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Fire-Based EMS: IAFC President Expresses Field EMS Bill Concerns

By Bill Metcalf IAFC President The origins of the modern EMS delivery model can be traced to the mid-1960s when the National Academy of Sciences published a white paper called Accidental Death and Disability: The Neglected Disease of Modern Society. Referred to as "Death in a Ditch," the white paper described the deplorable state of prehospital emergency care in the United States and strongly advocated for national attention and action. During the Nixon administration, a number of pilot projects looked at different EMS delivery methods and some local communities from coast to coast embarked on individual programs to improve out-of-hospital care. In the early- to mid-1970s, natio...

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