![]() The development of the profession has been a gradual move from simply transporting patients to hospital, to more advanced treatments in the field. Their role is to support a physician in the field, in a role more akin to a hospital nurse, rather than operating with clinical autonomy. In other versions of the Franco-German model, such as Germany, paramedics do exist. Ambulance staff have either the more advanced qualifications of a physician or less advanced training in first aid. In some versions of this model, such as France, there is no direct equivalent to a paramedic. In the Franco-German model, ambulance care is led by physicians. In some countries such as the United Kingdom and South Africa, the paramedic role has developed into an autonomous health profession. In the Anglo-American model, paramedics are autonomous decision-makers. The role of a paramedic varies widely across the world, as EMS providers operate with many different models of care. Paramedics also work in non-emergency situations, such as transporting chronically ill patients to and from treatment centers and in some areas, address social determinants of health and provide in-home care to ill patients at risk of hospitalization (a practice known as community paramedicine ). Due to the nature of their job, paramedics work in many environments, including roadways, people's homes, and depending on their qualifications, wilderness environments, hospitals, aircraft, and with SWAT teams during police operations. The primary role of a paramedic is to stabilize people with life-threatening injuries and transport these patients to a higher level of care (typically an emergency department). The paramedic role is closely related to other healthcare positions, especially the emergency medical technician, with paramedics often being at a higher grade with more responsibility and autonomy following substantially greater education and training. In some English-speaking countries, there is an official distinction between paramedics and emergency medical technicians (or emergency care assistants), in which paramedics have additional educational requirements and scope of practice. Not all ambulance personnel are paramedics, although the term is sometimes used informally to refer to any ambulance personnel. The scope of practice of a paramedic varies between countries, but generally includes autonomous decision making around the emergency care of patients. They also have roles in emergency medicine, primary care, transfer medicine and remote/offshore medicine. Paramedics work as part of the emergency medical services (EMS), most often in ambulances. ![]() A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital.
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