<Li> Care in transit ---the emergency medical service load the patient in to suitable transport and continue to provide appropriate medical care throughout the journey </Li> <Li> Transfer to definitive care--the patient is handed over to an appropriate care setting, such as the emergency department at a hospital, in to the care of physicians </Li> <P> Emergency Medical Service is provided by a variety of individuals, using a variety of methods . To some extent, these will be determined by country and locale, with each individual country having its own' approach' to how EMS should be provided, and by whom . In some parts of Europe, for example, legislation insists that efforts at providing advanced life support (ALS) Mobile Intensive Care Units (MICU) services must be physician - staffed, while other permit some elements of that skill set to specially trained nurses, but have no paramedics . Elsewhere, as in North America, the UK and Australasia, ALS services are performed by paramedics, but rarely with the type of direct "hands - on" physician leadership seen in Europe . Increasingly, particularly in the UK and in South Africa, the role is being provided by specially trained paramedics who are independent practitioners in their own right . Beyond the national model of care, the type Emergency Medical Service will be determined by local jurisdictions and medical authorities, based upon the needs of the community, and the economic resources to support it . </P> <P> A category of emergency medical service which is known as' medical retrieval' or rendez vous MICU protocol in some countries (Australia, NZ, Great Britain, and Francophone Canada) refers to critical care transport of patients between hospitals (as opposed to pre-hospital). Such services are a key element in regionalized systems of hospital care where intensive care services are centralized to a few specialist hospitals . An example of this is the Emergency Medical Retrieval Service in Scotland . In the United States, this is referred to as "Critical Care Transport" and qualifications for this role vary by state and can include a nurse, paramedic and / or an EMT . </P>

Which member of the ems has the most energy