![]() ![]() ![]() Their farther involvement at all levels of CSC planning and implementation should be a goal. EMS agencies and personnel may already be engaged in such planning at the local level through their regional EMS/trauma advisory councils or health care coalitions ( HHS, 2009 NASEMSO, 2011a NHTSA, 2000). These licensed/certified personnel (emergency medical dispatchers, emergency medical responders, emergency medical technicians, and paramedics) may be the first to apply crisis standards of care (CSC), and are integral partners in local and state 1 efforts related to the development and implementation of coordinated and integrated CSC plans (NHTSA, 2012). EMS personnel often are the first to recognize the nature of a disaster and can immediately evaluate the situation and determine the need for resources, including medical resources. Prehospital care is provided by emergency medical services (EMS) responders, who are the initial health care providers at the scene of disaster.
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