117-460: The Virginia Tech Rescue Squad ( VTRS ) is an emergency medical services (EMS) agency that serves the campus of Virginia Polytechnic Institute and State University . Founded in 1969, it is an all-volunteer, student-run organization that provides emergency medical service to the University community. Virginia Tech Rescue Squad maintains four advanced life support ambulances, a first response vehicle,
234-462: A paramedic may be an autonomous medical professional, and does not require the permission of a physician to administer interventions or medications from an agreed list, and can perform roles such as suturing or prescribing medication to the patient. Recently "Telemedicine" has been making an appearance in ambulances. Similar to online medical control, this practice allows paramedics to remotely transmit data such as vital signs and 12 and 15 lead ECGs to
351-570: A 3rd–4th century Christian author wrote in his early-4th-century Latin Institutiones Divinae ( Divine Institutes ): But all scripture is divided into two Testaments. That which preceded the advent and passion of Christ—that is, the law and the prophets —is called the Old; but those things which were written after His resurrection are named the New Testament. The Jews make use of the Old, we of
468-571: A 4th-century bishop of Alexandria , dated to 367 AD. The 27-book New Testament was first formally canonized during the councils of Hippo (393) and Carthage (397) in North Africa. Pope Innocent I ratified the same canon in 405, but it is probable that a Council in Rome in 382 under Pope Damasus I gave the same list first. These councils also provided the canon of the Old Testament, which included
585-629: A Gentile, and similarly for the Gospel of Matthew, though most assert Jewish-Christian authorship. However, more recently the above understanding has been challenged by the publication of evidence showing only educated elites after the Jewish War would have been capable of producing the prose found in the Gospels. Authorship of the Gospels remains divided among both evangelical and critical scholars. The names of each Gospel stems from church tradition, and yet
702-429: A command vehicle, a John Deere gator 4x4 special response vehicle and a special operations truck with in-station crews ready for service 24 hours a day 7 days a week. The crew also maintains a Mass Casualty Incident (MCI) Response Trailer and a Mobile Utility and Logistics Equipment (MULE) trailer. The agency responds to an average of 1,200 calls per year and provides stand-by emergency medical services for large events on
819-487: A common arrangement in the United States is that fire engines or volunteers are sent to provide a rapid initial response to a medical emergency, while an ambulance is sent to provide advanced treatment and transport the patient. In France, fire service and private company ambulances provide basic care, while hospital-based ambulances with physicians on board provide advanced care. In many countries, an air ambulance provides
936-463: A corpus of fourteen "Pauline" epistles. While many scholars uphold the traditional view, some question whether the first three, called the "Deutero-Pauline Epistles", are authentic letters of Paul. As for the latter three, the "Pastoral epistles", some scholars uphold the traditional view of these as the genuine writings of the Apostle Paul; most regard them as pseudepigrapha . One might refer to
1053-658: A different tradition and body of testimony. In addition, most scholars agree that the author of Luke also wrote the Acts of the Apostles . Scholars hold that these books constituted two-halves of a single work, Luke–Acts . The same author appears to have written the Gospel of Luke and the Acts of the Apostles, and most refer to them as the Lucan texts. The most direct evidence comes from the prefaces of each book; both were addressed to Theophilus , and
1170-417: A dispatching centre, which will then dispatch suitable resources for the call. Ambulances are the primary vehicles for delivering EMS, though squad cars , motorcycles , aircraft , boats , fire apparatus , and others may be used. EMS agencies may also operate a non-emergency patient transport service, and some have rescue squads to provide technical rescue or search and rescue services. When EMS
1287-406: A fast response time by a first responder measured in minutes, some medical emergencies evolve in seconds. Such a system provides, in essence, a "zero response time," and can have an enormous impact on positive patient outcomes. Certified first responders may be sent to provide first aid, sometimes to an advanced level. Their duties include the provision of immediate life-saving care in the event of
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#17328767040991404-456: A first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS. In most places, EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number (such as 911 in the United States ) which puts them in contact with
1521-600: A government or other service provide the 'emergency' cover, whilst a private firm may be charged with 'minor injuries' such as cuts, bruises or even helping the mobility-impaired if they have for example fallen and simply need help to get up again, but do not need treatment. This system has the benefit of keeping emergency crews available at all times for genuine emergencies. These organisations may also provide services known as 'Stand-by' cover at industrial sites or at special events. In Latin America, private ambulance companies are often
1638-474: A higher level of care than a regular ambulance. Examples of level of care include: The most basic emergency medical services are provided as a transport operation only, simply to take patients from their location to the nearest medical treatment. This was historically the case in all countries. It remains the case in much of the developing world, where operators as diverse as taxi drivers and undertakers may transport people to hospital. The Anglo-American model
1755-451: A lord over them, saith the LORD. But this is the covenant that I will make with the house of Israel after those days, saith the LORD, I will put My law in their inward parts, and in their heart will I write it; and I will be their God, and they shall be My people; and they shall teach no more every man his neighbour, and every man his brother, saying: 'Know the LORD'; for they shall all know Me, from
1872-555: A man who has been beaten is cared for by a passing Samaritan. Luke 10:34 (NIV) – "He went to him and bandaged his wounds, pouring on oil and wine. Then he put the man on his own donkey, took him to an inn and took care of him." During the Middle Ages, the Knights Hospitaller were known for rendering assistance to wounded soldiers in the battlefield. The first use of the ambulance as a specialized vehicle, in battle came about with
1989-428: A means of protecting their interests and the welfare of their staff. These are often used as first response vehicles in the event of a fire or explosion. Emergency medical services exists to fulfill the basic principles of first aid , which are to Preserve Life, Prevent Further Injury, and Promote Recovery. This common theme in medicine is demonstrated by the "star of life". The Star of Life shown here, where each of
2106-406: A medical emergency; commonly advanced first aid, oxygen administration, cardio-pulmonary resuscitation (CPR), and automated external defibrillator (AED) usage. The first responder training is considered a bare minimum for emergency service workers who may be sent out in response to an emergency call . First responders are commonly dispatched by the ambulance service to arrive quickly and stabilize
2223-541: A new ambulance system. Having decided against using the Norman system of horse litters, he settled on two- or four-wheeled horse -drawn wagons, which were used to transport fallen soldiers from the (active) battlefield after they had received early treatment in the field. Larrey's projects for 'flying ambulances' were first approved by the Committee of Public Safety in 1794. Larrey subsequently entered Napoleon's service during
2340-442: A positive effect on the morbidity and mortality of patients with leg fractures. Two-way radios became available shortly after World War I, enabling for more efficient radio dispatch of ambulances in some areas. Prior to World War II , there were some areas where a modern ambulance carried advanced medical equipment, was staffed by a physician , and was dispatched by radio. In many locations, however, ambulances were hearses ,
2457-511: A scholarly consensus that many New Testament books were not written by the individuals whose names are attached to them. Scholarly opinion is that names were fixed to the gospels by the mid second century AD. Many scholars believe that none of the gospels were written in the region of Palestine . Christian tradition identifies John the Apostle with John the Evangelist , the supposed author of
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#17328767040992574-594: A uniformity of doctrine concerning the Mosaic Law , Jesus, faith, and various other issues. All of these letters easily fit into the chronology of Paul's journeys depicted in Acts of the Apostles. The author of the Epistle of James identifies himself in the opening verse as "James, a servant of God and of the Lord Jesus Christ". From the middle of the 3rd century, patristic authors cited the Epistle as written by James
2691-476: A volunteer fire service, and some volunteers may provide both services. Some ambulance charities specialize in providing cover at public gatherings and events (e.g. sporting events), while others provide care to the wider community. The International Red Cross and Red Crescent Movement is the largest charity in the world that provides emergency medicine. (in some countries, it operates as a private ambulance service). Other organisations include St John Ambulance ,
2808-472: Is also known as "load and go" or "scoop and run". In this model, ambulances are staffed by paramedics and/or emergency medical technicians . They have specialized medical training, but not to the same level as a physician. In this model it is rare to find a physician actually working routinely in ambulances, although they may be deployed to major or complex cases. The physicians who work in EMS provide oversight for
2925-498: Is controlled through training and registration. While these job titles are protected by legislation in some countries, this protection is by no means universal, and anyone might, for example, call themselves an 'EMT' or a 'paramedic', regardless of their training, or the lack of it. In some jurisdictions, both technicians and paramedics may be further defined by the environment in which they operate, including such designations as 'Wilderness', 'Tactical', and so on. A unique aspect of EMS
3042-478: Is created as a "prime mover" and made the "single greatest contribution of its kind to the improvement of emergency medical services". Since this time a concerted effort has been undertaken to improve emergency medical care in the pre-hospital setting. Such advancements included Dr. R Adams Cowley creating the country's first statewide EMS program, in Maryland . The developments were paralleled in other countries. In
3159-424: Is dispatched, they will initiate medical care upon arrival on scene. If it is deemed necessary or a patient requests transport, the unit is then tasked with transferring the patient to the next point of care , typically an emergency department of a hospital . Historically, ambulances only transported patients to care, and this remains the case in parts of the developing world. The term "emergency medical service"
3276-500: Is foreign to the original Hebrew word brit (בְּרִית) describing it, which only means 'alliance, covenant, pact' and never 'inheritance instructions after death'. This use comes from the transcription of Latin testamentum 'will (left after death)', a literal translation of Greek diatheke (διαθήκη) 'will (left after death)', which is the word used to translate Hebrew brit in the Septuagint . The choice of this word diatheke , by
3393-459: Is generally to transport the patient within ten minutes of arrival, hence the birth of the phrase, "the platinum ten minutes" (in addition to the "golden hour"), now commonly used in EMT training programs. The "Scoop and Run" is a method developed to deal with trauma , rather than strictly medical situations (e.g. cardiac or respiratory emergencies), however, this may be changing. Increasingly, research into
3510-455: Is in the process of evaluating a payment model to enable reimbursement for patients evaluated and treated on-scene. The essential decision in prehospital care is whether the patient should be immediately taken to the hospital , or advanced care resources are taken to the patient where they lie. The "scoop and run" approach is exemplified by the MEDEVAC aeromedical evacuation helicopter , whereas
3627-452: Is often thought that John the Apostle is John the Evangelist , i.e. author of the Gospel of John ) or to another John designated " John of Patmos " after the island where the text says the revelation was received (1:9). Some ascribe the writership date as c. 81–96 AD, and others at around 68 AD. The work opens with letters to seven local congregations of Asia Minor and thereafter takes
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3744-529: Is scholarly debate as to the reason why the translators of the Septuagint chose the term diatheke to translate Hebrew brit , instead of another Greek word generally used to refer to an alliance or covenant. The use of the phrase New Testament ( Koine Greek : Ἡ Καινὴ Διαθήκη , Hē Kainḕ Diathḗkē ) to describe a collection of first- and second-century Christian Greek scriptures can be traced back to Tertullian in his work Against Praxeas . Irenaeus uses
3861-594: Is that there are two hierarchies of authority, as the chain of command is separate to medical authority. An emergency medical dispatcher is also called an EMD. An increasingly common addition to the EMS system is the use of highly trained dispatch personnel who can provide "pre-arrival" instructions to callers reporting medical emergencies. They use carefully structured questioning techniques and provide scripted instructions to allow callers or bystanders to begin definitive care for such critical problems as airway obstructions, bleeding, childbirth, and cardiac arrest. Even with
3978-501: Is the door to balloon time. The longer the time interval, the greater the damage to the myocardium , and the poorer the long-term prognosis for the patient. Current research in Canada has suggested that door to balloon times are significantly lower when appropriate patients are identified by paramedics in the field, instead of the emergency room, and then transported directly to a waiting PCI lab. The STEMI program has reduced STEMI deaths in
4095-708: Is too low to support separate services. This multi-functionality allows to make the most of limited resource or budget, but having a single team respond to any emergency. Hospitals or larger hospital systems may provide their own ambulance service as a service to the community, or where ambulance care is unreliable or chargeable. Many hospital-based EMS departments operate solely with their hospital, though some operate more independently and can transport patients to whichever hospital may be needed or desired. Many large factories and other industrial centers, such as chemical plants , oil refineries , breweries , and distilleries , have emergency medical services provided by employers as
4212-501: Is written as follows: "Jude, a servant of Jesus Christ and brother of James". The debate has continued over the author's identity as the apostle, the brother of Jesus, both, or neither. The Gospel of John, the three Johannine epistles , and the Book of Revelation , exhibit marked similarities, although more so between the gospel and the epistles (especially the gospel and 1 John) than between those and Revelation. Most scholars therefore treat
4329-614: The Epistle to the Laodiceans and the Third Epistle to the Corinthians as examples of works identified as pseudonymous. Since the early centuries of the church, there has been debate concerning the authorship of the anonymous Epistle to the Hebrews, and contemporary scholars generally reject Pauline authorship. The epistles all share common themes, emphasis, vocabulary and style; they exhibit
4446-539: The Franco-German model and Anglo-American model . Studies have been inconclusive as to whether one model delivers better results than the other. A 2010 study in the Oman Medical Journal suggested that rapid transport was a better strategy for trauma cases, while stabilization at the scene was a better strategy for cardiac arrests. Many systems have tiers of response for medical emergencies. For example,
4563-434: The Gospel of John . Traditionalists tend to support the idea that the writer of the Gospel of John himself claimed to be an eyewitness in their commentaries of John 21 :24 and therefore the gospel was written by an eyewitness. This idea is rejected by the majority of modern scholars. Most scholars hold to the two-source hypothesis , which posits that the Gospel of Mark was the first gospel to be written . On this view,
4680-453: The Jewish Bible 's Book of Jeremiah , Judaism traditionally disagrees: Behold, the days come, saith the LORD, that I will make a new covenant with the house of Israel, and with the house of Judah; not according to the covenant that I made with their fathers in the day that I took them by the hand to bring them out of the land of Egypt; forasmuch as they broke My covenant, although I was
4797-582: The National Park Service and the Federal Bureau of Prisons . In countries such as the United States, Japan, France, South Korea and parts of India, ambulances can be operated by the local fire or police services. Fire-based EMS is the most common model in the United States, where nearly all urban fire departments provide EMS and a majority of emergency transport ambulance services in large cities are part of fire departments. Examples of this model are
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4914-709: The New Orleans Police Department from 1947 to 1985, and is currently operated by the New Orleans Health Department and the New Orleans Office of Homeland Security and Emergency Preparedness, separate from the New Orleans Fire Department . Charities or non-profit ambulance departments operate some emergency medical services. They are primarily staffed by volunteers , though many also have paid personnel. These may be linked to
5031-544: The New York City Fire Department (FDNY) and the Baltimore City Fire Department . It is rare for a police department in the United States to provide EMS or ambulance services, although many police officers have basic medical training (such as Nalaxone use and CPR ). One notable example is New Orleans Emergency Medical Services , which was formed as a hospital-based service, was operated by
5148-703: The Order of Malta Ambulance Corps and Hatzalah , as well as small local volunteer/paid departments. In the United States, volunteer ambulances are rarer, but can still be seen in both metropolitan and rural areas (e.g. Hatzalah ). Charities such as BASICS Scotland , specialise in facilitating training medical professionals to volunteer to assist the statutory ambulance services in the care of patients, through their attendance at those with serious illnesses or injuries. A few charities provide ambulances for taking patients on trips or vacations away from hospitals, hospices or care homes where they are in long-term care. Examples include
5265-495: The ambulances volantes designed by Dominique Jean Larrey (1766–1842), Napoleon Bonaparte 's chief surgeon. Larrey was present at the battle of Spires, between the French and Prussians , and was distressed by the fact that wounded soldiers were not picked up by the numerous ambulances (which Napoleon required to be stationed two and half miles back from the scene of battle) until after hostilities had ceased, and set about developing
5382-471: The deuterocanonical books. There is no scholarly consensus on the date of composition of the latest New Testament texts. John A. T. Robinson , Dan Wallace , and William F. Albright dated all the books of the New Testament before 70 AD. Many other scholars, such as Bart D. Ehrman and Stephen L. Harris , date some New Testament texts much later than this; Richard Pervo dated Luke–Acts to c. 115 AD , and David Trobisch places Acts in
5499-630: The "stay and play" is exemplified by the French and Belgian SMUR emergency mobile resuscitation unit or the German "Notarzt"-System (preclinical emergency physician). The strategy developed for prehospital trauma care in North America is based on the Golden Hour theory, i.e., that a trauma victim's best chance for survival is in an operating room , with the goal of having the patient in surgery within an hour of
5616-485: The 'arms' to the star represent one of the six points, are used to represent the six stages of high quality pre-hospital care, which are: Although a variety of differing philosophical approaches are used in the provision of EMS care around the world, they can generally be placed into one of two categories; one physician -led and the other led by pre-hospital allied health staff such as emergency medical technicians or paramedics . These models are commonly referred to as
5733-611: The 2nd century. The Pauline letters are the thirteen New Testament books that present Paul the Apostle as their author. Paul's authorship of six of the letters is disputed. Four are thought by most modern scholars to be pseudepigraphic , i.e., not actually written by Paul even if attributed to him within the letters themselves. Opinion is more divided on the other two disputed letters (2 Thessalonians and Colossians). These letters were written to Christian communities in specific cities or geographical regions, often to address issues faced by that particular community. Prominent themes include
5850-636: The Apostle ( Acts 16:10–17 ; arguing for an authorship date of c. AD 62 ), which is corroborated by Paul's Letter to the Colossians ( Col. 4:14 ), Letter to Philemon ( Philem. 23–24 ), and Second Letter to Timothy ( 2 Tim. 4:11 ), the gospel account of Luke "was received as having apostolic endorsement and authority from Paul and as a trustworthy record of the gospel that Paul preached" (e.g. Rom. 2:16 , according to Eusebius in Ecclesiastical History 3.4.8). The word testament in
5967-437: The Apostles is a narrative of the apostles' ministry and activity after Christ's death and resurrection, from which point it resumes and functions as a sequel to the Gospel of Luke . Examining style, phraseology, and other evidence, modern scholarship generally concludes that Acts and the Gospel of Luke share the same author, referred to as Luke–Acts . Luke–Acts does not name its author. Church tradition identified him as Luke
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#17328767040996084-599: The Cincinnati General) by 1865. This was soon followed by other services, notably the New York service provided out of Bellevue Hospital which started in 1869 with ambulances carrying medical equipment, such as splints , a stomach pump, morphine , and brandy , reflecting contemporary medicine. Another early ambulance service was founded by Jaromir V. Mundy, Count J. N. Wilczek, and Eduard Lamezan-Salins in Vienna after
6201-610: The Epistle to the Hebrews does not internally claim to have been written by the Apostle Paul , some similarities in wordings to some of the Pauline Epistles have been noted and inferred. In antiquity, some began to ascribe it to Paul in an attempt to provide the anonymous work an explicit apostolic pedigree. In the 4th century, Jerome and Augustine of Hippo supported Paul's authorship . The Church largely agreed to include Hebrews as
6318-437: The Evangelist , the companion of Paul, but the majority of scholars reject this due to the many differences between Acts and the authentic Pauline letters, though most scholars still believe the author, whether named Luke or not, met Paul . The most probable date of composition is around 80–90 AD, although some scholars date it significantly later, and there is evidence that it was still being substantially revised well into
6435-407: The Gospels were written forty to sixty years after the death of Jesus. They thus do not present eyewitness or contemporary accounts of Jesus's life and teaching." The ESV Study Bible claims the following (as one argument for gospel authenticity): Because Luke , as a second generation Christian, claims to have retrieved eyewitness testimony ( Luke 1:1–4 ), in addition to having traveled with Paul
6552-608: The Italian campaigns in 1796, where his ambulances were used for the first time at Udine, Padua and Milan, and he adapted his ambulances to the conditions, even developing a litter which could be carried by a camel for a campaign in Egypt . A major advance was made (which in future years would come to shape policy on hospitals and ambulances) with the introduction of a transport carriage for cholera patients in London during 1832. The statement on
6669-565: The Jewish translators of the Septuagint in Alexandria in the 3rd and 2nd century BCE, has been understood in Christian theology to imply a reinterpreted view of the Old Testament covenant with Israel as possessing characteristics of a 'will left after death' (the death of Jesus ) and has generated considerable attention from biblical scholars and theologians: in contrast to the Jewish usage where brit
6786-661: The Just . Ancient and modern scholars have always been divided on the issue of authorship. Many consider the epistle to be written in the late 1st or early 2nd centuries. The author of the First Epistle of Peter identifies himself in the opening verse as "Peter, an apostle of Jesus Christ", and the view that the epistle was written by St. Peter is attested to by a number of Church Fathers : Irenaeus (140–203), Tertullian (150–222), Clement of Alexandria (155–215) and Origen of Alexandria (185–253). Unlike The Second Epistle of Peter ,
6903-517: The New Testament were all or nearly all written by Jewish Christians —that is, Jewish disciples of Christ, who lived in the Roman Empire , and under Roman occupation . The author of the Gospel of Luke and the Book of Acts is frequently thought of as an exception; scholars are divided as to whether he was a Gentile or a Hellenistic Jew . A few scholars identify the author of the Gospel of Mark as probably
7020-521: The New Testament were only a few among many other early Christian gospels. The existence of such texts is even mentioned at the beginning of the Gospel of Luke. Many non-canonical gospels were also written, all later than the four canonical gospels, and like them advocating the particular theological views of their various authors. In modern scholarship, the Synoptic Gospels are the primary sources for reconstructing Christ's ministry. The Acts of
7137-593: The New: but yet they are not discordant, for the New is the fulfilling of the Old, and in both there is the same testator, even Christ, who, having suffered death for us, made us heirs of His everlasting kingdom, the people of the Jews being deprived and disinherited. As the prophet Jeremiah testifies when he speaks such things: "Behold, the days come, saith the Lord, that I will make a new testament to
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#17328767040997254-458: The Old Testament canon varies somewhat between different Christian denominations , the 27-book canon of the New Testament has been almost universally recognized within Christianity since at least Late Antiquity . Thus, in almost all Christian traditions today, the New Testament consists of 27 books: The earliest known complete list of the 27 books is found in a letter written by Athanasius ,
7371-776: The Ottawa region by 50 per cent. In a related program in Toronto, EMS has begun to use a procedure of 'rescuing' STEMI patients from the Emergency Rooms of hospitals without PCI labs, and transporting them, on an emergency basis, to waiting PCI labs in other hospitals. Physician-led EMS is also known as the Franco-German model, "stay and play", "stay and stabilize" or "delay and treat". In a physician-led system, doctors respond directly to all major emergencies requiring more than simple first aid . The physicians will attempt to treat casualties at
7488-670: The UK's Jumbulance project. Some ambulances are operated by commercial companies with paid employees, usually on a contract to the local or national government, Hospital Networks, Health Care Facilities and Insurance Companies. In the U.S., private ambulance companies provide emergency medical services in large cities and rural areas by contracting with local governments. In areas where the local county or city provide their own emergency services, private companies provide discharges and transfers from hospitals and to/from other health related facilities and homes. In most areas private companies are part of
7605-454: The US varied widely in quality and were often unregulated and unsatisfactory. These studies placed pressure on governments to improve emergency care in general, including the care provided by ambulance services. The government reports resulted in the creation of standards in ambulance construction concerning the internal height of the patient care area (to allow for an attendant to continue to care for
7722-451: The US, there may be autonomous groups of volunteer responders such as rescue squads . Police officers and firefighters who are on duty for another emergency service may also be deployed in this role, though some firefighters are trained to a more advanced medical level. New Testament The New Testament ( NT ) is the second division of the Christian biblical canon . It discusses
7839-532: The United Kingdom, a 1973 law merged the municipal ambulance services into larger agencies and set national standards. In France, the first official SAMU agencies were founded in the 1970s. Depending on country, area within country, or clinical need, emergency medical services may be provided by one or more different types of organization. This variation may lead to large differences in levels of care and expected scope of practice. Some countries closely regulate
7956-427: The United Kingdom, almost all emergency ambulances are part of a national health system. In the United States, ambulance services provided by a local government are often referred to as "third service" EMS (the fire department, police department, and EMS department forming an emergency services trio) by the members of said service, as well as other city officials and residents. The most notable examples of this model in
8073-417: The United States are Pittsburgh Bureau of Emergency Medical Services , Boston EMS , New Orleans Emergency Medical Services , and Cleveland EMS . Government ambulance services also have to take civil service exams just like government fire departments and police. In the United States, certain federal government agencies employ emergency medical technicians at the basic and advanced life support levels, such as
8190-477: The authors of the Gospel of Matthew and the Gospel of Luke used as sources the Gospel of Mark and a hypothetical Q document to write their individual gospel accounts. These three gospels are called the Synoptic Gospels , because they include many of the same stories, often in the same sequence, and sometimes in exactly the same wording. Scholars agree that the Gospel of John was written last, by using
8307-490: The authors of the Gospels do not identify themselves in their respective texts. All four gospels and the Acts of the Apostles are anonymous works . The Gospel of John claims to be based on eyewitness testimony from the Disciple whom Jesus loved , but never names this character. The author of Luke-Acts claimed to access an eyewitness to Paul ; this claim remains accepted by most scholars. Objections to this viewpoint mainly take
8424-492: The authorship of which was debated in antiquity, there was little debate about Peter's authorship of this first epistle until the 18th century. Although 2 Peter internally purports to be a work of the apostle, many biblical scholars have concluded that Peter is not the author. For an early date and (usually) for a defense of the Apostle Peter's authorship see Kruger, Zahn, Spitta, Bigg, and Green. The Epistle of Jude title
8541-730: The campus of Virginia Tech, including home football games held in Lane Stadium. It is the second oldest student-run volunteer EMS agency in the nation behind Saint Michael's Fire & Rescue, as well as the first provider of Advanced life support in the Montgomery County , Virginia area. Emergency medical services Emergency medical services ( EMS ), also known as ambulance services or paramedic services , are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as
8658-652: The carriage, as printed in The Times , said "The curative process commences the instant the patient is put in to the carriage; time is saved which can be given to the care of the patient; the patient may be driven to the hospital so speedily that the hospitals may be less numerous and located at greater distances from each other". This tenet of ambulances providing instant care, allowing hospitals to be spaced further apart, displays itself in modern emergency medical planning. The first known hospital-based ambulance service operated out of Commercial Hospital, Cincinnati , Ohio (now
8775-588: The disastrous fire at the Vienna Ringtheater in 1881. Named the "Vienna Voluntary Rescue Society," it served as a model for similar societies worldwide. In June 1887 the St John Ambulance Brigade was established to provide first aid and ambulance services at public events in London . It was modelled on a military-style command and discipline structure. Also in the late 19th century, the automobile
8892-506: The drawing up of his Antitheses, centres in this, that he may establish a diversity between the Old and the New Testaments, so that his own Christ may be separate from the Creator , as belonging to this rival God, and as alien from the law and the prophets . By the 4th century , the existence—even if not the exact contents—of both an Old and New Testament had been established. Lactantius ,
9009-558: The emergency department to the patient. High-speed transport to hospitals is considered, in most cases, to be unnecessarily unsafe, and the preference is to remain and provide definitive care to the patient until they are medically stable, and then accomplish transport. In this model, the physician and nurse may actually staff an ambulance along with a driver, or may staff a rapid response vehicle instead of an ambulance, providing medical support to multiple ambulances. Ambulance personnel are generally professionals and in some countries their use
9126-459: The epistle to the Hebrews, based on its distinctive style and theology, which are considered to set it apart from Paul's writings. The final book of the New Testament is the Book of Revelation , also known as the Apocalypse of John. In the New Testament canon, it is considered prophetical or apocalyptic literature . Its authorship has been attributed either to John the Apostle (in which case it
9243-634: The expression "New Testament" refers to a Christian new covenant that Christians believe completes or fulfils the Mosaic covenant (the Jewish covenant) that Yahweh (the God of Israel) made with the people of Israel on Mount Sinai through Moses , described in the books of the Old Testament of the Christian Bible. While Christianity traditionally even claims this Christian new covenant as being prophesied in
9360-444: The five as a single corpus of Johannine literature , albeit not from the same author. The gospel went through two or three "editions" before reaching its current form around AD 90–110. It speaks of an unnamed "disciple whom Jesus loved" as the source of its traditions, but does not say specifically that he is its author; Christian tradition identifies this disciple as the apostle John , but while this idea still has supporters, for
9477-621: The form of an apocalypse , a "revealing" of divine prophecy and mysteries, a literary genre popular in ancient Judaism and Christianity. The order in which the books of the New Testament appear differs between some collections and ecclesiastical traditions. In the Latin West, prior to the Vulgate (an early 5th-century Latin version of the Bible), the four Gospels were arranged in the following order: Matthew, John, Luke, and Mark. The Syriac Peshitta places
9594-484: The form of the following two interpretations, but also include the claim that Luke-Acts contains differences in theology and historical narrative which are irreconcilable with the authentic letters of Paul the Apostle . According to Bart D. Ehrman of the University of North Carolina , none of the authors of the Gospels were eyewitnesses or even explicitly claimed to be eyewitnesses of Jesus's life. Ehrman has argued for
9711-514: The fourteenth letter of Paul, and affirmed this authorship until the Reformation . The letter to the Hebrews had difficulty in being accepted as part of the Christian canon because of its anonymity. As early as the 3rd century, Origen wrote of the letter, "Men of old have handed it down as Paul's, but who wrote the Epistle God only knows." Contemporary scholars often reject Pauline authorship for
9828-602: The hospital from the field. This allows the emergency department to prepare to treat patients prior to their arrival. This is allowing lower level providers (Such as EMT-B) in the United States to utilize these advanced technologies and have the doctor interpret them, thus bringing rapid identification of rhythms to areas where paramedics are stretched thin. While most insurance companies only reimburse EMS providers for transporting patients to 911 receiving facilities (e.g. Emergency Departments ),the Center to Medicare and Medicaid Services
9945-414: The house of Israel and the house of Judah, not according to the testament which I made to their fathers, in the day that I took them by the hand to bring them out of the land of Egypt; for they continued not in my testament, and I disregarded them, saith the Lord." ... For that which He said above, that He would make a new testament to the house of Judah, shows that the old testament which was given by Moses
10062-420: The industry (and may require anyone working on an ambulance to be qualified to a set level), whereas others allow quite wide differences between types of operator. Operating separately from (although alongside) the fire and police services of the area, these ambulances are funded by local, provincial or national governments. In some countries, these only tend to be found in big cities, whereas in countries such as
10179-444: The late second century, the four narrative accounts of the life and work of Jesus Christ have been referred to as "The Gospel of ..." or "The Gospel according to ..." followed by the name of the supposed author. The first author to explicitly name the canonical gospels is Irenaeus of Lyon , who promoted the four canonical gospels in his book Against Heresies , written around 180. These four gospels that were eventually included in
10296-511: The latter having additional training such as advanced life support (ALS) skills. Physicians and nurses may also provide pre-hospital care to varying degrees in certain countries, a model which is popular in Europe . Emergency care in the field has been rendered in different forms since the beginning of recorded history. The New Testament contains the parable of the Good Samaritan , in which
10413-414: The least of them unto the greatest of them, saith the LORD; for I will forgive their iniquity, and their sin will I remember no more. The word covenant means 'agreement' (from Latin con-venio 'to agree' lit. 'to come together'): the use of the word testament , which describes the different idea of written instructions for inheritance after death, to refer to the covenant with Israel in the Old Testament,
10530-463: The local government emergency disaster plan, and are relied upon for the overall EMS response, treatment and recovery. In some areas, private companies may provide only the patient transport elements of ambulance care (i.e. non-urgent), but in some places, they are contracted to provide emergency care, or to form a 'second tier' response, where they only respond to emergencies when all of the full-time emergency ambulance crews are busy. This may mean that
10647-581: The major Catholic epistles (James, 1 Peter, and 1 John) immediately after Acts and before the Pauline epistles. The order of an early edition of the letters of Paul is based on the size of the letters: longest to shortest, though keeping 1 and 2 Corinthians and 1 and 2 Thessalonians together. The Pastoral epistles were apparently not part of the Corpus Paulinum in which this order originated and were later inserted after 2 Thessalonians and before Philemon. Hebrews
10764-401: The management of S-T segment elevation myocardial infarctions ( STEMI ) occurring outside of the hospital, or even inside community hospitals without their own PCI labs, suggests that time to treatment is a clinically significant factor in heart attacks, and that trauma patients may not be the only patients for whom 'load and go' is clinically appropriate. In such conditions, the gold standard
10881-557: The mid-to-late second century, contemporaneous with the publication of the first New Testament canon. Whether the Gospels were composed before or after 70 AD, according to Bas van Os, the lifetime of various eyewitnesses that includes Jesus's own family through the end of the First Century is very likely statistically. Markus Bockmuehl finds this structure of lifetime memory in various early Christian traditions. The New Oxford Annotated Bible claims, "Scholars generally agree that
10998-489: The only available vehicle that could carry a recumbent patient, and were thus frequently run by funeral homes . These vehicles, which could serve either purpose, were known as combination cars . Prior to World War II, hospitals provided ambulance service in many large cities. With the severe manpower shortages imposed by the war effort, it became difficult for many hospitals to maintain their ambulance operations. City governments in many cases turned ambulance services over to
11115-470: The only readily-available EMS service These are full service emergency service agencies, which may be found in places such as airports or large colleges and universities like for example the UCLA EMS .Their key feature is that all personnel are trained not only in ambulance (EMT) care, but as a firefighter and a peace officer (police function). They may be found in smaller towns and cities, where demand or budget
11232-449: The patient before the ambulance arrives, and to then assist the ambulance crew. Some EMS agencies have set up volunteer schemes, who can be dispatched to a medical emergency before the ambulance arrives. Examples of this include Community First Responder schemes run by ambulance services the UK and similar volunteer schemes operated by the fire services in France. In some countries such as
11349-408: The patient during transport), and the equipment (and thus weight) that an ambulance had to carry, and several other factors. In 1971 a progress report was published at the annual meeting, by the then president of American Association of Trauma, Sawnie R. Gaston M.D. Dr. Gaston reported the study was a "superb white paper" that "jolted and wakened the entire structure of organized medicine." This report
11466-599: The patient. Other ambulance personnel are not non-medically trained and only provide driving and heavy lifting. In other applications of this model, as in Germany, a paramedic equivalent does exist, but is an assistant to the physician with a restricted scope of practice . They are only permitted to perform Advanced Life Support (ALS) procedures if authorized by the physician, or in cases of immediate life-threatening conditions. Ambulances in this model tend to be better equipped with more advanced medical devices, in essence, bringing
11583-475: The phrase New Testament several times, but does not use it in reference to any written text. In Against Marcion , written c. 208 AD, Tertullian writes of: the Divine Word, who is doubly edged with the two testaments of the law and the gospel . And Tertullian continues later in the book, writing: it is certain that the whole aim at which he [ Marcion ] has strenuously laboured, even in
11700-443: The police or fire department. No laws required minimal training for ambulance personnel and no training programs existed beyond basic first aid. In many fire departments, assignment to ambulance duty became an unofficial form of punishment. Advances in the 1960s, especially the development of CPR and defibrillation as the standard form of care for out-of-hospital cardiac arrest , along with new pharmaceuticals , led to changes in
11817-496: The post-resurrection appearances, but the emptiness of the tomb implies a resurrection). The word "gospel" derives from the Old English gōd-spell (rarely godspel ), meaning "good news" or "glad tidings". Its Hebrew equivalent being "besorah" (בְּשׂוֹרָה). The gospel was considered the "good news" of the coming Kingdom of Messiah , and the redemption through the life and death of Jesus, the central Christian message. Starting in
11934-613: The preceding epistles. These letters are believed by many to be pseudepigraphic. Some scholars (e.g., Bill Mounce, Ben Witherington, R.C. Sproul) will argue that the letters are genuinely Pauline, or at least written under Paul's supervision. The Epistle to the Hebrews addresses a Jewish audience who had come to believe that Jesus was the Anointed One (Hebrew: מָשִׁיחַ—transliterated in English as "Moshiach", or "Messiah"; Greek: Χριστός—transliterated in English as "Christos", for " Christ ") who
12051-462: The preface to the Acts of the Apostles references "my former book" about the ministry of Jesus. Furthermore, there are linguistic and theological similarities between the two works, suggesting that they have a common author. The Pauline epistles are the thirteen books in the New Testament traditionally attributed to Paul of Tarsus . Seven letters are generally classified as "undisputed", expressing contemporary scholarly near consensus that they are
12168-585: The relationship both to broader " pagan " society, to Judaism, and to other Christians. [Disputed letters are marked with an asterisk (*).] The last four Pauline letters in the New Testament are addressed to individual persons. They include the following: [Disputed letters are marked with an asterisk (*).] All of the above except for Philemon are known as the pastoral epistles . They are addressed to individuals charged with pastoral oversight of churches and discuss issues of Christian living, doctrine and leadership. They often address different concerns to those of
12285-487: The scene and will only transport them to hospital if it is deemed necessary. If patients are transported to hospital, they are more likely to go straight to a ward rather than to an emergency department . Countries that use this model include Austria, France, Belgium, Luxembourg, Italy, Spain, Brazil and Chile. In some cases in this model, such as France, there is no direct equivalent to a paramedic. Physicians and (in some cases) nurses provide all medical interventions for
12402-561: The tasks of the ambulances. In Belfast , Northern Ireland the first experimental mobile coronary care ambulance successfully resuscitated patients using these technologies. Freedom House Ambulance Service was the first civilian emergency medical service in the United States to be staffed by paramedics , all of whom were African-American. One well-known report in the US during that time was Accidental Death and Disability: The Neglected Disease of Modern Society , also known as The White Paper . The report concluded that ambulance services in
12519-574: The teachings and person of Jesus , as well as events relating to first-century Christianity . The New Testament's background, the first division of the Christian Bible, is called the Old Testament , which is based primarily upon the Hebrew Bible ; together they are regarded as Sacred Scripture by Christians. The New Testament is a collection of Christian texts originally written in the Koine Greek language, at different times by various authors. While
12636-444: The traumatic event. This appears to be true in cases of internal bleeding , especially penetrating trauma such as gunshot or stab wounds. Thus, minimal time is spent providing prehospital care (spine immobilization; "ABCs", i.e. ensure a irway, b reathing and c irculation; external bleeding control; endotracheal intubation ) and the victim is transported as fast as possible to a trauma centre . The aim in "Scoop and Run" treatment
12753-412: The work of Paul: Romans, 1 Corinthians, 2 Corinthians, Galatians, Philippians, 1 Thessalonians and Philemon. Six additional letters bearing Paul's name do not currently enjoy the same academic consensus: Ephesians, Colossians, 2 Thessalonians, 1 Timothy, 2 Timothy and Titus. The anonymous Epistle to the Hebrews is, despite unlikely Pauline authorship, often functionally grouped with these thirteen to form
12870-432: The work of the ambulance crews. This may include off-line medical control, where they devise protocols or 'standing orders' (procedures for treatment). This may also include on-line medical control, in which the physician is contacted via radio or phone to provide advice and authorization for various medical interventions or for a patient's desire to refuse care. In some cases, such as in the UK, South Africa and Australia,
12987-596: Was being developed, and in addition to horse-drawn models, early 20th century ambulances were powered by steam , gasoline , and electricity , reflecting the competing automotive technologies then in existence. However, the first motorized ambulance was brought into service in the last year of the 19th century, with the Michael Reese Hospital , Chicago , taking delivery of the first automobile ambulance, donated by 500 prominent local businessmen, in February 1899. This
13104-423: Was followed in 1900 by New York City, who extolled its virtues of greater speed, more safety for the patient, faster stopping and a smoother ride. These first two automobile ambulances were electrically powered with 2 hp motors on the rear axle. During World War I , further advances were made in providing care before and during transport; traction splints were introduced during the war and were found to have
13221-468: Was not perfect; but that which was to be given by Christ would be complete. Eusebius describes the collection of Christian writings as "covenanted" (ἐνδιαθήκη) books in Hist. Eccl. 3.3.1–7; 3.25.3; 5.8.1; 6.25.1. Each of the four gospels in the New Testament narrates the life, death, and resurrection of Jesus of Nazareth (the gospel of Mark in the original text ends with the empty tomb and has no account of
13338-676: Was popularised when these services began to emphasise emergency treatment at the scene. In some countries, a substantial portion of EMS calls do not result in a patient being taken to hospital. Training and qualification levels for members and employees of emergency medical services vary widely throughout the world. In some systems, members may be present who are qualified only to drive ambulances, with no medical training. In contrast, most systems have personnel who retain at least basic first aid certifications, such as basic life support (BLS). In English-speaking countries, they are known as emergency medical technicians (EMTs) and paramedics , with
13455-604: Was predicted in the writings of the Hebrew Scriptures. The author discusses the superiority of the new covenant and the ministry of Jesus, to the Mosaic Law Covenant and urges the readers in the practical implications of this conviction through the end of the epistle. The book has been widely accepted by the Christian church as inspired by God and thus authoritative, despite the acknowledgment of uncertainties about who its human author was. Regarding authorship, although
13572-453: Was the usual Hebrew word used to refer to pacts, alliances and covenants in general, like a common pact between two individuals, and to the one between God and Israel in particular, in the Greek world diatheke was virtually never used to refer to an alliance or covenant (one exception is noted in a passage from Aristophanes ) and referred instead to a will left after the death of a person. There
13689-471: Was variously incorporated into the Corpus Paulinum either after 2 Thessalonians, after Philemon (i.e. at the very end), or after Romans. Luther's canon , found in the 16th-century Luther Bible , continues to place Hebrews, James, Jude, and the Apocalypse (Revelation) last. This reflects the thoughts of the Reformer Martin Luther on the canonicity of these books. It is considered the books of
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