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There are two main models of Emergency Medical Services (EMS) Systems
Franco-German
- Doctor is brought to the patient
- Care often provided by emergency physicians
- Based upon the “stay and stabilize” philosophy
- Fewer transports to the hospital
- Direct transport to inpatient wards
- Utilizes more extensive advanced technology
- Widely implemented in Europe
- EMS as part of public health organization
Anglo-American
- Patient is brought to the doctor
- Care provided by emergency medical technicians/paramedics
- Based upon the “scoop and run” philosophy
- More patients transported to the hospital
- Brought to the emergency department
- More likely to be found in countries with emergency medicine as a developed specialty
- Widely implemented in English speaking countries globally
- However, also found in other countries such as in the Arabian Gulf
- EMS as part of public safety organization
References
Dick WF. Anglo-American vs. Franco-German emergency medical services system. Prehosp Disaster Med. 2003 Jan-Mar;18(1):29-35; discussion 35-7.
Al-Shaqsi S. Models of International Emergency Medical Service (EMS) Systems. Oman Med J. 2010 Oct; 25(4): 320–323.