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: Their horse-drawn carriages were modeled after Civil War medical wagons and featured slide-out stretchers.

: Drivers cleared traffic using a foot-operated bell or gong. 3. The First Modern Paramedic Service: Freedom House (1967)

: Each carriage was stocked with bandages, splints, tourniquets, and famously, a quart of emergency brandy for patients.

The history of the first ambulance services in the United States transitions from horse-drawn transport to the high-tech paramedic care we recognize today. Depending on the context, there are three key "firsts" often cited by historians: 1. The First Civilian Hospital-Based Service (1865)

While early services focused on "scoop and run" transport, the Freedom House Ambulance Service in Pittsburgh became the nation's first community-based emergency medical service staffed by trained paramedics in 1967.

: Unlike modern EMTs, these ambulances were staffed by medical interns from the hospital who provided immediate care during transport.