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The History of EMS in Tennessee

In 1967, the Tennessee Medical Associationfor violations of the law. In 1992, the law
(TMA) formed a Committee on Emergency Medicalwas amended to recognize licensure of
Services. The following year, Governoremergency medical technicians and paramedics;
Buford Ellington convened an advisorybut the term certification still applied to
committee to survey ambulance services andemergency  medical  first  responders.
medical facilities. This survey formed the
basis  of  a  state  plan for an EMS program.Following a national trend during the 1980s,
emphasis was placed on improving trauma care,
The EMS Act of 1972 created the EMS Divisionwith specially staffed medical facilities
in the Department of Public Health, anddesignated as trauma centers. The Elvis
created a State EMS Advisory Council ofPresley Memorial Trauma Center in Memphis was
thirteen members to advise the Division onestablished in 1983 and designated as a Level
program development and regulation. The1 Tennessee Trauma Center in 1985. The
first order of business was to implement EMTprocess of designating statewide Trauma
training throughout the state. The firstCenters throughout the state was accomplished
graduates of an 81-hour training program werein 1988 through regulations adopted in 1985
state certified as emergency medicaland  1987.
technicians as of May 1, 1972, and by the
fall of 1972, EMS consultants had establishedIn 1995, the EMS Division established the
training programs across the state. The EMSTennessee Emergency Medical Services for
Act of 1973 authorized advanced life supportChildren Program, through a $700,000 federal
training in Tennessee utilizing the termgrant under a contact with Vanderbilt
EMT-Advanced to define a paramedic. In 1980,University Childrens Hospital. Standards for
the position of State EMS Trainingemergency medical facilities and emergency
Coordinator  was  officially  designated.medical services for children were required
by  legislation  enacted  in  1998.
The EMS Act of 1983 provided for the
transition of the EMS Advisory Council into aEarly defibrillation programs for the public
State EMS Board, the first regulatory boardwere promoted by legislation in 1998 and
for emergency medical services programs in1999. Emergency medical first responders
the United States. The EMS Board waswere authorized to use automated external
empowered to promulgate rules, conductdefibrillators in 1994, and by 1997, all
hearings, discipline emergency medicalambulances responding the scene of an
services and personnel, and to continue toemergency were required to be equipped with a
oversee program development. The 1983 Actdefibrillator.
formally used the term EMT-Paramedic in the
State law. The Commissioner of Health,Based on information supplied by Richard Land
through the EMS Division and the departmentsof the Tennessee EMS Division.
legal counsel, could assess civil penalties



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