Excessive speeds coupled with poorly designed vehicles had led to an increase in serious vehicular crashes, and few cities possessed the EMS systems needed to manage such patients. ![]() During the first half of the 20 th century, ambulance services were most often provided by private individuals, particularly morticians as a service to families and to promote their funeral business.īeginning in the mid-1950s in the United States, emergency medical service (EMS) systems began to mature in parallel with the burgeoning interstate highway system. Four years later, New York City's Bellevue Hospital started the first municipal service. ![]() In 1865, the first hospital-based ambulance service was developed at the Commercial Hospital in Cincinnati, Ohio. INTRODUCTION - The concept of emergency medical transport originated from the need to move wounded soldiers from the battlefield to aid stations and other medical facilities.
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