#AtoZchallenge: History of Paramedicine – S is for Standards of Care

Those who know me know that one of the biggest interests is in the area of Fire/EMS (though I am not, myself a Firefighter or an EMT/Paramedic).  I decided this year to do my A-Z Challenge using the theme “History of Paramedicine….


I keep going back and forth between doing “Standards of Care” and Shock.  My original thought was to do Standards of Care, but was having trouble coming up with anything when I tried to research so I thought to try Shock, but when I tried to google Tretament of Shock or even History of the Treatment of Shock all I got was stuff for Shock Therapy.   So back I go to Standards of Care.

I guess you could say that before the 1970’s, or at least 1960’s, there wasn’t really much to speak of in the way of Standards (or Standards of Care) when it came to Emergency Medical Services.  The level of training and level of care provided varied greatly.  Often times the “Ambulance Drivers” or Squad Personnel were trained only in Basic First Aid and their efforts were uncoordinated and unorganized.  A report published in 1966 (that came to be known as the “White Papers” demonstrated the need for a cohesive, organized, and coordinated system.

One thing addressed early on was staffing of ambulances.  It is required that an ambulance (or rescue squad) have at least two personnel on it.   A Basic Life Support (or BLS) unit would only require that at least one of the personnel members be and EMT-Basic, the other being allowed to be a First Responder or Emergency Medical Responder (EMR) level.  To be considered an Advance Life Support  (or ALS) unit.  At least one of the members has to be at the Paramedic Level (more common is to have both personnel be at a Paramedic Level).

The NREMT was established in 1970 to  coordinate certification efforts and protocol.  They were responsible for deciding on a set curriculum and certifying criteria for the different levels of Emergency Medical Technicians from Basic Level to Paramedic level.


I’ve also been doing this blogging challenge on the family blog (Life Happens)

Nearing the end (close to a week left) of the A to Z Challenge.   There’s still time to check on the other participants


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