1920’s
1928 - በአገሪቱ ውስጥ የመጀመሪያው ራሱን የቻለ የበጎ ፈቃደኞች አዳኝ ቡድን፣ ሮአኖክ ሕይወት አድን እና የመጀመሪያ እርዳታ ቡድን በRoanoke፣ Va.
1960’s
1968 - የስቴት በድንገተኛ ህክምና አገልግሎቶች (ኢኤምኤስ) ተሳትፎ የጀመረው በቨርጂኒያ አምቡላንስ ህግ በማፅደቅ ነው፣ ይህም ለሁሉም የአምቡላንስ አገልግሎቶች፣ በጎ ፍቃደኛ፣ ንግድ ወይም ማዘጋጃ ቤት ደረጃዎችን ማዘጋጀት እና መተግበርን ይጠይቃል። የድንገተኛ ህክምና አገልግሎት ቢሮ የተቋቋመው በጤና መምሪያ ውስጥ ነው።
1969 - የመጀመሪያዎቹ የአምቡላንስ አገልግሎቶችን የሚያስተዳድሩ ህጎች እና መመሪያዎች ወጡ።
1970’s
1971 - ለድንገተኛ ህክምና ቴክኒሻኖች ብሔራዊ መደበኛ ስርዓተ ትምህርት በቨርጂኒያ ውስጥ ተተግብሯል።
1973 - የመጀመሪያው የላቁ የህይወት ድጋፍ ሰራተኞች በቨርጂኒያ ቢች፣ ቫ.
1974 የልብ ቴክኒሻን ሆነው ተመርቀዋል - የቨርጂኒያ ጠቅላላ ጉባኤ የበለጠ አጠቃላይ የኢኤምኤስ ስርዓቶች ህግን አፅድቋል። የስቴት ኢኤምኤስ አማካሪ ኮሚቴ ተስፋፋ።
1976 - የመጀመሪያዎቹ ኢኤምቲ-ፓራሜዲኮች ማረጋገጫ ተሰጥቷቸዋል። የEMT አስተማሪ አሰልጣኝ ፕሮግራም ተጀመረ።
1978 - የቨርጂኒያ አድን ጓድ እርዳታ ፈንድ በሕግ የተፈጠረ። የመጀመሪያ እርዳታዎች በሰኔ 1979 ተሰጥተዋል። የቨርጂኒያ ክልላዊ ኢኤምኤስ ምክር ቤቶች በቨርጂኒያ ኮድ ውስጥ በይፋ እውቅና አግኝተዋል።
1980’s
1980 - የመጀመሪያው ዓመታዊ የEMS ሲምፖዚየም በዊልያምስበርግ፣ ቫ በክልል የጤና ቦርድ የተሰየሙ የክልል EMS ምክር ቤቶች።
1981 – የቨርጂኒያ የመጀመሪያ የአየር ህክምና የመልቀቂያ አገልግሎት በሳሌም፣ ቫ። የቨርጂኒያ ሜዲካል ኮሌጅ በስቴቱ የተሰየመው የመጀመሪያው ደረጃ አንድ የአሰቃቂ ማዕከል ነው። የፌደራል እገዳ ልገሳ ለሁሉም የEMS ክልላዊ ምክር ቤቶች በክልል አቀፍ የገንዘብ ድጋፍ ይፈቅዳል።
1982 - የመጀመሪያ ምላሽ ሰጪ ፕሮግራም ተጀመረ። የመጀመሪያው የግዛት EMS እቅድ ተቀባይነት አግኝቷል።
1983 - ይህ ለኢኤምኤስ የ"አንድ ለህይወት" ህግን በማፅደቅ $1 በማከል ትልቅ ትርጉም ያለው አመት ነበር። 00 EMS ለመደገፍ በሞተር ተሽከርካሪ ምዝገባ ላይ ክፍያ. ለክልል ኢኤምኤስ ምክር ቤቶች የሚሰጠው የገንዘብ ድጋፍ ከፌዴራል ብሎክ ዕርዳታ ወደ ስቴት የገንዘብ ድጋፍ ተለወጠ። የተፈቀዱ ኢኤምቲ እና የመጀመሪያ ምላሽ ሰጭ ክፍሎችን የሚያስተምሩ አስተማሪዎች ክፍያ ተጀምሯል።
1985 - ለአደጋ ጊዜ አገልግሎት ሰራተኞች ወሳኝ ክስተት የጭንቀት መግለጫ ፕሮግራም ተጀመረ።
1986 - የገዥው ኢኤምኤስ ሽልማቶች የላቀ ግለሰቦችን እና የEMS ኤጀንሲዎችን እውቅና ለመስጠት ተጀምሯል።
1987 - የስቴት አቀፍ የአካል ጉዳት መዝገብ ቤት ውሂብ ለመሰብሰብ ህጋዊ ነው። የEMS ቢሮ በዓመት 50 ፣ 000 ሪከርዶችን ከሆስፒታሎች እና የድንገተኛ አደጋ ክፍሎች ተቀብሏል። ለኮመንዌልዝ የመጀመሪያውን የስቴት MEDEVAC እቅድ አዘጋጅቶ ተቀብሏል።
1988 - ብቁ የሆኑ የEMS ሰራተኞችን የመመልመል እና የማቆየት ችግርን ለመፍታት ዋና ዋና ጥረቶች ተጀምረዋል። የEMS የአደጋ ምላሽ እቅድ ሪፖርት ተጠናቋል።
1989 - የEMS አማካሪ ቦርድ የህክምና ቁጥጥር ኮሚቴን አቋቋመ እና የEMS ቢሮ የመንግስት ኢኤምኤስ ሜዲካል ዳይሬክተር ሆኖ እንዲያገለግል ከሀኪም ጋር የትርፍ ጊዜ ውል ፈፅሟል።
1990’s
1990 – Two For Life legislation passed, which doubled to $2.00 the annual motor vehicle registration fee for EMS and made new programs possible. Rules and Regulations Governing EMS revised to incorporate Guidelines and Procedures for BLS and ALS Training Programs. First and only state sponsored satellite EMS training program initiated by the Office of EMS. Monthly broadcasts are available for viewing nationwide. Computerized Continuing Education program initiated that allows providers innovative ways to earn recertification credits for attending a variety of training programs which include hospital rotations, magazine articles and videotapes.
1991 – Testing and continuing education records automated.
1995 – Virginia is one of the first states to adopt the new National Standard EMT-Basic Curriculum and instructor roll-out programs train over 500 EMT instructors in the use of this new program. Poison Control Services tasked to Office of EMS.
1996 – Statewide Pre-Hospital and Inter-Hospital Trauma Triage Plan developed. New National Standard Instructor Curriculum is implemented in Virginia to train new EMT instructors. It is based on policies and programs initially developed in Virginia. EMS Advisory Board membership reorganized with reduction of membership from 37 to 24, elimination of Department of Motor Vehicles and Department of Emergency Services representation, and addition of membership by the State Fire Chiefs’ Association of Virginia, Virginia Firefighters Association and Virginia Chapter, American Academy of Pediatrics.
1997 – Virginia adopted a modified version of the new National Standard First Responder Curriculum that added skills including automated external defibrillation (AED) as a mandatory requirement at this certification level. Recertification requirements for all certification levels were updated and Operational Medical Directors allowed to waive recertification testing for qualified EMS agency members under their supervision.
First Regional EMS Disaster Task Forces are operational.
1998 – New Continuing Education requirements for all EMS certification levels took effect on July 1, 1998.
1999 – A consolidated grants program was initiated that included all OEMS grants – Rescue Squad Assistance Fund, Recruitment and Retention Mini-Grants and ALS Training Grants. AED registration program developed for non-licensed EMS organizations. Regional Trauma Plans established statewide. EMS Funding Task Forced formed by EMS Advisory Board Chairman. The EMS Do Not Resuscitate Order was changed by the Virginia General Assembly and renamed the Durable DNR Order. New provisions eliminated the expiration date and the requirement to be terminally ill, and included minors. EMS agencies were required to start submitting Pre-Hospital Patient Care Reports, starting July 1, 1999.
2000’s
2000 – For the first time, an official definition of an ambulance was passed by the Virginia General Assembly. It is defined as a vehicle, vessel or aircraft that holds a valid permit from the Office of EMS. Initiated extensive review of EMS Rules and Regulations for update in 2001, the first update since 1990. Statewide collection of Pre-Hospital Patient Care Report data initiated.
2002 – Four-for-life funding passed providing EMS $4 for vehicle registrations, thus increasing programs and initiatives in OEMS, increasing grant availability and return-to-locality funding. The funding was withheld for the Virginia’s Homeland Security general fund, but was provided to the EMS system in 2004.
2004 – Joint Legislative Audit & Review Commission study reviewed the statewide availability of EMS, recruitment, retention and training of EMS providers. It also looked at EMS funding in Virginia and recommended organization and managemetn improvements that could strengthen the Commonwealth’s EMS System. General Assembly approved; ” Four for Life” less $3.450 million retained in general funds was provided to the EMS system.
2005 – General Assembly increased from 12 to 17 mandates for EMS § 32.1-111.3
2006 – “Four for Life” was fully enacted by budget bill and revised the % distribution.
2007 – EMS for Children comes to the Office of EMS. OEMS reorganized and now has six divisions and 48 positions. Training available on-line through TrainVA and contracted on-line EMS education companies.
2008 – Fund code 0213 – Accelerate annual payment to localities in March for funds collected year to date (July – February) to drawdown cash balances. Fund code 0910 – Limit the # of grant extensions awarded. Additionally, in 2007, OEMS changed procedures to include follow-up letters to grantees approximately 3 months prior to the end of grant period. Established external audit of Regional Councils, RSAF grantees and Return to Locality funds. General Assembly approved a $0.25 increase in Four for Life restricted to EMT Certification.
2010 – The Virginia Pre-Hospital Information Bridge (VPHIB), the web-based electronic patient care data collection system was implemented throughout Virginia. The VPHIB system provides a secure method of collecting pre-hospital data, extracting existing data, and exporting or sharing data for strategic planning and process improvement initiatives. This gives EMS agencies in Virginia the flexibility to collect their own data. The entire Commonwealth was phased into moving from manual pre-hospital patient care reporting to the new web version of VPHIB. The Office of EMS received a Homeland Security Grant Program for funding of 762 ToughBook laptops to Virginia EMS governmental and volunteer agencies. The ToughBooks are now used in the field to electronically report patient care data to OEMS through VPHIB.
2011 – The Virginia Office of EMS in consultation with the state EMS Advisory Board approved the Virginia Scope of Practice which includes the Intermediate level of certification. A committee of EMS providers, Operational Medical Directors and EMS educators met and developed the following Virginia specific Scope of Practice documents. The new Virginia Scope of Practice Formulary and Procedures are guidance documents designed to provide “educational minimums and practice maximums.” EMS educators are encouraged to begin using these documents in their training programs. They replace the old Procedures and Medications Schedules. More >>