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Which entity typically has per authority over local EMS protocols?

  1. The medical director.

  2. The state health department.

  3. The county sheriff's office.

  4. The hospital administration.

The correct answer is: The medical director.

The medical director typically has primary authority over local EMS protocols. This is because the medical director is responsible for overseeing the medical aspects of emergency medical services, ensuring that protocols align with established guidelines for patient care and treatment. They develop and implement medical protocols, protocols for patient transport, and other practices based on current evidence-based medicine. Having a qualified medical director allows for standardized care within the EMS system, which helps to ensure that all providers follow best practices and maintain a consistent level of care. This position is crucial for adapting protocols to the local needs and medical risks of the community, thus reinforcing the importance of having a designated individual with medical expertise overseeing the operational aspects of EMS.