The emergency room has always been an important part of history around the world. It has been said that medical care has existed and been prevalent since 1500 BC Around 1700 is when EMS systems began to experience great advancements and since then the field continues to grow and improve every year. The system dates back to the Crusades of the 11th century. The Knights of St. John were trained by Arab and Greek doctors in first aid care. The Knights were the first medical responders of that time, treating both sides of the war. The injured were taken to tents for further treatment. In 1792, the chief doctor of Napoleon's army, Baron Dominique-Jean Larrey, designed and created the "flying ambulance", a special type of carriage with a group of medical personnel authorized to access every part of the battlefield . Then, in 1797, he also established the first pre-hospital system designed to triage and transport the wounded in the field to appropriate relief centers. Larrey's revolutionary actions and ideas helped increase the chances of survival of wounded soldiers and ultimately benefited Napoleon's conquest efforts. In the early 1860s, the United States created the first field ambulance with an attendant. The first documented use of the ambulance and attendant dates back to the Civil War. Both sides sought to make their medical practices equal to, if not better than, those used in the Napoleonic Wars. But due to a lack of funding, government support and staff dedication, these attempts failed. In 1864, at the Geneva Conventions, an agreement was made according to which European countries would recognize the neutrality of hospitals and ambulances so that even the sick and injured,...... middle of paper...... enters united in a resolution to expand into the EMS. Introduced in 1993, EMTs have taken on a greater role in the primary care of non-emergency patients by learning a wide variety of new skills. In 1996, the EMS Agenda for the Future was drawn up, further linking emergency medical services to other medical professions. In 2005, Congress reauthorized legislation for the NHTSA. Under the Safe, Accountable, Flexible, and Efficient Transportation Equity: A Legacy for Riders Act, or SAFETEA-LU, Congress then created the Federal Interagency Committee on Emergency Medical Services. EMS today is still a serious career that is competitive to get into. Medical care is integrated into law enforcement, firefighters and anyone in public safety because it is an honored career and works to improve the safety of the community in which we live.