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emergency health services : ウィキペディア英語版
emergency health services

Emergency Health Services (EHS), an emergency medical services (EMS) agency, is responsible for providing emergency and primary health care to patients outside of a hospital. It also deals with transportation between hospitals and medical facilities.
In the province of Nova Scotia, Canada, EHS is a branch of the Nova Scotia Department of Health.
All ground ambulance and air ambulance service in Nova Scotia is contracted by EHS to Emergency Medical Care Inc. (EMC), a subsidiary of Medavie EMS Inc. which is itself a subsidiary of Medavie Blue Cross.
EHS is responsible for administering the contract for Nova Scotia's pre-hospital emergency health services. The contract is delivered by EMC through 150 ground ambulances and their support facilities, one helicopter and one fixed-wing aircraft, and approximately 900 paramedics.
EHS leases all ground ambulances and support facilities which are operated under contract by EMC. Many of the EHS Paramedic Stations are single-unit structures in the smaller rural communities, while having larger paramedic stations in larger centres that have the capacity to house a diverse fleet of vehicles. Every hospital in the province and many community health centres have helipads for LifeFlight air ambulance service.
EMC, EHS and the Medical Communications Centre (MCC) are located in Burnside Business Park in Dartmouth for coordinating emergency medical services across the province.
== History ==
Prior to 1995, Nova Scotia relied on approximately 50 funeral home, private and public ambulance companies, the owners of which were represented by the Ambulance Operators Association of Nova Scotia (AOANS). The level of medical care, staff qualifications, type and condition of ambulances and supplies, and working conditions varied throughout the province. Most medical air transportation was provided by the Canadian Forces' 413 Transport and Rescue Squadron operating out of CFB Summerside (1968-1990) and CFB Greenwood (1990-present). 413 Squadron used search and rescue aircraft such as the CH-113 Labrador helicopter as well as the CC-115 Buffalo and later the CC-130 Hercules fixed wing aircraft to deliver aid to the civil power missions.
In 1993, Cape Breton Island native Dr. Ron Stewart, who was instrumental in organizing emergency medical services in southern California earlier in his career during the 1970s, was elected to the Nova Scotia House of Assembly and was appointed the Minister of Health. Dr. Stewart quickly commissioned several reports on health care reform, one of which was conducted by Dr Mike Murphy, the director of emergency services at the Isaac Walton Killam Children's Hospital which offered a comprehensive evaluation on the state of the province's ambulances. Dr Murphy's report was highly critical of the ambulance system at that time.
The recommendations of the Murphy Report were subsequently adopted and by 1994 the transformation of Nova Scotia's ambulance system began. The Nova Scotia Dept of Health created Emergency Health Services to take over control of ground ambulance operations.
From 1994 until 1999, the previous contract for ground ambulance service in Nova Scotia with the Ambulance Operators Association of Nova Scotia (AOANS) was gradually taken over by Emergency Health Services, consolidating all the private ambulance companies in Nova Scotia into a single entity. A new contract was then awarded, under a long-term performance based contract, to Emergency Medical Care Inc. (EMC). EMC is a subsidiary of Medavie EMS Inc. which is a holding company within the Medavie Blue Cross group of companies.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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