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This chapter describes the role of prehospital teams deployed to large scale disaster events. It describes two categories of type I emergency medical teams (EMT), and provides an overview of their capabilities and expectations. It reviews competing models of prehospital care delivery that are prevalent worldwide, including the levels of service that can be expected within such systems. Finally, the chapter describes the role of the medical component of urban search and rescue (USAR) teams, and notes the differences that exist between type I EMTs and USAR teams. Future trends in the development of EMTs are explored, including the importance of national capacity building, the commitment to acute and long term community needs, and the continued promotion of EMT and USAR medical coordination.
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