most common being the patient transport ambulance. These vehicles are not usually equipped with equipment, and are usually crewed by staff with fewer qualifications than the crew of emergency ambulances. Their purpose is simply to transport patients to, from or between places of treatment, in most countries, these are not equipped with flashing lights or sirens. In some jurisdictions there is a form of the ambulance used, that only carries one member of ambulance crew to the scene to provide care. In these cases a patient who requires transportation to hospital will require an ambulance to attend in addition to the first responder. The history of the ambulance begins in ancient times, with the use of carts to transport incurable patients by force, Ambulances were first used for emergency transport in 1487 by the Spanish, and civilian variants were put into operation during the 1830s. Advances in technology throughout the 19th and 20th centuries led to the modern self-powered ambulances, Ambulances can be grouped into types depending on whether or not they transport patients, and under what conditions. In some cases, ambulances may fulfil more than one function, Emergency ambulance – The most common type of ambulance, which provide care to patients with an acute illness or injury. These can be road-going vans, boats, helicopters, fixed-wing aircraft or even converted vehicles such as golf carts. Patient transport ambulance – A vehicle, which has the job of transporting patients to and these can be vans, buses or other vehicles. Response units may be backed up by an ambulance which can transport the patient, or may deal with the problem on scene. These can be a variety of vehicles, from standard cars, to modified vans, motorcycles, pedal cycles. These units can function as a vehicle for officers or supervisors, Fire & Rescue services in North America often staff EMTs or Paramedics to their apparatuses to provide medical care without the need to wait for an ambulance
10.
Nursing
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Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, Nurses practice in many specialisms with differing levels of prescriber authority. Many nurses provide care within the scope of physicians. However, nurses are permitted by most jurisdictions to practice independently in a variety of settings depending on training level, Nurses may help coordinate the patient care performed by other members of an interdisciplinary health care team such as therapists, medical practitioners and dietitians. Nurses provide care both interdependently, for example, with physicians, and independently as nursing professionals, Nursing historians face the challenge of determining whether care provided to the sick or injured in antiquity was nursing care. In the fifth century BC, for example, the Hippocratic Collection in places describes skilled care and observation of patients by male attendants, who may have been early nurses. Hence, any one desirous of acquiring a knowledge of anatomy should prepare a dead body and carefully, observe, by dissecting it. Before the foundation of modern nursing, members of religious orders such as nuns, examples exist in Christian, Islamic and Buddhist traditions amongst others. Phoebe, mentioned in Romans 16 has been described in sources as the first visiting nurse. These traditions were influential in the development of the ethos of modern nursing, the religious roots of modern nursing remain in evidence today in many countries. One example in the United Kingdom is the use of the sister to refer to a senior nurse. During the Reformation of the 16th century, Protestant reformers shut down the monasteries and convents and those nuns who had been serving as nurses were given pensions or told to get married and stay home. Nursing care went to the inexperienced as traditional caretakers, rooted in the Roman Catholic Church, were removed from their positions, the nursing profession suffered a major setback for approximately 200 years. Florence Nightingale laid the foundations of professional nursing during the Crimean War and her Notes on Nursing became popular. Agnes Jones, who established a training regime at the Brownlow Hill infirmary, Liverpool. In turn, the modern movement began in Germany in 1836. Within a half century, there were over 5,000 deaconesses in Europe, formal use of nurses in the modern military began in the latter half of the nineteenth century. Nurses saw active duty in the First Boer War, the Egyptian Campaign, hospital-based training came to the fore in the early 1900s, with an emphasis on practical experience
11.
Emergency medical services in France
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A law in 1986 defined SAMU missions as hospital-based services providing permanent phone support, choosing and dispatching the proper response for a phone call request. Current performance on emergency calls is arrival at scene within 10 minutes for 80% of responses and this means that SAMU controls a variety of resources within a community from general practitioners to hospital intensive care services. Additionally, two SAMU have specific tasks, The Paris SAMU is responsible for providing service to high-speed trains and Air France aircraft, the Toulouse SAMU is responsible for providing service to ships at sea. The reds operate ambulances with 3 or 4 staff members on board, the visual identity provisions of the CEN1789 standard are not currently being followed by the private companies, their vehicles still are white. The fire service vehicles are more and more equipped with yellow markers, non-emergency and low-priority ambulance services are normally provided by private companies. For other types of transportation, the term ambulance is not used. Private ambulance services also participate to the Urgent Medical Aid Service, emergency response may be through the use of a fire department based rescue ambulance, a multi-purpose vehicle or even a fire apparatus. Here, the cross-trained firefighters will provide on scene care and transport for injuries or illness, French hospitals must operate an emergency department only if it is capable of treating the common trauma and illness conditions that are likely to present. This normally includes a unit, general and internal medicine, cardio-vascular medicine, pediatrics, anesthesiology-resuscitation, orthopedic surgery and oncology. The exception would be for specialised units, which only admit specific pathologies or specific types of patients and these units are termed pôle spécialisé daccueil et de traitement des urgences. The specialized service is managed by an emergency physician, an emergency physician must always be on-call, and a specialized physician can be called at any time. In addition the team must have two nurses, care assistants, a worker and a receptionist, with all of them having received specific education for dealing with emergency cases. The service is organized in three zones, a zone, a zone for examination and treatment. A zone for monitoring over short duration, most services also have a massive crowd room that are designed to allow care of a large number of patients, outside of the normal levels of presenting patients. These plan blanc units are designed to cope with major incidents or epidemics, in hospital emergency medicine has only recently been recognized as a medical specialty in France, and pre-hospital care is currently struggling to be recognized as a sub-specialty. The situation is complicated by the fact that the physicians staffing the SMUR units are among the lowest-paid in Europe. This economic reality has resulted in high turnover and some difficulty in staffing positions. In actual practise, however, such units and Nurse staffed MICU are used for purposes of Stable Intensive Care Patients
12.
Firefighter
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In some areas, they are also trained in Emergency Medical Services and operate ambulances in addition to being a firefighter. The fire service, or fire and rescue service, also known in countries as the fire brigade or fire department, is one of the three main emergency services. Firefighting and firefighters have become ubiquitous around the world, from wildlands to urban areas, according to Merriam-Websters Dictionary, the English word firefighter has been used since 1903. In urban areas across the world the population is protected by paid full time firefighters. The goals of firefighting are, As such, the skills required for operations are regularly practiced during training evaluations throughout a firefighters career. In the United States, the preeminent fire training and standards organization is the National Fire Protection Association, often initial firefighting skills are taught during a local, regional, or state approved fire academy. Depending on the requirements of a department, additional skills and certifications such as technical rescue, Firefighters work closely with other emergency response agencies, most particularly local and state police departments. The increasing role of firefighters in providing medical services also brings firefighters into common overlap with law enforcement. One example of this is a state law requiring all gunshot wounds to be reported to law enforcement agencies. Fire fighting has some skills, prevention, self-preservation, rescue, preservation of property, basic first aid. Firefighting is further broken down into skills which include size-up, extinguishing, ventilation, salvage, wildland firefighting includes size up, containment, extinguishment, and mop up. Search and Rescue, which has already mentioned, is performed early in any fire scenario and many times is in unison with extinguishing. Fire suppression systems have a record for controlling and extinguishing unwanted fires. Many fire officials recommend that every building, including residences, have sprinkler systems. Correctly working sprinklers in a residence greatly reduce the risk of death from a fire, with the small rooms typical of a residence, one or two sprinklers can cover most rooms. Other methods of prevention are by directing efforts to reduce known hazardous conditions or by preventing dangerous acts before tragedy strikes. Tools are generally carried at all times and are important for not only forcible entry, a self-contained breathing apparatus delivers air to the firefighter through a full face mask and is worn to protect against smoke inhalation, toxic fumes, and super heated gases. The PASS device sounds an alarm that can assist another firefighter, Firefighters often carry personal self-rescue ropes
