An emergency medical technician (often, more simply, EMT ) is a medical professional that provides emergency medical services . EMTs are most commonly found serving on ambulances and in fire departments in the US and Canada, as full-time and some part-time departments require their firefighters to at least be EMT certified.
152-418: The Magen David Adom ( Hebrew : מגן דוד אדום , abbr. MDA , pronounced MAH-dah per its Hebrew acronym, מד״א ) is Israel 's national emergency medical , disaster , ambulance and blood bank service. The literal meaning of name is "Red Shield of David," but the symbol is more frequently called the "Red Star of David " in many languages. Since June 2006, Magen David Adom has been officially recognized by
304-629: A physician medical director , often with the advice of a medical advisory committee composed of paramedics and other health professionals. In California, for example, each county's local emergency medical service agency (LEMSA) issues a list of standard operating procedures or protocols, under the supervision of the California Emergency Medical Services Authority . These procedures often vary from county to county based on local needs, levels of training and clinical experiences. New York State has similar procedures, whereas
456-611: A third additional protocol , thereby introducing a new protective emblem, dubbed the " Red Crystal ." This third protocol emblem is hailed as a universal emblem free of religious, ethnic, or political connotation. The new symbol is a red square frame tilted at a forty-five–degree angle. According to the rules of the third additional protocol, MDA can continue to use the Red Star of David as its sole emblem for indicative purposes within Israel. For indicative use in missions abroad, MDA can, depending on
608-674: A Hebrew form. Medieval Hebrew added 6421 words to (Modern) Hebrew. The approximate number of new lexical items in Israeli is 17,000 (cf. 14,762 in Even-Shoshan 1970 [...]). With the inclusion of foreign and technical terms [...], the total number of Israeli words, including words of biblical, rabbinic and medieval descent, is more than 60,000. In Israel, Modern Hebrew is currently taught in institutions called Ulpanim (singular: Ulpan). There are government-owned, as well as private, Ulpanim offering online courses and face-to-face programs. Modern Hebrew
760-478: A PCP and ACP may run 40–50 medical codes per year, a CCP may run 1–2 in an entire career. IV/IO starts are nearly non-existent in the field and for this reason CCPs are required to attend nearly double the amount of time in classroom situations or in hospital to keep current. In addition to this, they are trained for other skills such as medication infusion pumps, mechanical ventilation, and arterial line monitoring. CCPs often work in fixed and rotary wing aircraft when
912-434: A benchmarking document to permit inter-provincial labour mobility of practitioners, regardless of how titles are specifically regulated within their own provincial systems. In this manner, the confusing myriad of titles and occupational descriptions can at least be discussed using a common language for comparison sake. Most providers that work in ambulances are identified as "paramedics" by the public. However, in many cases,
1064-583: A century ago, was fluent enough in this idiom to be able to follow the Mishna Berurah without any trouble." Hebrew has been revived several times as a literary language, most significantly by the Haskalah (Enlightenment) movement of early and mid-19th-century Germany. In the early 19th century, a form of spoken Hebrew had emerged in the markets of Jerusalem between Jews of different linguistic backgrounds to communicate for commercial purposes. This Hebrew dialect
1216-458: A clinical lead working alongside an emergency care assistant or as assistants themselves to a paramedic. As the role does not have a single defined scope, the skills they have can include: The term emergency medical technician is not commonly used by members of the public in the United Kingdom. Instead, it is common for all ambulance personnel to be referred to as "paramedics", although
1368-649: A corollary Hebrew ceased to function as a spoken language around the same time. Moshe Zvi Segal , Joseph Klausner and Ben Yehuda are notable exceptions to this view. During the latter half of the 20th century, accumulating archaeological evidence and especially linguistic analysis of the Dead Sea Scrolls has disproven that view. The Dead Sea Scrolls, uncovered in 1946–1948 near Qumran revealed ancient Jewish texts overwhelmingly in Hebrew, not Aramaic. The Qumran scrolls indicate that Hebrew texts were readily understandable to
1520-562: A distinct style of philosophical Hebrew. This is used in the translations made by the Ibn Tibbon family. (Original Jewish philosophical works were usually written in Arabic. ) Another important influence was Maimonides , who developed a simple style based on Mishnaic Hebrew for use in his law code, the Mishneh Torah . Subsequent rabbinic literature is written in a blend between this style and
1672-1026: A few additional medications. Advanced care paramedic (ACP) is a level of practitioner that is in high demand by many services across Canada. However, Quebec only utilizes this level of practice in a very limited fashion as part of a pilot program in Montreal. The ACP typically carries approximately 20 different medications, although the number and type of medications may vary substantially from region to region. ACPs perform advanced airway management including intubation, surgical airways, intravenous therapy, place external jugular IV lines, perform needle thoracotomy, perform and interpret 12-lead ECGs, perform synchronized and chemical cardioversion, transcutaneous pacing, perform obstetrical assessments, and provide pharmacological pain relief for various conditions. Several sites in Canada have adopted pre-hospital fibrinolytics and rapid sequence induction, and prehospital medical research has permitted
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#17328528393731824-502: A given level of paramedic practice, each province retains ultimate authority in legislating the actual administration and delivery of emergency medical services within its own borders. For this reason, any discussion of paramedic practice in Canada is necessarily broad, and general. Specific regulatory frameworks and questions related to paramedic practices can only definitively be answered by consulting relevant provincial legislation, although provincial paramedic associations may often offer
1976-579: A gradually accepted movement. It was not, however, until the 1904–1914 Second Aliyah that Hebrew had caught real momentum in Ottoman Palestine with the more highly organized enterprises set forth by the new group of immigrants. When the British Mandate of Palestine recognized Hebrew as one of the country's three official languages (English, Arabic, and Hebrew, in 1922), its new formal status contributed to its diffusion. A constructed modern language with
2128-455: A great number of variations in the scope of practice for ACPs. Current programs include providing ACPs with discretionary direct 24-hour access to PCI labs, bypassing the emergency department, and representing a fundamental change in both the way that patients with S-T segment elevation myocardial infarctions (STEMI) are treated, but also profoundly affecting survival rates, as well as bypassing closer hospitals to get an identified stroke patient to
2280-399: A limited set of medications (including oxygen, epinephrine, dextrose, naloxone, albuterol, ipratropium bromide , glucagon, nitroglycerin, nitrous oxide , and acetylsalicylic acid). Some areas may add to the scope of practice, including intravenous access, insertion of supraglottic airway devices, and CPAP . Training requirements and treatment protocols vary from area to area. Advanced EMT
2432-463: A literary language down through the Byzantine period from the 4th century CE. The exact roles of Aramaic and Hebrew remain hotly debated. A trilingual scenario has been proposed for the land of Israel. Hebrew functioned as the local mother tongue with powerful ties to Israel's history, origins and golden age and as the language of Israel's religion; Aramaic functioned as the international language with
2584-544: A major concern in light of the COVID-19 pandemic . In response, the U.S. Centers for Disease Control and Prevention and other agencies and organizations have issued guidance regarding workplace hazard controls for COVID-19 . Some specific recommendations include modified call queries, symptom screening, universal PPE use, hand hygiene, physical distancing, and stringent disinfection protocols. Research on ambulance ventilation systems found that aerosols often recirculate throughout
2736-722: A modern version of the ancient language was led by Eliezer Ben-Yehuda . Modern Hebrew ( Ivrit ) became the main language of the Yishuv in Palestine , and subsequently the official language of the State of Israel . Estimates of worldwide usage include five million speakers in 1998, and over nine million people in 2013. After Israel, the United States has the largest Hebrew-speaking population, with approximately 220,000 fluent speakers (see Israeli Americans and Jewish Americans ). Modern Hebrew
2888-600: A regional medical-advisory council (REMAC) determines protocols for one or more counties in a geographical section of the state. Treatments and procedures administered by paramedics fall under one of two categories, off-line medical orders (standing orders) and on-line medical orders. On-line medical orders refers to procedures that must be explicitly approved by a base hospital physician or registered nurse through voice communication (generally by phone or radio) and are generally rare or high risk procedures (e.g. vasopressor initiation). In addition, when multiple levels can perform
3040-416: A sense to medical school clinical rotations, EMT students are required to spend a required amount of time in an ambulance and on a variety of hospital services (e.g. obstetrics , emergency medicine , surgery , intensive care unit , psychiatry ) in order to complete a course and become eligible for the certification and licensure exams. The number of clinical hours for both time in an ambulance and time in
3192-535: A set of dialects evolving out of Late Biblical Hebrew and into Mishnaic Hebrew, thus including elements from both but remaining distinct from either. By the start of the Byzantine Period in the 4th century CE, Classical Hebrew ceased as a regularly spoken language, roughly a century after the publication of the Mishnah, apparently declining since the aftermath of the catastrophic Bar Kokhba revolt around 135 CE. In
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#17328528393733344-568: A set of protocols, which are typically written by a physician . EMTs are exposed to a variety of hazards such as lifting patients and equipment, treating those with infectious disease, handling hazardous substances, and transportation via ground or air vehicles. Employers can prevent occupational illness or injury by providing safe patient handling equipment, implementing a training program to educate EMTs on job hazards, and supplying PPE such as respirators, gloves, and isolation gowns when dealing with biological hazards. Infectious disease has become
3496-558: A simpler overview of this topic when it is restricted to a province-by-province basis. In Canada, the levels of paramedic practice as defined by the National Occupational Competency Profile are: emergency medical responder (EMR), primary care paramedic, advanced care paramedic, and critical care paramedic. Regulatory frameworks vary from province to province, and include direct government regulation (such as Ontario's method of credentialing its practitioners with
3648-586: A single branch in Tel Aviv . After opening branches in Jerusalem and Haifa , it was extended nationwide five years later, providing medical support to the public including not only Jews, but also Arabs (Muslim, Druze, and Christian). On 12 July 1950, the Knesset passed a law giving MDA official status as Israel's national emergency service. The objectives of Magen David Adom include maintaining first aid services; maintaining
3800-652: A spoken language, it continued to be used as a lingua franca among scholars and Jews traveling in foreign countries. After the 2nd century CE when the Roman Empire exiled most of the Jewish population of Jerusalem following the Bar Kokhba revolt , they adapted to the societies in which they found themselves, yet letters, contracts, commerce, science, philosophy, medicine, poetry and laws continued to be written mostly in Hebrew, which adapted by borrowing and inventing terms. After
3952-439: A storage service of blood, plasma and their by-products; instruction in first aid and pre-hospital emergency medicine; operating a volunteer program in which volunteers are trained in first aid, basic and advanced life support including mobile intensive care units; transportation of patients, women in labor, and evacuation of those wounded and killed in road accidents; transportation of doctors, nurses and medical auxiliary forces. In
4104-476: A stroke centre. Critical care paramedics (CCPs) are paramedics who generally do not respond to 9-1-1 emergency calls, with the exception of helicopter "scene" calls. Instead they focus on transferring patients from the hospital they are currently in to other hospitals that can provide a higher level of care. CCPs often work in collaboration with registered nurses and respiratory therapists during hospital transfers. This ensures continuity of care. However, when acuity
4256-640: A transporting ambulance. EMT training programs for certification vary greatly from course to course, provided that each course at least meets local and national requirements. In the United States, EMRs receive at least 40–80 hours of classroom training and EMTs receive at least 120–300 hours of classroom training. AEMTs generally have 100-300 hours of additional classroom training beyond the standard EMT training. Paramedics are trained for 1,500–2,500 hours or more. In addition to each level's didactic education, clinical rotations are typically also required. Similar in
4408-468: A truly Semitic vocabulary and written appearance, although often European in phonology , was to take its place among the current languages of the nations. While many saw his work as fanciful or even blasphemous (because Hebrew was the holy language of the Torah and therefore some thought that it should not be used to discuss everyday matters), many soon understood the need for a common language amongst Jews of
4560-441: A variety of medical procedures such as endotracheal intubation, rapid sequence induction , cricothyrotomy , fluid resuscitation , drug administration, obtaining intravenous and intraosseous access, manual defibrillation, electrocardiogram interpretation, capnography, cardioversion , transcutaneous pacing , pericardiocentesis , thoracostomy , ultrasonography , and blood chemistry interpretation. An ambulance with only EMTs
4712-549: A vernacular in Judea until it was displaced by Aramaic, probably in the 3rd century CE. Certain Sadducee , Pharisee , Scribe , Hermit, Zealot and Priest classes maintained an insistence on Hebrew, and all Jews maintained their identity with Hebrew songs and simple quotations from Hebrew texts. While there is no doubt that at a certain point, Hebrew was displaced as the everyday spoken language of most Jews, and that its chief successor in
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4864-466: A volunteer is 15. Since 2001, international volunteers aged 18 and over have the option to come to Israel for a two-month MDA Overseas Program . The program was initially named after its founder and first coordinator Yochai Porat, who was killed by a sniper on 3 March 2002 while serving reserve duty as a combat medic in the Israel Defense Forces . All volunteers pass a 60-hour course that covers
5016-493: A wide range of topics ranging from common medical conditions and trauma situations to mass casualty events . Those who pass the course are then dispatched throughout the country and work with local volunteers in ambulances to provide initial medical care on the regular and Mobile Intensive Care Ambulances. While the program was originally financially supported by the Jewish Agency for Israel , it has recently been taken over by
5168-511: Is 8198, of which some 2000 are hapax legomena (the number of Biblical Hebrew roots, on which many of these words are based, is 2099). The number of attested Rabbinic Hebrew words is less than 20,000, of which (i) 7879 are Rabbinic par excellence, i.e. they did not appear in the Old Testament (the number of new Rabbinic Hebrew roots is 805); (ii) around 6000 are a subset of Biblical Hebrew; and (iii) several thousand are Aramaic words which can have
5320-508: Is a level of practice that is least comprehensive (clinically speaking), and is also generally not consistent with any medical acts beyond advanced first-aid and oxygen therapy, administration of ASA, I.M. epinephrine and glucagon, oral glucose and administration of intranasal Narcan with the exception of automated external defibrillation (which is still considered a regulated medical act in most provinces in Canada). Primary care paramedics (PCP) are
5472-501: Is a nonprofit organization which offers certification exams based on NHTSA education guidelines and has been around since the 1970s. Currently, NREMT exams are used by 46 states as the sole basis for certification at one or more EMT certification levels. A NREMT exam consists of skills and patient assessments as well as a written portion. On June 12, 2019, the NREMT changed the rules regarding age limits for EMTs, AEMTs, and paramedics. There
5624-477: Is believed to be based on the Semitic root ʕ-b-r ( ע־ב־ר ), meaning "beyond", "other side", "across"; interpretations of the term "Hebrew" generally render its meaning as roughly "from the other side [of the river/desert]"—i.e., an exonym for the inhabitants of the land of Israel and Judah , perhaps from the perspective of Mesopotamia , Phoenicia or Transjordan (with the river referred to being perhaps
5776-416: Is considered a basic life support (BLS) unit, an ambulance utilizing AEMTs is dubbed an "intermediate life support" (ILS), or "limited advanced life support" (LALS) unit, and an ambulance with paramedics is dubbed an " advanced life support " (ALS) unit. Many states allow ambulance crews to contain a mix of crews levels (e.g. an EMT and a paramedic or an AEMT and a paramedic) to staff ambulances and operate at
5928-578: Is derived from Old French Ebrau , via Latin from the Ancient Greek Ἑβραῖος ( hebraîos ) and Aramaic 'ibrāy , all ultimately derived from Biblical Hebrew Ivri ( עברי ), one of several names for the Israelite ( Jewish and Samaritan ) people ( Hebrews ). It is traditionally understood to be an adjective based on the name of Abraham 's ancestor, Eber , mentioned in Genesis 10:21 . The name
6080-602: Is derived from the name of the alphabet used , in contrast to Ivrit , meaning the Paleo-Hebrew alphabet . Hebrew ceased to be a regular spoken language sometime between 200 and 400 CE, as it declined in the aftermath of the unsuccessful Bar Kokhba revolt , which was carried out against the Roman Empire by the Jews of Judaea . Aramaic and, to a lesser extent, Greek were already in use as international languages, especially among societal elites and immigrants. Hebrew survived into
6232-514: Is fighting to stop businesses from using only English signs to market their services. In 2012, a Knesset bill for the preservation of the Hebrew language was proposed, which includes the stipulation that all signage in Israel must first and foremost be in Hebrew, as with all speeches by Israeli officials abroad. The bill's author, MK Akram Hasson , stated that the bill was proposed as a response to Hebrew "losing its prestige" and children incorporating more English words into their vocabulary. Hebrew
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6384-537: Is manageable by a CCP or a registered nurse or respiratory therapist is not available, CCPs will work alone. Providing this care to the patient allows the sending hospital to avoid losing highly trained staff on hospital transfers. CCPs are able to provide all of the care that PCPs and ACPs provide. That being said, CCPs significantly lack practical experience with advanced skills such as IV initiation, peripheral access to cardiovascular system for fluid and drug administration, advanced airway, and many other techniques. While
6536-413: Is no longer an age limit for registered personnel. However, applicants must successfully complete a state-approved EMT course that meets or exceeds the NREMT standards within the past two years of applying. Those applying for the NREMT certification must also complete a state-approved EMT psychomotor exam. It is possible for the candidate to be refused access to a state-approved course due to their age within
6688-411: Is no text on this object. In July 2008, Israeli archaeologist Yossi Garfinkel discovered a ceramic shard at Khirbet Qeiyafa that he claimed may be the earliest Hebrew writing yet discovered, dating from around 3,000 years ago. Hebrew University archaeologist Amihai Mazar said that the inscription was "proto-Canaanite" but cautioned that "[t]he differentiation between the scripts, and between
6840-868: Is one of several languages for which the constitution of South Africa calls to be respected in their use for religious purposes. Also, Hebrew is an official national minority language in Poland , since 6 January 2005. Hamas has made Hebrew a compulsory language taught in schools in the Gaza Strip. Emergency medical technician In English-speaking countries, paramedics are a separate profession that has additional educational requirements, qualifications, and scope of practice. EMTs are often employed by public ambulance services, municipal EMS agencies, governments , hospitals , and fire departments . Some EMTs are paid employees, while others (particularly those in rural areas ) are volunteers . EMTs provide medical care under
6992-429: Is provided by Israeli Air Force 669 unit with MEDEVAC helicopters. However, in 2008, MDA started to provide paramedics for three EMS MBB Bo 105s imported from Germany by Lahak Aviation Ltd. These three helicopters (out of four brought by Lahak) are operated by Lahak Aviation's operating company, Shapirit Air Services Ltd., as Ambulance helicopters. Previous attempts by MDA to integrate independent helicopter service in
7144-728: Is the official language of the State of Israel, while pre-revival forms of Hebrew are used for prayer or study in Jewish and Samaritan communities around the world today; the latter group utilizes the Samaritan dialect as their liturgical tongue. As a non- first language , it is studied mostly by non-Israeli Jews and students in Israel, by archaeologists and linguists specializing in the Middle East and its civilizations , and by theologians in Christian seminaries . The modern English word "Hebrew"
7296-826: Is the famous Moabite Stone , written in the Moabite dialect; the Siloam inscription , found near Jerusalem , is an early example of Hebrew. Less ancient samples of Archaic Hebrew include the ostraca found near Lachish , which describe events preceding the final capture of Jerusalem by Nebuchadnezzar and the Babylonian captivity of 586 BCE. In its widest sense, Biblical Hebrew refers to the spoken language of ancient Israel flourishing between c. 1000 BCE and c. 400 CE . It comprises several evolving and overlapping dialects. The phases of Classical Hebrew are often named after important literary works associated with them. Sometimes
7448-431: Is the level of training between EMT and paramedic. They can provide intermediate life support (ILS) care including obtaining intravenous or intraosseous access, basic cardiac monitoring, fluid resuscitation , capnography, and administration of some additional medications. Paramedics typically represent the highest degree of pre-hospital medical provider, providing advanced life support (ALS) care. Paramedics perform
7600-405: Is the primary official language of the State of Israel. As of 2013 , there are about 9 million Hebrew speakers worldwide, of whom 7 million speak it fluently. Currently, 90% of Israeli Jews are proficient in Hebrew, and 70% are highly proficient. Some 60% of Israeli Arabs are also proficient in Hebrew, and 30% report having a higher proficiency in Hebrew than in Arabic. In total, about 53% of
7752-536: Is used to pronounce the Hebrew Bible; however, properly it should be distinguished from the historical Biblical Hebrew of the 6th century BCE, whose original pronunciation must be reconstructed. Tiberian Hebrew incorporates the scholarship of the Masoretes (from masoret meaning "tradition"), who added vowel points and grammar points to the Hebrew letters to preserve much earlier features of Hebrew, for use in chanting
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8056-630: The Chayei Adam in Hebrew, as opposed to Yiddish , as a guide to Halacha for the " average 17-year-old" (Ibid. Introduction 1). Similarly, Rabbi Yisrael Meir Kagan 's purpose in writing the Mishnah Berurah was to "produce a work that could be studied daily so that Jews might know the proper procedures to follow minute by minute". The work was nevertheless written in Talmudic Hebrew and Aramaic, since, "the ordinary Jew [of Eastern Europe] of
8208-725: The COVID-19 crisis. EMTs are a vital part of the private, voluntary and auxiliary services where a practitioner must be on board any ambulance in the process of transporting a patient to hospital. This is mandatory for all PHECC registered practitioners to keep their practitioner level and should always be kept in date (two years). This course is the new standard for first aid in the workplace. Basic tactical emergency care A state-level exam needs to be completed before an invitation to register as an EMT. EMT's are trained in basic life support, anatomy - physiology , pathophysiology , pharmacology , ECG monitoring, advanced airway management (supraglottic airways), spinal immobilization and
8360-503: The Euphrates , Jordan or Litani ; or maybe the northern Arabian Desert between Babylonia and Canaan ). Compare the word Habiru or cognate Assyrian ebru , of identical meaning. One of the earliest references to the language's name as " Ivrit " is found in the prologue to the Book of Sirach , from the 2nd century BCE. The Hebrew Bible does not use the term "Hebrew" in reference to
8512-557: The Gospel of Matthew . (See the Hebrew Gospel hypothesis or Language of Jesus for more details on Hebrew and Aramaic in the gospels.) The term "Mishnaic Hebrew" generally refers to the Hebrew dialects found in the Talmud , excepting quotations from the Hebrew Bible. The dialects organize into Mishnaic Hebrew (also called Tannaitic Hebrew, Early Rabbinic Hebrew, or Mishnaic Hebrew I), which
8664-567: The Green Line . Crews manning these lifesaving vehicles are trained and certified by Magen David Adom. MDA has a dedicated medical emergency telephone number in Israel, 101 . The average ambulance response time in Israel is 8.3 minutes (measured from the moment a dispatch request is received to arrival at the scene of an emergency). Calls to 101 are answered within 4 seconds. As of 2021, MDA handles approximately 2.7 million medical emergency phone calls to 101 per year. Until 2006, Magen David Adom
8816-705: The International Committee of the Red Cross (ICRC) as the national aid society of the State of Israel under the Geneva Conventions , and a member of the International Federation of Red Cross and Red Crescent Societies . MDA has a dedicated medical emergency phone number in Israel, 101 . MDA can become an auxiliary arm of the Israel Defense Forces during times of war. In 2022, MDA became academically affiliated with Ben-Gurion University of
8968-529: The Israelites and remained in regular use as a first language until after 200 CE and as the liturgical language of Judaism (since the Second Temple period ) and Samaritanism . The language was revived as a spoken language in the 19th century, and is the only successful large-scale example of linguistic revival . It is the only Canaanite language, as well as one of only two Northwest Semitic languages, with
9120-573: The Italian Red Cross ) Hebrew language Hebrew ( Hebrew alphabet : עִבְרִית , ʿĪvrīt , pronounced [ ʔivˈʁit ] or [ ʕivˈrit ] ; Samaritan script : ࠏࠨࠁࠬࠓࠪࠉࠕ ʿÎbrit ) is a Northwest Semitic language within the Afroasiatic language family . A regional dialect of the Canaanite languages , it was natively spoken by
9272-655: The Maccabean Revolt (167–160 BCE) and the emergence of the Hasmonean kingdom , the Great Jewish Revolt (66–73 CE), and the Bar Kokhba revolt (132–135 CE). The nationalist significance of Hebrew manifested in various ways throughout this period. Michael Owen Wise notes that "Beginning with the time of the Hasmonean revolt [...] Hebrew came to the fore in an expression akin to modern nationalism. A form of classical Hebrew
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#17328528393739424-504: The Philippines based on the standard set down by the Department of Health . Técnico en Emergencias Sanitarias (TES) are trained a total of 2000hrs in 2 years with 3 months of internship in ambulances at the very end. It's the only level of EMS worker. BLS ambulances can be driven with a B license, ALS with a C1. Emergency medical technician is a term that has existed for many years in
9576-482: The Pre-Hospital Emergency Care Council (PHECC). Emergency medical technician is the entry-level standard of practitioner for employment within the ambulance service . Currently, EMTs are authorized to work on non-emergency ambulances only as the standard for emergency ( 999 ) calls is a minimum of a two-paramedic crew, although this minimum requirement was relaxed to and EMT - paramedic crew during
9728-573: The RCSC ) [REDACTED] Kosovo (non-member) [REDACTED] Macau (autonomous branch of the RCSC ) [REDACTED] Oman (non-member) [REDACTED] Ossetia, South (non-member) [REDACTED] SADR (pending recognition and admission) [REDACTED] Somaliland (non-member) [REDACTED] Taiwan (former member) [REDACTED] Transnistria (non-member) [REDACTED] Vatican City (autonomous branch of
9880-525: The Second Aliyah , it replaced a score of languages spoken by Jews at that time. Those languages were Jewish dialects of local languages, including Judaeo-Spanish (also called "Judezmo" and "Ladino"), Yiddish , Judeo-Arabic and Bukhori (Tajiki), or local languages spoken in the Jewish diaspora such as Russian , Persian and Arabic . The major result of the literary work of the Hebrew intellectuals along
10032-599: The Tel HaShomer complex in the center of the country. The organization operates 189 stations over the country, with a fleet of over 2,000 ambulances nationwide. Among them are mobile intensive care units (MICU), special ambulances equipped for mass casualty events, and armored ambulances . Most of the fleet is made up of regular size vans providing Basic Life Support . These are called Lavan (which in Hebrew means "White") due to their external aspect and to differentiate them from
10184-457: The US Type II units and manned by paramedics and physicians respond only to the most medically serious cases. They are called Natan (if a physician is on board) or Atan (if it is only staffed by paramedics and EMTs). Major stations include special units (called "Taaran") for responding to mass casualty events such as natural disasters or terrorist attacks . In some cases air ambulance service
10336-455: The literary and liturgical language into everyday spoken language . However, his brand of Hebrew followed norms that had been replaced in Eastern Europe by different grammar and style, in the writings of people like Ahad Ha'am and others. His organizational efforts and involvement with the establishment of schools and the writing of textbooks pushed the vernacularization activity into
10488-456: The medieval period as the language of Jewish liturgy , rabbinic literature , intra-Jewish commerce, and Jewish poetic literature . The first dated book printed in Hebrew was published by Abraham Garton in Reggio ( Calabria , Italy) in 1475. With the rise of Zionism in the 19th century, the Hebrew language experienced a full-scale revival as a spoken and literary language. The creation of
10640-399: The 1970s were unsuccessful because of high cost. Unique among civilian emergency medical services due to its role as national aid society according to the Geneva Conventions , MDA can become an auxiliary arm of the Israel Defense Forces during times of war. Decommissioned MDA ambulances have been donated to a number of kibbutzim , moshavim , factories, and communities on both sides of
10792-547: The 1980s in the USSR , Hebrew studies reappeared due to people struggling for permission to go to Israel ( refuseniks ). Several of the teachers were imprisoned, e.g. Yosef Begun , Ephraim Kholmyansky , Yevgeny Korostyshevsky and others responsible for a Hebrew learning network connecting many cities of the USSR. Standard Hebrew, as developed by Eliezer Ben-Yehuda, was based on Mishnaic spelling and Sephardi Hebrew pronunciation. However,
10944-601: The 19th century was a lexical modernization of Hebrew. New words and expressions were adapted as neologisms from the large corpus of Hebrew writings since the Hebrew Bible, or borrowed from Arabic (mainly by Ben-Yehuda) and older Aramaic and Latin. Many new words were either borrowed from or coined after European languages, especially English, Russian, German, and French. Modern Hebrew became an official language in British-ruled Palestine in 1921 (along with English and Arabic), and then in 1948 became an official language of
11096-634: The 2005 agreement had not been fully implemented and decided to continue the monitoring process. A few months earlier, Dani Dayan from the Yesha Council , a settler organization, had accused the MDA of removing the red Magen David from ambulances operating in the West Bank. Dayan asserted that the MDA was doing so under pressure from the International Committee of the Red Cross. An MDA spokesman replied that
11248-746: The Aramaized Rabbinic Hebrew of the Talmud. Hebrew persevered through the ages as the main language for written purposes by all Jewish communities around the world for a large range of uses—not only liturgy, but also poetry, philosophy, science and medicine, commerce, daily correspondence and contracts. There have been many deviations from this generalization such as Bar Kokhba 's letters to his lieutenants, which were mostly in Aramaic, and Maimonides' writings, which were mostly in Arabic; but overall, Hebrew did not cease to be used for such purposes. For example,
11400-668: The British Mandate who at the turn of the 20th century were arriving in large numbers from diverse countries and speaking different languages. A Committee of the Hebrew Language was established. After the establishment of Israel, it became the Academy of the Hebrew Language . The results of Ben-Yehuda's lexicographical work were published in a dictionary ( The Complete Dictionary of Ancient and Modern Hebrew , Ben-Yehuda Dictionary ). The seeds of Ben-Yehuda's work fell on fertile ground, and by
11552-570: The FAQ Level 4 Diploma for Associate Ambulance Practitioners & QA Level 5 Diploma in First Response Emergency and Urgent Care (RQF) This provided a defined scope of practice agreed nationally by ambulance service trusts . Their role title, however, may still be defined by their employer as emergency medical technician . They can work autonomously, making their own clinical decisions within their training and remit. They may also work as
11704-516: The Great conquered Babylon, he allowed the Jewish people to return from captivity. In time, a local version of Aramaic came to be spoken in Israel alongside Hebrew. By the beginning of the Common Era , Aramaic was the primary colloquial language of Samarian , Babylonian and Galileean Jews, and western and intellectual Jews spoke Greek , but a form of so-called Rabbinic Hebrew continued to be used as
11856-1997: The Grenadines [REDACTED] Samoa [REDACTED] San Marino [REDACTED] São Tomé and Príncipe [REDACTED] Saudi Arabia [REDACTED] Senegal [REDACTED] Serbia [REDACTED] Seychelles [REDACTED] Sierra Leone [REDACTED] Singapore [REDACTED] Slovakia [REDACTED] Slovenia [REDACTED] Solomon Islands [REDACTED] Somalia [REDACTED] South Africa [REDACTED] South Sudan [REDACTED] Spain [REDACTED] Sri Lanka [REDACTED] Sudan [REDACTED] Suriname [REDACTED] Sweden [REDACTED] Switzerland [REDACTED] Syria [REDACTED] Taiwan (Republic of China) [REDACTED] Tajikistan [REDACTED] Tanzania [REDACTED] Thailand [REDACTED] Timor-Leste [REDACTED] Togo [REDACTED] Tonga [REDACTED] Trinidad and Tobago [REDACTED] Tunisia [REDACTED] Turkey [REDACTED] Turkmenistan [REDACTED] Tuvalu [REDACTED] Uganda [REDACTED] Ukraine [REDACTED] United Arab Emirates [REDACTED] United Kingdom [REDACTED] United States [REDACTED] Uruguay [REDACTED] Uzbekistan [REDACTED] Vanuatu [REDACTED] Venezuela [REDACTED] Viet Nam [REDACTED] Yemen [REDACTED] Zambia [REDACTED] Zimbabwe [REDACTED] Abkhazia (no-member) [REDACTED] Cyprus, North (non-member) [REDACTED] Hong Kong (autonomous branch of
12008-588: The Hebrew Bible. The Masoretes inherited a biblical text whose letters were considered too sacred to be altered, so their markings were in the form of pointing in and around the letters. The Syriac alphabet , precursor to the Arabic alphabet , also developed vowel pointing systems around this time. The Aleppo Codex , a Hebrew Bible with the Masoretic pointing, was written in the 10th century, likely in Tiberias, and survives into
12160-814: The Israel Experience organization, which also offers programs for Jewish youths on Birthright Israel trips. Visitors to Israel are also welcome to donate blood through the "Sharing for Life" program. Since its inception in 2001, increasing numbers of people have donated blood, usually through groups such as Christian solidarity missions, or family Bar-Bat Mitzvas, especially during seasonal traditional pilgrimage times, such as Passover and Easter. Although MDA currently staffs approximately 4,000 emergency medical technicians (EMTs), paramedics and emergency physicians , it still relies heavily on over 26,000 volunteers who serve in both operational and administrative capacities. MDA headquarters and its blood bank are located at
12312-454: The Israeli population speaks Hebrew as a native language, while most of the rest speak it fluently. In 2013 Hebrew was the native language of 49% of Israelis over the age of 20, with Russian , Arabic , French , English , Yiddish and Ladino being the native tongues of most of the rest. Some 26% of immigrants from the former Soviet Union and 12% of Arabs reported speaking Hebrew poorly or not at all. Steps have been taken to keep Hebrew
12464-721: The MDA agreed to operate within the international legal framework applicable to the West Bank and recognized that the Palestine Red Cross Society was the authorized national society in the Palestinian territory. The MDA had therefore to discontinue its operations in the West Bank. In December 2011, the International Conference of the International Red Cross and Red Crescent Movement "noted with regret" that
12616-550: The MDA continued to use the classic Red Star logo on its ambulances housed in 12 places across the West Bank. In October 2011 Yonatan Yagodovsky, director of MDA's fundraising department, declared that "the MDA will continue to use its emblem and logo, and no one ever asked us to take it off." In January 2012, the ICRC confirmed that MDA had in fact agreed to stop all services within the West Bank. Rescue efforts would "officially" be administered by regional councils instead, and would not use
12768-534: The MICU, which have orange stripes on the sides. They are manned by EMTs who generally have ranks equivalent to Basic and Intermediate EMTs in the US. In Israel, they are called ma'ar ( first responders ), ma'ar bachir (Certified first responder over 18, with some additional training), chovesh (EMT-B), and chovesh bachir (EMT-I). Ambulance drivers are EMTs or higher with a drivers' license for emergency vehicles. MICUs similar to
12920-545: The Magen David Adom—the Shield (or Star) of David." In protest, the American Red Cross withheld millions in administrative funding to the International Federation of Red Cross and Red Crescent Societies (IFRC) since May 2000. Since the mid-1990s, there has been extensive and growing co-operation between MDA and the ICRC including, among other things, a $ 2.2 million expenditure on strengthening ties between
13072-471: The Middle East was the closely related Aramaic language, then Greek , scholarly opinions on the exact dating of that shift have changed very much. In the first half of the 20th century, most scholars followed Abraham Geiger and Gustaf Dalman in thinking that Aramaic became a spoken language in the land of Israel as early as the beginning of Israel's Hellenistic period in the 4th century BCE, and that as
13224-641: The NREMT posted information about a transition to a new system of levels for emergency care providers developed by NHTSA with the National EMS Scope of Practice Project. By 2014, these new levels replaced the fragmented system found around the United States. The new classification includes emergency medical responder (replacing first responder), emergency medical technician (replacing EMT-basic), advanced emergency medical technician (replacing EMT-intermediate/85), and paramedic (replacing EMT-intermediate/99 and EMT-paramedic). Education requirements in transitioning to
13376-651: The Negev . Following the October 7th attacks against Israel , the American Red Cross presented Magen David Adom with the International Humanitarian Service Award stating that the organization "exemplifies and inspires the humanitarian values of human dignity, respect, [and] compassion." The Magen David Adom organization was formed by nurse Dr. Meshulam Levontin in 1930 as a volunteer association with
13528-536: The Red Cross and Red Crescent Movement—is not intended as a religious symbol, but is often perceived as such. In her March 2000 letter to the International Herald Tribune and the New York Times , Dr. Bernadine Healy , then president of the American Red Cross , wrote: "The international committee's feared proliferation of symbols is a pitiful fig leaf , used for decades as the reason for excluding
13680-605: The Talmud, the Gemara , generally comments on the Mishnah and Baraitot in two forms of Aramaic. Nevertheless, Hebrew survived as a liturgical and literary language in the form of later Amoraic Hebrew, which occasionally appears in the text of the Gemara, particularly in the Jerusalem Talmud and the classical aggadah midrashes . Hebrew was always regarded as the language of Israel's religion, history and national pride, and after it faded as
13832-509: The Talmud, various regional literary dialects of Medieval Hebrew evolved. The most important is Tiberian Hebrew or Masoretic Hebrew, a local dialect of Tiberias in Galilee that became the standard for vocalizing the Hebrew Bible and thus still influences all other regional dialects of Hebrew. This Tiberian Hebrew from the 7th to 10th century CE is sometimes called "Biblical Hebrew" because it
13984-464: The United Kingdom, but has no single defined scope. They may be known as emergency medical technician or simply, ambulance technician . Most EMTs hold an Institute for Healthcare Development Ambulance Technician Certificate and are employed in private ambulance companies or in National Health Service ambulance trusts. As of 2016, The IHCD Ambulance Technician Certificate was replaced with
14136-470: The United States has an EMS lead agency or state office of emergency medical services that regulates and accredits EMT training programs. Most of these offices have web sites to provide information to the public and individuals who are interested in becoming an EMT. In the United States, an EMT's actions in the field are governed by state regulations, local regulations, and by the policies of their EMS organization. The development of these policies are guided by
14288-480: The ability to speak the language and attempted to promote its use. According to the Jerusalem Talmud , Megillah 1:9: "Rebbi Jonathan from Bet Guvrrin said, four languages are appropriate that the world should use them, and they are these: The Foreign Language (Greek) for song, Latin for war, Syriac for elegies, Hebrew for speech. Some are saying, also Assyrian (Hebrew script) for writing." The later section of
14440-470: The above phases of spoken Classical Hebrew are simplified into "Biblical Hebrew" (including several dialects from the 10th century BCE to 2nd century BCE and extant in certain Dead Sea Scrolls) and "Mishnaic Hebrew" (including several dialects from the 3rd century BCE to the 3rd century CE and extant in certain other Dead Sea Scrolls). However, today most Hebrew linguists classify Dead Sea Scroll Hebrew as
14592-928: The administration of medication typically oral , intramuscular , inhaled, nebulised or sublingual . Whilst paramedics in Ireland do work on front-line ambulances the PHECC standards for are generally lower than most of the world leaders in pre-hospital care. Paramedics are trained to the EMT standard and additional training in advanced pharmacology, anatomy, advanced airway management (supraglottic airways), some advanced life support skills, 12-leads ECGs, administration of medication typically oral, intramuscular, inhaled, nebulised or sublingual, and they are also allowed to maintain IV lines. Emergency medical technician (EMT), paramedic (P) and advanced paramedic (AP) are legally defined and protected titles in
14744-502: The average Jew, and that the language had evolved since Biblical times as spoken languages do. Recent scholarship recognizes that reports of Jews speaking in Aramaic indicate a multilingual society, not necessarily the primary language spoken. Alongside Aramaic, Hebrew co-existed within Israel as a spoken language. Most scholars now date the demise of Hebrew as a spoken language to the end of the Roman period , or about 200 CE. It continued on as
14896-535: The beginning of the 20th century, Hebrew was well on its way to becoming the main language of the Jewish population of both Ottoman and British Palestine. At the time, members of the Old Yishuv and a very few Hasidic sects, most notably those under the auspices of Satmar , refused to speak Hebrew and spoke only Yiddish. In the Soviet Union, the use of Hebrew, along with other Jewish cultural and religious activities,
15048-562: The city in whose proximity it was found) is written in an old Semitic script, akin to the Phoenician one that, through the Greeks and Etruscans , later became the Latin alphabet of ancient Rome . The Gezer calendar is written without any vowels , and it does not use consonants to imply vowels even in the places in which later Hebrew spelling requires them. Numerous older tablets have been found in
15200-576: The compartment, creating a health hazard for EMTs when transporting sick patients capable of airborne transmission. Unidirectional airflow design can better protect workers. There is considerable degree of inter-provincial variation in the Canadian paramedic practice. Although a national consensus (by way of the National Occupational Competency Profile) identifies certain knowledge, skills, and abilities as being most synonymous with
15352-596: The composition of 1 Maccabees in archaizing Hebrew, Hasmonean coinage under John Hyrcanus (134-104 BCE), and coins from both the Great Revolt and Bar Kokhba Revolt featuring exclusively Hebrew and Palaeo-Hebrew script inscriptions. This deliberate use of Hebrew and Paleo-Hebrew script in official contexts, despite limited literacy, served as a symbol of Jewish nationalism and political independence. The Christian New Testament contains some Semitic place names and quotes. The language of such Semitic glosses (and in general
15504-778: The crew with patient care and packaging. EMRs provide advanced first aid-level care, CPR, semi-automatic defibrillation, basic airway management (suction/oropharyngeal airway), oxygen therapy, and administration of basic, life-saving medications such as epinephrine and naloxone. EMT is the next level of EMS certification and is considered the most common entry level of training. The procedures and skills allowed at this level include bleeding control, management of burns, splinting of suspected fractures and spinal injuries, childbirth, cardiopulmonary resuscitation, semi-automatic defibrillation, oral suctioning, insertion of oropharyngeal and nasopharyngeal airways, pulse oximetry , blood glucose monitoring, auscultation of lung sounds, and administration of
15656-563: The dialects of Classical Hebrew that functioned as a living language in the land of Israel. A transitional form of the language occurs in the other works of Tannaitic literature dating from the century beginning with the completion of the Mishnah. These include the halachic Midrashim ( Sifra , Sifre , Mekhilta etc.) and the expanded collection of Mishnah-related material known as the Tosefta . The Talmud contains excerpts from these works, as well as further Tannaitic material not attested elsewhere;
15808-513: The earliest speakers of Modern Hebrew had Yiddish as their native language and often introduced calques from Yiddish and phono-semantic matchings of international words. Despite using Sephardic Hebrew pronunciation as its primary basis, modern Israeli Hebrew has adapted to Ashkenazi Hebrew phonology in some respects, mainly the following: The vocabulary of Israeli Hebrew is much larger than that of earlier periods. According to Ghil'ad Zuckermann : The number of attested Biblical Hebrew words
15960-570: The early 6th century BCE, the Neo-Babylonian Empire conquered the ancient Kingdom of Judah , destroying much of Jerusalem and exiling its population far to the east in Babylon . During the Babylonian captivity , many Israelites learned Aramaic, the closely related Semitic language of their captors. Thus, for a significant period, the Jewish elite became influenced by Aramaic. After Cyrus
16112-602: The entry-level of paramedic practice in Canadian provinces. The scope of practice includes performing semi-automated external defibrillation , interpretation of 4-lead ECGs, administration of symptom relief medications for a variety of emergency medical conditions (these include oxygen, epinephrine, dextrose , glucagon, salbutamol , ASA and nitroglycerine ), performing trauma immobilization (including cervical immobilization ), and other fundamental basic medical care. Primary care paramedics may also receive additional training in order to perform certain skills that are normally in
16264-436: The finding of what he claims to be the oldest known Hebrew inscription, a curse tablet found at Mount Ebal , dated from around 3200 years ago. The presence of the Hebrew name of god , Yahweh, as three letters, Yod-Heh-Vav (YHV), according to the author and his team meant that the tablet is Hebrew and not Canaanite. However, practically all professional archeologists and epigraphers apart from Stripling's team claim that there
16416-703: The first Middle East printing press, in Safed (modern Israel), produced a small number of books in Hebrew in 1577, which were then sold to the nearby Jewish world. This meant not only that well-educated Jews in all parts of the world could correspond in a mutually intelligible language, and that books and legal documents published or written in any part of the world could be read by Jews in all other parts, but that an educated Jew could travel and converse with Jews in distant places, just as priests and other educated Christians could converse in Latin. For example, Rabbi Avraham Danzig wrote
16568-406: The generic term for these passages is Baraitot . The dialect of all these works is very similar to Mishnaic Hebrew. About a century after the publication of the Mishnah, Mishnaic Hebrew fell into disuse as a spoken language. By the third century CE, sages could no longer identify the Hebrew names of many plants mentioned in the Mishnah. Only a few sages, primarily in the southern regions, retained
16720-2179: The group. Magen David Adom's tracing service was established to assist in locating relatives lost in the Holocaust . In 2000–2007, the service handled 5,000 applications. Magen David Adom provides some restrictions on who can donate blood, largely in line with CDC guidelines. For example, donors must be above 18 years old (or 17 years old with parental permission) and below 65 years old. As of January 2018, however, Magen David Adom allows men who have sex with men to donate blood. Restrictions that previously barred Ethiopian immigrants from donating blood were also dropped. [REDACTED] Afghanistan [REDACTED] Albania [REDACTED] Algeria [REDACTED] Andorra [REDACTED] Angola [REDACTED] Antigua and Barbuda [REDACTED] Argentina [REDACTED] Armenia [REDACTED] Australia [REDACTED] Austria [REDACTED] Azerbaijan [REDACTED] The Bahamas [REDACTED] Bahrain [REDACTED] Bangladesh [REDACTED] Barbados [REDACTED] Belarus (suspended) [REDACTED] Belgium [REDACTED] Belize [REDACTED] Benin [REDACTED] Bhutan [REDACTED] Bolivia [REDACTED] Bosnia and Herzegovina [REDACTED] Botswana [REDACTED] Brazil [REDACTED] Brunei [REDACTED] Bulgaria [REDACTED] Burkina Faso [REDACTED] Burundi [REDACTED] Cambodia [REDACTED] Cameroon [REDACTED] Canada [REDACTED] Cape Verde [REDACTED] Central African Republic [REDACTED] Chad [REDACTED] Chile [ es ] [REDACTED] China [REDACTED] Colombia [REDACTED] Comoros [REDACTED] Congo [ it ] [REDACTED] Congo, Democratic Republic of
16872-487: The holy tongue ' or ' the tongue [of] holiness ' ) since ancient times. The language was not referred to by the name Hebrew in the Bible , but as Yehudit ( transl. ' Judean ' ) or Səpaṯ Kəna'an ( transl. "the language of Canaan " ). Mishnah Gittin 9:8 refers to the language as Ivrit , meaning Hebrew; however, Mishnah Megillah refers to the language as Ashurit , meaning Assyrian , which
17024-483: The hospital vary depending on local requirements, the level the student is obtaining, and the amount of time it takes the student to show competency. In addition, a minimum of continuing education (CE) hours is required to maintain certification. For example, to maintain NREMT certification, EMTs must obtain at least 48 hours of additional education and either complete a 24-hour refresher course or complete an additional 24 hours of CE that cover, on an hour by hour basis,
17176-574: The language of the Hebrew people; its later historiography, in the Book of Kings , refers to it as יְהוּדִית Yehudit " Judahite (language)". Hebrew belongs to the Canaanite group of languages . Canaanite languages are a branch of the Northwest Semitic family of languages. Hebrew was the spoken language in the Iron Age kingdoms of Israel and Judah during the period from about 1200 to 586 BCE. Epigraphic evidence from this period confirms
17328-458: The language spoken by Jews in scenes from the New Testament) is often referred to as "Hebrew" in the text, although this term is often re-interpreted as referring to Aramaic instead and is rendered accordingly in recent translations. Nonetheless, these glosses can be interpreted as Hebrew as well. It has been argued that Hebrew, rather than Aramaic or Koine Greek, lay behind the composition of
17480-464: The language. The revival of the Hebrew language as a mother tongue was initiated in the late 19th century by the efforts of Ben-Yehuda. He joined the Jewish national movement and in 1881 immigrated to Palestine , then a part of the Ottoman Empire . Motivated by the surrounding ideals of renovation and rejection of the diaspora " shtetl " lifestyle, Ben-Yehuda set out to develop tools for making
17632-494: The languages themselves in that period, remains unclear", and suggested that calling the text Hebrew might be going too far. The Gezer calendar also dates back to the 10th century BCE at the beginning of the Monarchic period , the traditional time of the reign of David and Solomon . Classified as Archaic Biblical Hebrew , the calendar presents a list of seasons and related agricultural activities. The Gezer calendar (named after
17784-627: The late 1960s the organization refocused its rapid trauma treatment and transport protocols due to the efforts of Dr. Nancy Caroline . Caroline's work at Magen David Adom was based upon studies she conducted with Dr. Peter Safar and the Freedom House Paramedics of Pittsburgh . Magen David Adom is mainly staffed by volunteers, and has over 26,000 people volunteering and over one million combined man-hours per year. The minimum age to join Magen David Adom's basic first aid course and become
17936-574: The length of training may be eight months in British Columbia or two to four years in Ontario, Alberta, and Quebec. The nature of training and how it is regulated, like actual paramedic practice, varies from province to province. Emergency medical technician (EMT), paramedic (P) and advanced paramedic (AP) are legally defined and protected titles in the Republic of Ireland based on the standard set down by
18088-459: The level of the highest trained provider. There is nothing stopping supplemental crew members to be of a certain certification, though (e.g. if an ALS ambulance is required to have two paramedics, then it is acceptable to have two paramedics and an EMT). An emergency vehicle with only EMRs or a combination of both EMRs and EMTs is still dubbed a "basic life support" (BLS) unit. An EMR must usually be overseen by an EMT-level provider or higher to work on
18240-401: The most prevalent level of emergency pre-hospital care is that which is provided by an emergency medical responder (EMR). This is a level of practice recognized under the National Occupational Competency Profile, although unlike the next three successive levels of practice, the high number of EMRs across Canada cannot be ignored as contributing a critical role in the chain of survival, although it
18392-447: The new levels are substantially similar. EMR is the most basic level of training, and is considered the bare minimum certification for rescuers that respond to medical emergencies. EMRs are typically on-call volunteers in rural communities, or are primarily employed as firefighters or search and rescue personnel. EMRs typically arrive quickly and assess and stabilize the patient before the transporting ambulance arrives, and then assist
18544-720: The newly declared State of Israel . Hebrew is the most widely spoken language in Israel today. In the Modern Period, from the 19th century onward, the literary Hebrew tradition revived as the spoken language of modern Israel, called variously Israeli Hebrew , Modern Israeli Hebrew , Modern Hebrew , New Hebrew , Israeli Standard Hebrew , Standard Hebrew and so on. Israeli Hebrew exhibits some features of Sephardic Hebrew from its local Jerusalemite tradition but adapts it with numerous neologisms, borrowed terms (often technical) from European languages and adopted terms (often colloquial) from Arabic. The literary and narrative use of Hebrew
18696-528: The other being Aramaic , still spoken today. The earliest examples of written Paleo-Hebrew date back to the 10th century BCE. Nearly all of the Hebrew Bible is written in Biblical Hebrew , with much of its present form in the dialect that scholars believe flourished around the 6th century BCE, during the time of the Babylonian captivity . For this reason, Hebrew has been referred to by Jews as Lashon Hakodesh ( לְשׁוֹן הַקֹּדֶש , lit. '
18848-628: The paramedic title is protected under registration of the Health and Care Professions Council . In the United States, EMTs are certified according to their level of training. Individual states set their own standards of certification (or licensure, in some cases) and all EMT training must meet the minimum requirements as set by the National Highway Traffic Safety Administration 's (NHTSA's) standards for curriculum. The National Registry of Emergency Medical Technicians (NREMT)
19000-630: The present day. It is perhaps the most important Hebrew manuscript in existence. During the Golden age of Jewish culture in Spain , important work was done by grammarians in explaining the grammar and vocabulary of Biblical Hebrew; much of this was based on the work of the grammarians of Classical Arabic . Important Hebrew grammarians were Judah ben David Hayyuj , Jonah ibn Janah , Abraham ibn Ezra and later (in Provence ), David Kimhi . A great deal of poetry
19152-562: The primary language of use, and to prevent large-scale incorporation of English words into the Hebrew vocabulary. The Academy of the Hebrew Language of the Hebrew University of Jerusalem currently invents about 2,000 new Hebrew words each year for modern words by finding an original Hebrew word that captures the meaning, as an alternative to incorporating more English words into Hebrew vocabulary. The Haifa municipality has banned officials from using English words in official documents, and
19304-409: The red Magen David symbol. As a result, many contributors reportedly stopped donating to the MDA; some young settlers, a considerable percentage of the volunteer force, stopped volunteering for the MDA in protest. In 2016, Palestinian groups said MDA continued to violate the stipulation that its paramedic teams would use a neutral emblem while working outside the country, and called on the ICRC to expel
19456-451: The region was Old Aramaic . Hebrew was extinct as a colloquial language by late antiquity , but it continued to be used as a literary language, especially in Spain, as the language of commerce between Jews of different native languages, and as the liturgical language of Judaism, evolving various dialects of literary Medieval Hebrew , until its revival as a spoken language in the late 19th century. In May 2023, Scott Stripling published
19608-431: The region with similar scripts written in other Semitic languages, for example, Proto-Sinaitic . It is believed that the original shapes of the script go back to Egyptian hieroglyphs , though the phonetic values are instead inspired by the acrophonic principle. The common ancestor of Hebrew and Phoenician is called Canaanite , and was the first to use a Semitic alphabet distinct from that of Egyptian. One ancient document
19760-657: The rest of the Middle East; and eventually Greek functioned as another international language with the eastern areas of the Roman Empire. William Schniedewind argues that after waning in the Persian period, the religious importance of Hebrew grew in the Hellenistic and Roman periods, and cites epigraphical evidence that Hebrew survived as a vernacular language – though both its grammar and its writing system had been substantially influenced by Aramaic. According to another summary, Greek
19912-606: The same level as the Red Cross and Red Crescent symbols. The MDA's admission to the International Federation was conditioned on agreements signed in 2005 with the Palestine Red Crescent Society . Under these agreements, the red Magen David symbol could not be used in countries other than Israel; moreover the MDA agreed not to operate in the West Bank or in East Jerusalem . Under the 2005 agreements,
20064-478: The same procedure (e.g. AEMT-critical care and paramedics in New York), a procedure can be both an on-line and a standing order depending on the level of the provider. Since no set of protocols can cover every patient situation, many systems work with protocols as guidelines. Systems also have policies in place to handle medical direction when communication failures happen or in disaster situations. The NHTSA curriculum
20216-612: The same topics as the refresher course would. Recertification for other levels follows a similar pattern. EMT training programs vary greatly in calendar length (number of days or months). For example, fast track programs are available for EMTs that are completed in two weeks by holding class for 8 to 12 hours a day for at least two weeks. Other training programs are months long, or up to two years for paramedics in associate degree programs. EMT training programs take place at numerous locations, such as universities, community colleges, technical schools, hospitals or EMS academies. Every state in
20368-544: The scope of practice of advanced care paramedics. This is regulated both provincially (by statute) and locally (by the medical director), and ordinarily entails an aspect of medical oversight by a specific body or group of physicians. This is often referred to as " medical control ", or a role played by a base hospital. For example, in the provinces of Ontario , Quebec and Newfoundland and Labrador, many paramedic services allow primary care paramedics to perform 12-lead ECG interpretation, or initiate intravenous therapy to deliver
20520-485: The southern villages of Judea." In other words, "in terms of dialect geography, at the time of the tannaim Palestine could be divided into the Aramaic-speaking regions of Galilee and Samaria and a smaller area, Judaea, in which Rabbinic Hebrew was used among the descendants of returning exiles." In addition, it has been surmised that Koine Greek was the primary vehicle of communication in coastal cities and among
20672-465: The specific situation in the host country, either incorporate the Red Star of David inside the Red Crystal or use the Red Crystal alone. On 22 June 2006, MDA was recognised by the ICRC and admitted as a full member of the International Federation of Red Cross and Red Crescent societies, following adoption of the Red Crystal symbol in the statutes of the International Red Cross and Red Crescent Movement on
20824-468: The spoken language of the Russian Jews, should be treated as their only national language, while Hebrew was to be treated as a foreign language. Hebrew books and periodicals ceased to be published and were seized from the libraries, although liturgical texts were still published until the 1930s. Despite numerous protests, a policy of suppression of the teaching of Hebrew operated from the 1930s on. Later in
20976-578: The state. NHTSA recognizes four levels of certification: Some states also recognize the advanced practice paramedic or critical care paramedic level as a state-specific licensure above that of paramedic. These critical care paramedics generally perform high acuity transports that require skills outside the scope of a standard paramedic (such as mechanical ventilation and management of cardiac assist devices). In addition, EMTs can seek out specialty certifications such as wilderness EMT , wilderness paramedic, tactical EMT, and flight paramedic . In 2009,
21128-517: The title of A-EMCA, or advanced emergency medical care assistant) to professional self-regulating bodies, such as the Alberta College of Paramedics. In Alberta, for instance, only someone registered with the Alberta College of Paramedics can call themselves a paramedic; the title is legally protected. Almost all provinces have moved to adopting the new titles, or have at least recognized the NOCP document as
21280-427: The two organizations, the signing in 2000 of a two-year co-operation statement, the permanent placement of an ICRC co-operation officer in MDA headquarters, and extensive support of the MDA's blood bank activities. In addition, there are bilateral cooperation agreements between MDA and a number of national Red Cross societies. On 7 December 2005, a diplomatic conference of states party to the Geneva Conventions adopted
21432-580: The upper class of Jerusalem , while Aramaic was prevalent in the lower class of Jerusalem, but not in the surrounding countryside. After the suppression of the Bar Kokhba revolt in the 2nd century CE, Judaeans were forced to disperse. Many relocated to Galilee, so most remaining native speakers of Hebrew at that last stage would have been found in the north. Many scholars have pointed out that Hebrew continued to be used alongside Aramaic during Second Temple times, not only for religious purposes but also for nationalistic reasons, especially during revolts such as
21584-699: The weather permits and staff are available, but systems such as the Toronto EMS Critical Care Transport Program work in land ambulances. ORNGE transport operates both land and aircraft in Ontario. In British Columbia, CCPs work primarily in aircraft with a dedicated critical care transport crew in Trail for long-distance transfers and a regular CCP street crew stationed in South Vancouver that often also performs medevacs when necessary. Paramedic training in Canada varies regionally; for example,
21736-413: The widely accepted view that the earlier layers of biblical literature reflect the language used in these kingdoms. Furthermore, the content of Hebrew inscriptions suggests that the written texts closely mirror the spoken language of that time. Scholars debate the degree to which Hebrew was a spoken vernacular in ancient times following the Babylonian exile when the predominant international language in
21888-421: Was a spoken language , and Amoraic Hebrew (also called Late Rabbinic Hebrew or Mishnaic Hebrew II), which was a literary language . The earlier section of the Talmud is the Mishnah that was published around 200 CE, although many of the stories take place much earlier, and were written in the earlier Mishnaic dialect. The dialect is also found in certain Dead Sea Scrolls. Mishnaic Hebrew is considered to be one of
22040-443: Was denied membership in the International Red Cross and Red Crescent Movement since it had refused to replace its red Star of David emblem with a pre-approved symbol. The stated reason for the denial of membership was concerns about symbol proliferation; at the same 1929 conference that granted use of the Red Crescent and Red Lion and Sun , a limitation was placed on acceptance of any further emblems. The "Red Star of David" symbol
22192-404: Was not submitted to the ICRC until 1931. Similar concerns of India , Ceylon , and the former Soviet Union regarding the use of non- Hindu and seemingly religious symbols were also dismissed by the ICRC, but their national bodies chose to adopt the Red Cross as their official emblems in order to gain entry. The Red Cross—the inverse of the Swiss flag, the country of origin of the founder of
22344-438: Was now a more significant written language than Aramaic within Judaea." This nationalist aspect was further emphasized during periods of conflict, as Hannah Cotton observing in her analysis of legal documents during the Jewish revolts against Rome that "Hebrew became the symbol of Jewish nationalism, of the independent Jewish State." The nationalist use of Hebrew is evidenced in several historical documents and artefacts, including
22496-470: Was revived beginning with the Haskalah movement. The first secular periodical in Hebrew, Ha-Me'assef (The Gatherer), was published by maskilim in Königsberg (today's Kaliningrad ) from 1783 onwards. In the mid-19th century, publications of several Eastern European Hebrew-language newspapers (e.g. Hamagid , founded in Ełk in 1856) multiplied. Prominent poets were Hayim Nahman Bialik and Shaul Tchernichovsky ; there were also novels written in
22648-479: Was suppressed. Soviet authorities considered the use of Hebrew "reactionary" since it was associated with Zionism, and the teaching of Hebrew at primary and secondary schools was officially banned by the People's Commissariat for Education as early as 1919, as part of an overall agenda aiming to secularize education (the language itself did not cease to be studied at universities for historical and linguistic purposes ). The official ordinance stated that Yiddish, being
22800-437: Was the language of government, Hebrew the language of prayer, study and religious texts, and Aramaic was the language of legal contracts and trade. There was also a geographic pattern: according to Bernard Spolsky , by the beginning of the Common Era, " Judeo-Aramaic was mainly used in Galilee in the north, Greek was concentrated in the former colonies and around governmental centers, and Hebrew monolingualism continued mainly in
22952-408: Was to a certain extent a pidgin . Near the end of that century the Jewish activist Eliezer Ben-Yehuda , owing to the ideology of the national revival ( שיבת ציון , Shivat Tziyon , later Zionism ), began reviving Hebrew as a modern spoken language. Eventually, as a result of the local movement he created, but more significantly as a result of the new groups of immigrants known under the name of
23104-570: Was written, by poets such as Dunash ben Labrat , Solomon ibn Gabirol , Judah ha-Levi , Moses ibn Ezra and Abraham ibn Ezra , in a "purified" Hebrew based on the work of these grammarians, and in Arabic quantitative or strophic meters. This literary Hebrew was later used by Italian Jewish poets. The need to express scientific and philosophical concepts from Classical Greek and Medieval Arabic motivated Medieval Hebrew to borrow terminology and grammar from these other languages, or to coin equivalent terms from existing Hebrew roots, giving rise to
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