Title: Anglo-American versus Franco-German Models of EMS Systems<br/>Author: Jon Mark Hirshon<br/><a href='http://umem.org/profiles/faculty/96/'>[Click to email author]</a><hr/><p>
</p>
<p>
There are two main models of Emergency Medical Services (EMS) Systems</p>
<p>
</p>
<p>
<strong><u>Franco-German</u></strong></p>
<ul>
<li>
<strong>Doctor is brought to the patient</strong>
<ul style="list-style-type:circle;">
<li>
Care often provided by emergency physicians</li>
</ul>
</li>
<li>
Based upon the “stay and stabilize” philosophy
<ul style="list-style-type:circle;">
<li>
Fewer transports to the hospital</li>
<li>
Direct transport to inpatient wards</li>
</ul>
</li>
<li>
Utilizes more extensive advanced technology</li>
<li>
Widely implemented in Europe</li>
<li>
EMS as part of public health organization</li>
</ul>
<p>
</p>
<p>
<strong><u>Anglo-American</u></strong></p>
<ul>
<li>
<strong>Patient is brought to the doctor</strong>
<ul style="list-style-type:circle;">
<li>
Care provided by emergency medical technicians/paramedics</li>
</ul>
</li>
<li>
Based upon the “scoop and run” philosophy
<ul style="list-style-type:circle;">
<li>
More patients transported to the hospital</li>
<li>
Brought to the emergency department</li>
</ul>
</li>
<li>
More likely to be found in countries with emergency medicine as a developed specialty</li>
<li>
Widely implemented in English speaking countries globally
<ul style="list-style-type:circle;">
<li>
However, also found in other countries such as in the Arabian Gulf</li>
</ul>
</li>
<li>
EMS as part of public safety organization</li>
</ul>
<fieldset><legend>References</legend>
<p>
</p>
<p>
Dick WF. Anglo-American vs. Franco-German emergency medical services system. Prehosp Disaster Med. 2003 Jan-Mar;18(1):29-35; discussion 35-7.</p>
<p>
</p>
<p>
Al-Shaqsi S. Models of International Emergency Medical Service (EMS) Systems. Oman Med J. 2010 Oct; 25(4): 320–323.</p>
</fieldset>