1.1 本指南为结构和责任制定了最佳指南，以促进州、地区和地方各级应急医疗服务（EMS）的开发、交付和评估。 1.1.1 州一级- 在州一级，本指南规定了组织和管理州应急医疗服务计划的基本结构，并概述了州在全州应急医疗服务规划、发展、协调和监管方面的责任。 1.1.2 区域一级- 在区域一级，本指南阐述了功能全面的EMS系统的规划、开发和协调，该系统包括根据国家和州领导机构标准应对紧急疾病或受伤患者所需的所有人员、设备和设施。 1.1.3 地方一级- 在地方一级，本指南阐述了本地EMS系统组织和管理的基本结构，并概述了本地EMS在其EMS系统的规划、开发、实施和评估中应承担的责任。 ====意义和用途====== 2.1 本指南并非旨在规定各级的具体结构或责任，而是建议一种方式或方法，以允许创建或进一步开发州、地区或地方EMS系统。 2.2 本指南将帮助州、地区或地方组织建立EMS系统或完善现有EMS系统。

1.1 This guide establishes optimum guidelines for the structures and responsibilities that will facilitate development, delivery, and assessment of Emergency Medical Services (EMS) on state, regional, and local levels. 1.1.1 State Level— At the state level, this guide sets forth a basic structure for the organization and management of a state emergency medical services program and outlines the responsibilities of the state in the planning, development, coordination, and regulation of emergency medical services throughout the state. 1.1.2 Regional Level— At the regional level, this guide addresses the planning, development, and coordination of a functional and comprehensive EMS system which consists of all personnel, equipment, and facilities necessary for the response to the emergently ill or injured patient, according to national and state lead agency standards. 1.1.3 Local Level— At the local level, this guide sets forth a basic structure for the organization and management of a local EMS system and outlines the responsibilities that a local EMS should assume in the planning, development, implementation, and evaluating of its EMS system. ====== Significance And Use ====== 2.1 This guide is not meant to mandate a specific structure or responsibility at the various levels but rather to suggest a means or method that will allow for the creation or further development of a state, regional, or local EMS system. 2.2 This guide will assist state, regional, or local organizations in establishing EMS systems or refining existing EMS systems.