Chapter Two Emergency Medical Services System
In order to promote the balanced development of emergency medical services facilities and manpower, the central competent health authority shall, in collaboration with the central competent fire-fighting authority, demarcate the emergency medical services regions and formulate a national emergency medical services plan. Emergency medical services in the wilderness areas shall also be included in the plan.
The central competent health authority shall establish coordination and command systems in emergency medical services regions in order to integrate emergency medical service resources and consolidate emergency response mechanisms and shall announce statistical reports annually pertaining to the quality of emergency medical services.
Municipality and county (city) governments shall formulate implementation plans for emergency medical services and implement matters concerning emergency medical services in accordance with the emergency medical service resources available under its respective jurisdiction, and in coordination with the national emergency medical services plan mentioned in Paragraph 1 of the preceding Article.
Health competent authorities at various levels shall, with regards to prevention and response measures of disasters and wars, implement matters concerning emergency medical services; when necessary, the national mobilization defense system may be combined to implement emergency medical services.
The central competent health authority may invite medical care institutions, representatives of organizations or government agencies, and experts and scholars for advice or review on the following matters:
1. Advice on the establishment of emergency medical services systems and demarcation of emergency medical services regions;
2. Advice on special emergency medical services in the event of chemical disasters, radiation disasters, burns, air rescues and emergency rescues in the wilderness areas;
3. Advice on first-aid education training and propagation;
4. Review of the hospital accreditation standards and reconsideration of accreditation decisions pursuant to Article 38;
5. Advice on other matters relating to the central or emergency medical services regions concerning emergency medical services.
The central competent health authority shall entrust medical care institutions to establish regional emergency medical services response centers (hereinafter referred to as the regional response centers) in all regions according to the coordination and command systems of emergency medical services regions as set forth in Paragraph 2 of article 5 for the following matters:
1.Real-time monitoring of incidents of disasters in the region pertaining to emergency medical services;
2.Real-time control of regional emergency medical services information and resources;
3.Establishment of database for regional emergency medical resources;
4.Assistance in planning the rehabilitation of medical care incidents related to disasters;
5.Regularly holding annual emergency medical services drills concerning severe disasters;
6.In the case of cross-municipality or cross-county (city) disasters, responsive measures shall be employed to assist the central competent health authority in allocating emergency medical service resources within the region;
7.Assisting the central competent health authority in supervising the emergency care responsibility hospitals in the region in personnel deployment to attend to massive casualties;
8.Other disaster-responsive matters of regional emergency medical service.
Requirements to activate personnel deployment and commanding, framework of the commanding system, responsive procedures and other coordination matters as per Subparagraph 6 and Subparagraph 7 of the preceding Paragraph shall be decided by the central competent health authority.
The competent health authorities at the municipality or county (city) levels may invite medical care institutions, representatives of organizations or government agencies, and experts and scholars for counseling or review on the following matters:
1.Counseling on the planning of emergency medical services resource and implementation plans;
2.Counseling on the designation and assessment of emergency responsibility hospitals;
3.Review on patient referral disputes;
4.Counseling on the operational procedures for the rescue of injured or ill patients in emergency;
5.Counseling on the supervision and assessment of emergency medical technicians;
6.Counseling on other matters related to emergency medical services.
The central competent health authority shall include the hospital and pre-hospital emergency medical services in hospital accreditation.
The municipality or county (city) competent health authorities shall regularly supervise and assess the emergency medical services provided by the medical care institutions in each own jurisdiction.
The medical and disaster command centers in the municipality or county (city) fire-fighting agencies shall be deployed with rescue personnel who are on shift duty round the clock to deal with the following emergency medical matters:
1. Establish emergency medical services information;
2. Provide emergency medical counseling for patients before arriving at a medical care institution;
3. Accept applications for emergency medical services
4. Supervise the medical care unit or fire department carrying out pre-hospital emergency medical care;
5. Contact medical care institutions for admission of patients in emergencies;
6. Contact agencies (institutions) equipped with medical transportation for carrying out emergency medical services;
7. Coordinate relevant agencies in carrying out emergency medical services;
8. In the case of medical services for patients in emergencies, mass casualty events or in the wilderness areas, dispatch ambulance and rescue personnel from local ambulance deployment agencies (institutions), and notify the municipality or county (city) competent health authorities.
Municipality and county (city) competent fire-fighting authorities shall demarcate medical services regions on the bases of distribution of population, geographical environment, traffic, and existing medical care facilities in each own jurisdiction; and the pre-hospital emergency medical services shall be carried out by medical care unit or fire brigade.
Each medical care unit or fire brigade as prescribed in the preceding article shall at least be equipped with one ambulance and seven rescue personnel; of them, full-time personnel shall not be fewer than one half.
Public places designated by the central competent health authority shall be installed with an automated external defibrillator (AED) or other necessary emergency rescue equipment.
After acquiring the equipment, the venue manager or legal entity in charge shall send it to the competent health authority to be recorded for future reference, and be registered in the medical and disaster command centers.
Regulations concerning the items, installation methods, management, usage training and other matters relating to the necessary emergency rescue equipment mentioned in the preceding two paragraphs shall be prescribed by the central competent health authority.
Public places that acquire the AED or other necessary emergency rescue equipment as mentioned in the first paragraph may be awarded funds or subsidized if required.
Except for the rescue personnel, the indemnification clause for emergency evacuation in the Civil Code and Criminal Code shall apply to people using the emergency rescue equipment or performing first aid measures for saving others from immediate life-threatening danger.
The abovementioned provision is also applicable to rescue personnel who are off duty.