Designation:F1339−92(Reapproved2008)StandardGuideforOrganizationandOperationofEmergencyMedicalServicesSystems1ThisstandardisissuedunderthefixeddesignationF1339;thenumberimmediatelyfollowingthedesignationindicatestheyearoforiginaladoptionor,inthecaseofrevision,theyearoflastrevision.Anumberinparenthesesindicatestheyearoflastreapproval.Asuperscriptepsilon(´)indicatesaneditorialchangesincethelastrevisionorreapproval.1.Scope1.1ThisstandardestablishedguidelinesfortheorganizationandoperationofEmergencyMedicalServicesSystems(EMSS)atthestate,regionalandlocallevels.Thisguidewillidentifymethodsofdevelopingstatestandards,coordinating/managingregionalEMSSystems,anddeliveringemergencymedicalservicesthroughthelocalEMSSystem.1.1.1Atthestatelevelthisguideidentifiesscope,methods,proceduresandparticipantsinthefollowingstatestructureresponsibilities:(a)establishmentofEMSlegislation;(b)developmentofminimumstandards;(c)enforcementofmini-mumstandards;(d)designationofsubstatestructure;(e)provisionoftechnicalassistance;(f)identificationoffundingandotherresourcesforthedevelopment,maintenance,andenhancementofEMSsystems;(g)developmentandimple-mentationoftrainingsystems;(h)developmentandimplemen-tationofcommunicationsystems;(i)developmentandimple-mentationofrecord-keepingandevaluationsystems;(j)developmentandimplementationofpublicinformation,publiceducation,andpublicrelationsprograms;(k)developmentandimplementationofacutecarecenterdesignation;(l)develop-mentandimplementationofadisastermedicalsystem;(m)overallcoordinationofEMSandrelatedprogramswithinthestateandinconcertwithotherstatesorfederalauthorities.1.2Attheregionallevel,thisguideidentifiesmethodsofplanning,implementing,coordinating/managing,andevaluat-ingtheemergencymedicalservicessystemwhichexistswithinanaturalcatchmentareaandprovidesguidanceontheuseofthesemethods.1.3Atthelocallevel,thisguideidentifiesabasicstructurefortheorganizationandmanagementofalocalEMSsystemandoutlinestheresponsibilitiesthatalocalEMSshouldassumeintheplanning,de...