The Anglo-American model is also known as , ambulances are staffed by paramedics and/or emergency medical technicians. , but not to the same level as a physician. In this model it is rare to find a physician actually Specialized medical training working routinely in ambulances.
The physicians will attempt to treat casualties at the scene and will only transport them to hospital if it is deemed necessary. If patients are transported to hospital, they are more likely to go straight to a ward rather than to an emergency department . Countries that use this model include Austria, France, Belgium, Luxembourg, Italy, Spain, Brazil and Chile.