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The History of EMS in Tennessee

In 1967, the Tennessee Medical counsel, could assess civil penalties for
Association (TMA) formed a Committee on violations of the law. In 1992, the law
Emergency Medical Services. The was amended to recognize licensure of
following year, Governor Buford Ellington emergency medical technicians and
convened an advisory committee to survey paramedics; but the term certification
ambulance services and medical still applied to emergency medical first
facilities. This survey formed the basis responders.
of a state plan for an EMS program. Following a national trend during the
The EMS Act of 1972 created the EMS 1980s, emphasis was placed on improving
Division in the Department of Public trauma care, with specially staffed
Health, and created a State EMS Advisory medical facilities designated as trauma
Council of thirteen members to advise the centers. The Elvis Presley Memorial
Division on program development and Trauma Center in Memphis was established
regulation. The first order of business in 1983 and designated as a Level 1
was to implement EMT training throughout Tennessee Trauma Center in 1985. The
the state. The first graduates of an process of designating statewide Trauma
81-hour training program were state Centers throughout the state was
certified as emergency medical accomplished in 1988 through regulations
technicians as of May 1, 1972, and by the adopted in 1985 and 1987.
fall of 1972, EMS consultants had In 1995, the EMS Division established the
established training programs across the Tennessee Emergency Medical Services for
state. The EMS Act of 1973 authorized Children Program, through a $700,000
advanced life support training in federal grant under a contact with
Tennessee utilizing the term EMT-Advanced Vanderbilt University Childrens Hospital.
to define a paramedic. In 1980, the Standards for emergency medical
position of State EMS Training facilities and emergency medical services
Coordinator was officially designated. for children were required by legislation
The EMS Act of 1983 provided for the enacted in 1998.
transition of the EMS Advisory Council Early defibrillation programs for the
into a State EMS Board, the first public were promoted by legislation in
regulatory board for emergency medical 1998 and 1999. Emergency medical first
services programs in the United States. responders were authorized to use
The EMS Board was empowered to promulgate automated external defibrillators in
rules, conduct hearings, discipline 1994, and by 1997, all ambulances
emergency medical services and personnel, responding the scene of an emergency were
and to continue to oversee program required to be equipped with a
development. The 1983 Act formally used defibrillator.
the term EMT-Paramedic in the State law. Based on information supplied by Richard
The Commissioner of Health, through the Land of the Tennessee EMS Division.
EMS Division and the departments legal




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