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The Highway Safety Act of 1966
The Highway Safety Act of 1966 required each state to establish a highway safety program that met prescribed federal standards and included emergency services. The Department of Transportation, through its National Highway Traffic Safety Administration (NHTSA), took a leadership role in the development of emergency medical services. An early focus was improving the education of prehospital personnel. One initiative was the development of national standard curricula. The EMT programs of today have gradually evolved from this charge and continue to use a national standard curriculum.
The Emergency Medical Services System Act of 1973
The Emergency Medical Services System Act of 1973 Provided access to millions of dollars of funding geared to EMS system planning and implementation, personnel availability, and training.
The American Heart Association
The American Heart Association (AHA) began to teach cardiopulmonary resuscitation (CPR) and Basic life support to the public. Completion of a CPR course is now a prerequisite to the EMT course.
The National Registry of EMT’s in 1993
The National Registry of EMT’s in 1993 released the National Emergency Medical Services Education and Practice Blueprint, which defined issues related to EMS training and education and was intended to guide the development of national training curricula.
The National Highway Traffic Safety Administration in 1996
The National Highway Traffic Safety Administration in 1996 published the EMS Agenda for the Future document with the intent to make EMS a greater component in the health care system in the United States. In 2000, a fallow-up document, The EMS Education Agenda for the Future: A Systems Approach, was released to address the issue of consistency in the education, training, and certification and licensure of entry-level EMS personnel nationally.
The National Highway Traffic Safety Administration and Health Resources and Services Administration in 2005
The National Highway Traffic Safety Administration and Health Resources and Services Administration in 2005 Published the National EMS Core Content, which defined the domain of knowledge found in the National EMS Scope of Practice Model. It promotes universal knowledge and skills for EMS personnel.
The National Highway Traffic Safety administration in 2006
The National Highway Traffic Safety administration in 2006 published The National EMS Scope of Practice Model, which defines four levels of EMS licensure and corresponding knowledge and skills necessary at each level.
The Institute of Medicine report The Future if EMS Care: EMS at the Crossroads in 2006
The Institute of Medicine report The Future if EMS Care: EMS at the Crossroads in 2006 recommended that all state governments adopt a common scope of practice that allows for reciprocity between states, national accreditation for all paramedic programs, and national certification as prerequisite for state licensure and local credentialing.
The National Highway Traffic Safety Administration’s National EMS Education Standards
The National Highway Traffic Safety Administration’s National EMS Education Standards outline the minimum terminal Objectives for entry-level EMS personnel based on the National EMS Scope of Practice Model.
11 Technical Assistance Program Assessment Standards
- Regulation and Policy
- Resource management
- Human resources and training
- Public information and education
- Medical direction
- Professional attributes
- Trauma Systems
Regulation and Policy
Each state must have laws, regulations, policies, and procedures that govern its EMS system. A state-level EMS agency is also required to provide leadership to local jurisdictions.
Each state must have central control of EMS resources so that each locality and all patients have equal access to acceptable emergency care.
Human Resources and Training
All Personnel who staff ambulances and transport patients must be trained to at least the EMT level.
Patients must be provided with safe, reliable transportation by ground or air ambulance.
Each seriously ill or injured patient must be delivered in a timely manner to an appropriate medical facility.
A system of communications must be in place to provided public access to the system and communication among dispatcher, EMS personnel, and hospital.