See also :
Certified First Responder and
Emergency medical responder
In
France, the pre-hospital care is either performed by first responders from the
fire department (
sapeurs-pompiers, most emergency situations) or from a private
ambulance company (relative emergency at home), or by a medical team that includes a
physician, a
nurse and an ambulance technician (called "
smur"). The intermediate scale, the firefighter nurse (
infirmier sapeur-pompier, ISP), is only a recent evolution and is performed by
nurses specially trained acting with emergency protocols; these nurses are the French equivalent of the
paramedics. The first responders are thus the most frequent answer to emergency calls.