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First responder

Trained emergency personnel

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A truck overturned at the Tung Chung Eastern Exchange on April 30, 2011.
Mk2010 · CC BY-SA 3.0

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Through Emergency, Firefighter and Military

In some jurisdictions, emergency department personnel, such as doctors and nurses, are also required to respond to disasters and critical situations, designating them first responders; in other jurisdictions, military and security forces may also be authorized to act as first responders.

In a medical context, certified first responder is an individual who has received certification to provide pre-hospital care in a certain jurisdiction. A community first responder is a person dispatched to attend medical emergencies until an ambulance arrives. A wilderness first responder is trained to provide pre-hospital care in remote settings who has skills relevant to ad hoc patient care and transport by non-motorized means. Public Works departments are also recognized as First Responders as they are generally called to clean up natural disasters, plow snow and maintain roads as well as provide rescue support in extreme weather scenarios. Support for first responders, including preparation and cleanup, is usually performed by second responders.

Etymology

The use of the term "first responder" in the current sense first emerged in the United States in the 1970s. Perhaps the earliest uses in print occurred in two articles in The Boston Globe in August 1973, about proposed ambulance regulations in Massachusetts.

"…any police or fireman who staff a 'dual-purpose' vehicle would have to be trained to offer 'first-responder' care — that is, to stabilize a patient until more sophisticated help arrived." "The chances are even better that your emergency call will be answered by a police or fire vehicle doing double duty instead of an adequately equipped ambulance and a paramedic trained in 'first responder' care."

There were some earlier uses of "first response", though not "first responder", in this sense. They included an article in the Grand Junction Daily Sentinel in March 1972, and another about the formation of a "First Response Group" composed of volunteers in The Burlington Free Press in April 1973.

A few months after its use in the Globe, the term "first-responders" appeared in a Boston Herald article about a master plan for emergency care from the Health Planning Council of Greater Boston. One of the recommendations in the plan, reported the Herald, was that "All ambulance personnel and first-responders (who are general police and firemen) should be adequately trained in emergency care such as cardopulmonary [sic] resuscitation."

"First-responder" was also used in a July 1974 classified advertisement for a deputy chief of EMT training—"to assist in developing and implementing statewide training programs for EMT's and first-responders"—from the Massachusetts Department of Public Health.

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