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Medical Direction for Staffing of Ambulances

Revised and approved by the ACEP Board of Directors April 2012 
Reaffirmed by the ACEP Board of Directors September 2005
This policy statement was originally approved as Council Resolution CR064 in September 1988 and was approved as a policy statement in March 1999

The American College of Emergency Physicians (ACEP) believes that the staffing of ambulances and other out-of-hospital emergency service vehicles should be subject to local EMS system physician medical direction. Decisions made regarding the number and qualifications of personnel providing care, above regulatory minimum standards, is a patient care issue. These decisions should apply to the staffing of ambulances and other vehicles that provide basic, intermediate, and advanced life support, as well as critical-care levels of service.


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