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EMS
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Era 1: Municipal & Hospital-Based Ambulance Foundations
1861–1928
Era 2: Fragmentation and the Dark Age of EMS
1929–1965
Era 3: Federal Reform & the Birth of Modern Paramedicine
1966–1980
Era 4: State Regulation & National Standardization
1981–1999
Era 5: Clinical Maturation & System Integration
2000–2019
Era 6: Interstate Regulation & Workforce Mobility
2020–2026
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