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Introduction: Ambulance services require professional staff and are supported by adequate
facilities so as to create maximum service for critical patients in pre-hospital services. Staff
arrangements are important so that they will be able to reduce the risk of losing lives and
permanent disability to victims who will be helped. In this study the author will review how the staff
configuration in an effective ambulance service.
Method: Systematic review has been carried out through several stages, namely making
questions, identification, eligibility, selection of article inclusion, screening, and appraisal. The
selection process is listed in the schematic review framework and results from article 6 are
obtained. Later articles are summarized and assessed by the JBI in each article
Results: Data shows different results according to the system, and the conditions from the place
of the study were conducted. An effective ambulance officer configuration will follow according to
the conditions of the ambulance call and the critical level of the victim. For cases that are not too
complex it will be effective using basic paramedics, for cases that require special and complex
handling, a more skilled team such as Critical Care Team, Critical Nurse for pediatric patients,
anesthesiologists and emergency physicians are needed for patients in need sedation in
intubation. And seen from the number of officers needed, of course, for patients who are more
complex, more than one officer is needed
Conclusion: The level and number of officers assigned will be more effective if they follow the
scenario and the complexity of the problems faced by victims in ambulance service.
Keyword: Configuration, Staff and Ambulance.