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Its common in the US for basic life support to be delivered by private or hospital ambulances, or municipal EMS services by cheap EMTs. Sometimes they are just drivers. Usually advanced life support is done by paramedics or others who work for municipal EMS or fire departments.

Bigger paid departments have a split between engine companies and rescue companies. Rescue companies have fancy tools for all sorts of situations and usually have more trained medical capability. That’s why you’ll see ladder trucks dispatched to medical emergencies in the US.




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