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, or advanced life support level of care