 The provision of municipal ambulance services and paramedics, can vary by area, even within the same country or state.For instance, in Canada, the province of British Columbia operates a province-wide service (the British Columbia Ambulance Service) whereas in Ontario, the service is provided by each municipality, either as a distinct service, linked to the fire service, or contracted out to a third party.While there are varying degrees of training and expectations around the world, a set of skills practiced by paramedics in the pre-hospital setting includes