The impact of a 1966 National Academy of Sciences report on the "neglected epidemic" of accident death and disability led to passage of the National Highway Traffic Safety Act in that year. Similarly, a 1973 report by the Conference on Cardio-pulmonary Resuscitation and Emergency Medical Care, pointing out the life-saving potential of emergency techniques, led to the Emergency Medical Services System (EMSS) Act of 1973. Federal legislation has identified 15 components of an EMS system reflecting the coordinated effort among persons and institutions required for optimal medical care. The most visible change in emergency care since 1973 has been the replacement of the dual-purpose station wagon with the modular ambulance. Other prehospitalization phase advances include an Emergency Medical Technician (EMT)/Ambulance training course, a national training course standard for paramedics (the basis for the new National Registry for EMT/paramedics), and mobile advanced life-support systems. Since the early 1960's, there has been a growth in the number of full-time emergency physicians. A controversial issue among EMS planners is categorization of hospital facilities, a concept that has emerged as a keystone of Federal emergency care planning and grant awards. In some emergency care areas (e.g. the newborn, the critically burned, and persons with spinal cord injuries), there is evidence or support that specialty centers decrease mortality and long-term morbidity. For other conditions, particularly acute coronary events and trauma, the data are less solid.

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  • Supplemental Notes:
    • At head of title: Massachusetts Department of Medical Health.
  • Corporate Authors:

    Massachusetts Medical Society

    1172 Commonwealth Avenue
    Boston, MA  United States  02134
  • Authors:
    • Hoffer, E P
  • Publication Date: 1979-11-15

Media Info

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Filing Info

  • Accession Number: 00384710
  • Record Type: Publication
  • Source Agency: National Highway Traffic Safety Administration
  • Report/Paper Numbers: HS-029 064
  • Files: HSL, USDOT
  • Created Date: May 30 1984 12:00AM