Freedom House Ambulance Service was the first emergency medical service in the United States to be staffed by paramedics with medical training beyond basic first aid.[1][2] Founded in 1967 to serve the predominantly black Hill District of Pittsburgh, Pennsylvania, which was staffed entirely by African Americans.[3][4] Freedom House Ambulance Service broke medical ground by training its personnel to previously unheard-of standards of emergency medical care for patients en route to hospitals.[3][5][6] The paramedic training and ambulance design standards pioneered in the Freedom House Ambulance Service would set the standard for emergency care nationally and even internationally.[2][5] Despite its successes, the ambulance service was closed eight years after it began operating.[5]

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