This depends on the type of ambulance and the area it is operating in. Ambulances are either basic life support (BLS) or advanced life support (ALS). BLS trucks have EMT-basics instead of paramedics. ALS trucks legally must have one paramedic on board, and either an emt-basic in a rural setting, or a second paramedic in a metropolitan area. However, it is all up to the agency staffing the ambulance.
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