||This article may not have a worldwide view of the subject. (October 2013)|
A paramedic is a health care professional who works in different cases of emergency. They provide care for medical emergencies and trauma. They use different techniques and protocols to stabilise the patient. Then they take the person to a hospital in an ambulance. They evaluate the patient with specific information they have. They try to prevent the condition of the person from getting worse before they reach the hospital, where doctors and nurses will take over care. A paramedic is trusted by the people and can be part of every kind of unstable situations and emergency. 
Montreal and Laval ambulance organisation[change | change source]
In Montreal and Laval, Urgences-Santé is the emergency medical service that covers the all territories. Urgences-Santé treats around 40%-50% of the emergency calls of the province of Quebec. They are the most important and the biggest medical service organisation of Canada. Paramedics need specific qualities to give the best service possible; like leadership, stress resistance, good communication and team spirit. In Québec, 11 CEGEPs offer the pre-hospital emergency care - 181.A0 program Paramedics can give five medications to stabilise patients until they get to a hospital. They inject medication with needles, or give by mouth. They also give oxygen with a mask for respiratory problems. Most of the time paramedics give primary or basic care.
Montreal has around eight paramedics who give advanced care. These paramedics use different techniques and give more than 30 medications and treatment. Most of the time, an advanced life support team works alone or in a team of two and they choose which emergency calls they will go for. They use a specific vehicle like a minivan because they do not transport patients.
First responders[change | change source]
In Montreal, firefighters are first responders; they have more stations on the island so they can get on 911 calls faster than ambulance. In Laval it is the Service de police de la Ville de Laval (SPVL) who are first responders. First responders are especially useful in case of cardiac arrest where every minute counts.The formation of first responder is offered by certified instructor from Urgences-Santé. All the vehicles have defibrillator monitors.
First responder history[change | change source]
Before 2007, eight stations of the island of Montreal offered the service of first responder. Having studied similar projects elsewhere in the world, Montreal chose to have first responder fire brigades to serve all of the territory of the urban area. From April 2007 until December 2009, they gradually started the department of fire brigade's first responder everywhere on the island. All the stations of the island now offer this service to Montreal.