The first known hospital-based ambulance service was out of Commercial hospital in Cincinnati, Ohio (Now Cincinnati General) by 1865 this was later followed by other ambulatory services which started to spread state to state, notably New York who provided transports out of Bellevue hospital. The first motorized ambulance appears to have been dated back to 1899 and was donated by 500 prominent business men to the Michael Reese hospital in Chicago around the era of world war 1, also during world war 1 is when aviation included conversion planes throughout the world into ambulance planes.
Skipping ahead to the 60’s when virtually all medical Authors and EMS experts would agree that modern day American emergency medical services began in 1966 with the publication in September of that year of “Accidental death and disability, The neglected disease of modern society” and a report by the committees on trauma and shock of the divisions of Medical Sciences, National Academy of Science/National research council.
With the maturing of EMS in the United States came along multiple categories of professionals that travel onboard these different types of transports. EMS personnel are separated by different degrees of their medical training.
- 1st responders: Generally police and fire department- these departments usually have minimal training in medical background such as CPR, the control of bleeding, administering oxygen and able to stabilize minor fractures.
- EMT 1
- Paramedics EMT-P ( Emergency medical technician-paramedic) who have received extensive education in the biological processes of the human body.
- Specialty care transport paramedics and nurses - a relatively new provider level and are highly skilled to use complex med equipment.
So dating way back when to know, much has been covered about the advancement of our emergency and non emergency transport systems, and the professionals inside to help us arrive in the best condition possible to our designated destinations.
We have ground, air and even sea transports. In extreme emergencies air lifts are by far the best route to go. There are many insurance carriers that have plans for medical transportation which may be practical to look into especially if there may be terminally ill patients in your home. We have come a long way and with Medical transporting lives are saved every single minute of every single day.