Paramedics in Germany are the main providers of emergency care in emergency medical services in Germany. There exist two professional levels regulated by federal law, the Rettungsassistent (two year education, effective 1989 until 2013) and the Notfallsanitäter (three year education, starting 2014). Non life-threatening emergencies are handled solely by the paramedic ambulances without a physician on scene. Other regulated qualifications in German EMS are Notarzt (emergency physician) and the more basic emergency technician level Rettungssanitäter.
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