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Although successful, the concept of the use of trauma centers and Medevac helicopters was not accepted until the late 1970s (Franklin & Doelp, 1980). The history of training EMS personnel is covered in more detail in Chapter 7. However, it was during the 1960s that the first attempt to revise and standardize training for ambulance attendants occurred. In 1966, the federal Department of Transportation’s EMS Division within NHTSA issued a request for proposal (RFP) to develop the basic EMS national standard training curriculum.
1983). At the conclusion of the second national conference held in December 1971, a telegram was sent to President Richard M. Nixon urging him to take action to improve emergency medical services. , 1983). As a result, in June 1972, DHEW initiated five EMS demonstration projects and two EMS communication programs in states and regions around the country. President Nixon firmly believed that EMS was a state and local responsibility and that the role of the federal government should be limited to technical support and guidance.
Several private ambulance services also developed during this time, some providing only routine medical transport and others providing both emergency and routine transport. In many areas of the country the service was assumed by the local funeral home that could, with minor modifications, readily turn a hearse into an ambulance. In 1966, over 50% of the ambulances in the United States were run by funeral directors (Beebe & Funk, 2001). In many communities, the hearse was the only available vehicle capable of transporting a person lying down.