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The U.S. emergency medical service started relatively late and did not develop until the 1970s. Two laws play a key role: a) the "Public Law 89-564, Highway Safety Regulations," which was announced in September 1966, Paragraph 11 of the ordinance deals with the issue of emergency medical services and clearly stipulates plans to improve ambulance services, formulates standards and service plans for pre-hospital emergency personnel and urges states to develop emergency medical systems in their area; and the other is the implementation in November 1973 Public Health 93-154, Emergency Medical System Regulations, which aims to develop a comprehensive emergency medical service system across the country to improve the quality of care, provide basic life support and advanced life-support to reduce morbidity and mortality rate.

B) United States emergency medical service system

The main features of the emergency medical service system in the United States are: (1) the principle of zoning and cooperation and coordination of different areas is implemented. The country is divided into 303 emergency medical service areas. Each district has an administration in charge of coordinating and accepting funds from emergency service companies. (2) setting up emergency medical service committees in each region to make recommendations on emergency work plans in the region; and (3) formulating plans for major emergency cases such as severe trauma, burns, spinal cord injury, heart disease, poisoning, perinatal emergency and mental illness Emergency service evaluation standards; ④ pre-hospital emergency services center, about half of voluntary service organizations, followed by private emergency services and fire units; ⑤ regional hospitals formed a joint emergency medical service network, for example, New York City, the city's 60 hospitals to form a " 911 emergency hospital "; ⑥ ambulance number and equipment better, higher efficiency, the average response time in the city calls within 10 minutes, in rural areas for about 15 to 30 minutes; ⑦ emergency personnel clearly distinguish emergency physicians, first aid Technical staff, emergency nurses; ⑧ emergency medicine by the American Medical Association (AM A) Recognized as the 23rd medical profession in the United States.

Source: Medical education network

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