<P> In Ireland the St John Ambulance was set up in 1903 in the Guinness Brewery in St. James Gate in Dublin by Doctor, later Sir, John Lumsden for workers . In 1910 the Brigade began its first public duty at the Royal Dublin Society . During the 1916 rising and (after becoming the independent St. John Ambulance Brigade of Ireland) the' Emergency' (World War II) the brigade acted as an ambulance service and remained so until the set up of Regional Ambulance Services . </P> <P> In Queensland, Australia, military medic Seymour Warrian called a public meeting in Brisbane and established an ambulance service after witnessing an event at the Brisbane showgrounds during Show Week in 1892 . A fallen rider, suffering a broken leg was walked off the field by well - meaning but misguided bystanders, worsening his injury . As a result of the meeting, the Queensland Ambulance Transport Brigade was formed on the 12 September . The first ambulance station in Queensland operated out of the Brisbane Newspaper Company and officers on night duty slept on rolls of newspaper on the floor . They had a stretcher, but no vehicle and transported patients on foot, although in time, they gained horse - drawn stretchers and eventually vehicles . A year after the establishment of the Brisbane centre, another was established in Charters Towers in north Queensland, growing to over 90 community controlled ambulance centres . In 1991 the independent QATB centres amalgamated to form the Queensland Ambulance Service which is now the fourth largest ambulance service in the world . </P> <P> In the late 19th century cities, including Bahia, Brazil and St Louis, Missouri, United States started using trolley cars on their tram network which were designed to act as ambulances, transporting the sick and injured . The trolley cars in Bahia included a fumigating compartment and a two bed nurses work area . The design of the tram network in St Louis was such that the ambulance streetcar, introduced in 1894 was able to reach all 16 infirmaries in the city . </P> <P> In Germany, in 1902, a civilian ambulance train was introduced (building on the use of trains during military conflict) for use during railway accidents . It housed a mobile operating room and eight stretchers . Railroad employed surgeons lived near the railway station where the ambulance train was stationed, and were summoned to urgently attend in the event of an emergency . This train had priority over the tracks, with all other trains obliged to give way . </P>

When were ambulances first used in the us