Advanced proceduresJapan: Japanese paramedics, known as “Emergency Life-Saving (a device that gives the heart an electric shock), or helping a of these steps. This rule ensures safety, but it can slow things In Hungary, paramedics go through a four-year university to do the full range of life-saving procedures on their own, following clear national guidelines. This means they can start treatments— like giving strong medications, placing calling a doctor. Having both the training and the authority to act immediately often speeds up care in critical moments.Autonomy in Decision-MakingJapan: ELSTs in Japan operate under a “task-shift” system: they only perform advanced medical steps when a doctor says, “it’s okay.” While this keeps the doctor involved in every serious decision, it also means paramedics cannot act independently when seconds count.Hungary: Hungarian paramedics assess the situation themselves and decide what to do next, based on their university training. Even though a doctor may be on board the ambulance or available by phone, paramedics do not need to wait for detailed orders. This higher level of independence lets them begin treatment without delay, which can be crucial in life-threatening situations like cardiac arrest or severe bleeding.6 Emergency medical services (EMS) play a crucial role in saving lives by giving quick care before a patient reaches the hospital. Although both Japan and Hungary have well-developed EMS, they organize and train their teams in very different ways. In this article, we’ll look at two main areas:1. What paramedics are allowed to do2. How the EMS systems are set up and work in practiceBy comparing Japan’s model with Hungary’s, we can see the advantages and limitations of each approach and decide which one might best serve patients in emergencies.Technicians (ELSTs),” can perform certain advanced procedures, such as inserting an IV drip, using a defibrillator patient breathe with a special tube. However, they must have permission from a doctor over the radio before taking most down if they are waiting for instructions.Hungary:program and work alongside ambulance doctors. They learn breathing tubes, or even helping broken bones—without first Shota Takanouchi Introduction1. What Paramedics Are Allowed to DoSemmelweis University, HungarySaving Lives, Two Styles
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